encourage,enhance,empower crystal dean rn center director nxstage kidney care jacksonville
TRANSCRIPT
Encourage,Enhance,Empower
Crystal Dean RNCenter Director
NxStage Kidney Care Jacksonville
AgendaCompare and contrast: More
Frequent/Traditional/PeritonealSpecify the benefits of more frequent
treatmentExplore patient experiences with NxStage
Kidney Care
More Frequent vs Traditional Dialysis
More Frequent Dialysis Traditional DialysisShort daily Tx:2-3
hours/dayRecovery time reduced to
about 20 minutesLess heparin Remarkably less dietary
and fluid restrictionsNo need for home
altering water systemsIncrease incident of
access issues due to more frequent use
Usually 3 x week, 3-4 hrs/day +time regarding transportation
Less access issuesRecovery time of hours or
days for some patientsDietary and fluid
restrictions
Peritoneal DialysisAdvantages ConsiderationsFlexible lifestyle and
independenceFewer diet restrictionsLess visits to the clinicDoes not use needlesTherapy is done daily,
which is gentler and more like your kidneys
Easy to travel withSimple form of dialysis
Need to schedule exchanges into your daily routine, 7 days a week
Have a permanent, external catheter
Risk of infectionNeed storage space in
your home for suppliesNeed designated space for
treatment and equipment
Benefits of More Frequent Treatment
Improvement in three year survival rates More likely to receive a kidney transplant Reduced left ventricular hypertrophy Reduced blood pressure and a decreased use of BP
meds Significant reductions in post-treatment recovery time Improvements in measures of depressive symptoms Improved appetite and food intake Improvements in quality of life measures Improved sleep quality Decrease in symptoms of restless legs syndrome Improvements in physical intimacy
Reasons for Choosing More Frequent DialysisAbility to take control of one’s own care.Greater freedom to travel and freedom from
specific time constraints.Greater ability to work and participate in
“normal” life activities.For the home patient, reduced need to travel
to and from dialysis facility.
Risks and ResponsibilitiesThe systems used for home dialysis are prescription
devices. All forms of dialysis, including treatments, performed in center and at home, involve some risks. In addition, there are certain risks unique to treatment in the home environment.
Treatments at home are done without the presence of medical personnel and on-site technical support. Patients and their care partners must be trained on what to do and how to get medical or technical help if needed.
Furthermore, when hemodialysis vascular access is exposed to more frequent use, infection of the site and other access-related complications may be potential risks.
Patients differ and not everyone will experience the reported benefits of home dialysis.
Explore Patient Experiences
