Physical – Energy – CKD Care

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Physical

In the Physical Domain, the sociodemographics that were moderately correlated were educational attainment and occupational status. These two factors had a stronger relationship to physical quality of life (QoL) compared to the other variables, which showed only weak correlations.

Educational attainment and Occupational status correlated moderately to the physical domain. Educational attainment is linked to physical quality of life, with higher levels of education often leading to better physical well-being. This stems from improved health literacy, greater access to resources, and informed decision-making regarding lifestyle and treatment. Educated individuals are more effective at managing health conditions like Chronic Kidney Disease (CKD), adhering to treatment, and maintaining healthier routines. Occupational status underscores the positive impact of employment on their well-being. Stable jobs enhance access to healthcare, financial security, and structured routines, all contributing to better health outcomes.

Energy

Energy refers to the physical and mental strength required to perform tasks and activities throughout the day.

General Interventions

(For age, sex, marital status, household income, comorbidities)

You should keep a fatigue journal to monitor energy trends.

Helps identify patterns and plan around energy peaks.

You are encouraged to use light stretching or breathing exercises to energize between naps.

Gently boosts circulation without tiring the body.

You should prioritize rest before and after a dialysis session.

To avoid fatigue after the hemodialysis session/treatment.

Limit yourself from exposure to temperature and humidity extremes.

Helps you prevent physical stress and potential worsening of underlying health conditions.

You should eat easy-to-prepare and easy-to-consume foods and avoid caffeine and high sugar foods.

Helps you maintain stable energy levels and reduces the risk of stomach discomfort or overstimulation.

Educational Attainment-Based: Limited Formal Education

Use food picture guides with “green” and “red” foods for energy.

Helps you easily identify energy-boosting foods versus those that may cause crashes, promoting better dietary choices.

Example: Green = boiled eggs, bananas. Red = cola, coffee.

You are encouraged to learn to read simple food labels for sugar and caffeine.

Empowers you to avoid hidden sources of sugar and caffeine that could negatively affect your energy and sleep.

Example: Look for words like ‘energy drink’ or ‘sweetened.’

Educational Attainment-Based: Higher Education

Offer written guides on managing diet and environmental comfort.

Reduces decision fatigue and physical strain, making it easier to maintain a nutritious diet.

Example: Plan meals with complex carbs and schedule errands during cooler hours.

You are encouraged to batch-cook meals with photos of steps.

Reduces daily effort and conserves energy, making it easier for patients to maintain proper nutrition throughout the week.

Example: Cook rice and fish on Sunday for weekday lunches.

Occupational Status-Based: Employed

Keep healthy snacks at work and rest before shifts

Supports sustained energy levels and prevents fatigue during physically or mentally demanding tasks.

Example: Prepare oatmeal or boiled kamote as on-the-go energy food.

You are encouraged to set a fixed rest time post-dialysis to avoid energy crashes.

Helps you recover more effectively and prevent energy depletion that could affect their remaining daily responsibilities.

Example: Rest at 5 PM every treatment day.

Occupational Status-Based: Unemployed

Take strategic naps and limit screen time during the day.

Helps balance activity and recovery, reducing exhaustion and improving overall well-being.

Example: Use alarm to rest after dialysis and avoid afternoon TV marathons.

Rotate light and quiet tasks to avoid long periods of inactivity.

Helps you stay gently active, maintain physical function, and avoid fatigue or stiffness from prolonged inactivity.

Example: Morning - fold laundry. Afternoon - nap. Evening - call a friend.