Patient education | • Introduce education programs, led by nurses or other ancillary healthcare providers,focusing on the: |
  ◦ Physiologic role of phosphate and its presence in different foods | |
  ◦ Role of phosphate in ESRD-associated cardiovascular disease | |
  ◦ Importance of phosphate binders and their role in lowering serum phosphorusconcentrations | |
  ◦ Importance of dietary adherence | |
• Involve patients’ families and friends in education initiatives | |
• Tailor education to patient’s lifestyle, environment, career, ethnicity, cultural background and socioeconomic status | |
• Educate patients on appropriate food choices and provide training on preparing suitable meals | |
Patient empowerment | • Introduce initiatives such as the ‘Phosphate Education Program’ that enable patients with hyperphosphatemia to estimate the phosphate content of their meals and adjust their phosphate binder dose accordingly |
Improve properties of phosphate binders | • Reduce pill size and burden |
• Improve palatability | |
• Reduce associated adverse effects | |
• Introduce electronic monitoring devices, which may help patients to remember to take their medication and support adherence |