Hello, my MIL was recently diagnosed with Stage 4 kidney failure due to long term use of BP medications. She said that she was never aware that she was/is at high risk CKD and just thought a specialist was simply monitoring kidney function for 15 years (?). She is struggling with adhering to a renal diet. She talks a good "talk" on all she is going to do for her health, but continues to eat poorly. She has received renal diet cookbooks and guides, but doesn't read them. She has had rapid weight loss of 15-20 pounds in 3 weeks. I am not sure if this is due to the overwhelm and stress of her diagnosis or slow attempts to monitor her food choices. Her speech has become rapid and she is extremely fixated on various issues/topics. Minor home issues are spoken of as "a major tragedies." Her pallor is gray. She tells everyone she "feels great!", though she obviously looks ill. It's almost like she is in denial of her condition. Any thoughts?