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Knowledge Is Power: Patient Education as a Tool for …

Details: Chronic kidney disease (CKD) is a top public health priority yet broadly under-recognized.1–3 The ninth leading cause of death in the United States, CKD currently affects 37 million Americans.2,3 On average, patients with CKD face higher risk for kidney failure, cardiovascular disease, and mortality than patients without CKD, but individual risks vary.4 Patient education is widely recognized

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Patient Education for Kidney Failure Treatment: A Mixed …

Details: Education programs are needed for people with advanced chronic kidney disease to understand kidney failure treatment options and participate in shared decision-making (SDM). Little is known about the content and accessibility of …

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The National Kidney Disease Education Program: …

Details: The National Kidney Disease Education Program (NKDEP), an initiative of the National Institute of Diabetes and Digestive and Kidney Diseases, works to reduce the morbidity and mortality caused by chronic kidney disease (CKD) and its complications. Established in 2000, the NKDEP initially focused on increasing awareness in at-risk populations and helping the …

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The Rationale, Implementation, and Effect of the …

Details: The CKD education benefit is a tremendously positive initiative for patients with CKD, providing financial support for patient education. A number of questions remain about how to provide this education most effectively and how best to study its delivery and effect, especially with the aging of the CKD population.

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Home Hemodialysis: Core Curriculum 2021

Details: In the early days of dialysis, because of a lack of existing in-center infrastructure, home hemodialysis (HHD) was frequently used to expand dialysis programs. Recently, HHD has been thrust into the spotlight of kidney care programs once again. Patients and policymakers are demanding more choices for the management of kidney failure while controlling for cost. …

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Educational Interventions for Patients With CKD: A …

Details: status and education level, risk factors associated with CKD include smoking, hypertension, and a sedentary lifestyle.14,15 Patient education about these risk fac-tors for CKD and its management to ensure effective primary and secondary prevention is widely accepted as an essential element of the care of people with

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Hemodialysis Emergencies: Core Curriculum 2021

Details: Education of patients and caregivers is crucial as most events occur at home. Ruptured AVFs/AVGs require ligation, resulting in the loss of access. In order to prevent aneurysm/pseudoaneurysm formation, proper cannulation technique is important. The rope ladder technique, where cannulation sites are rotated along the length of the AVF/AVG

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Perceptions of Home Dialysis Training and Experience …

Details: Prior research suggests a lack of confidence among graduating US nephrology trainees in implementing both peritoneal dialysis (PD) and home hemodialysis (HHD). Gaps in fellowship training may represent an obstacle to achieving the Advancing American Kidney Health Initiative’s goal of increasing the use of home dialysis. We sought to identify the strengths of …

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Hemodialysis Complications

Details: Hemodialysis is now used as a life-sustaining therapy for more than 300,000 patients in the United States who have end-stage renal disease. After work by pioneering physicians, including Kolff, Merrill, Scribner, and Schreiner, dialysis has become a standardized therapy. Beginning in 1973, legislation has entitled Medicare patients with end-stage renal …

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Management of the Hemodialysis Unit: Core …

Details: Assist in education of patients about disease and treatment including all RRT options (home dialysis and transplantation) PCT Defined by CMS as any unlicensed staff member who has responsibility for direct patient care Responsibilities subject to limitations of state law but may include preparing dialysis apparatus, equipment

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Exploring Barriers and Potential Solutions in Home Dialysis: An …

Details: Education of patients and patient partners, as well as health care providers, about home dialysis therapy, if offered at all, is often provided in a cursory manner. Lack of exposure to home dialysis therapies perpetuates a lack of familiarity and thus a hesitancy to refer patients to home dialysis therapies. Patient and care partner support

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Interoperability and Patient Electronic Health Record Accessibility

Details: Patients with kidney failure requiring dialysis often receive fragmented care, hindered by disparate primary care, specialist, hospital, and dialysis facility electronic health record (EHR) systems. In this editorial, we present an example of the siloed care that may result from interoperability limitations, examine the current state of care delivery fragmentation in …

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Dialysis in Children and Adolescents: The Pediatric Nephrology

Details: For dietitians with limited pediatric experience, further education can be obtained through discipline-specific conferences, established e-mail discussion forums, and published literature. Formal training through an internship in a children’s hospital with pediatric renal dietitians or dietitians in the pediatric intensive care unit can be

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Integrating Patient Activation Into Dialysis Care

Details: Patient activation is defined as the individual’s readiness, willingness, and ability to manage their own health and health care, and can be measured by the 13-item PAM survey known as PAM-13. 8. The survey is scored on a scale from 0 to 100, with higher scores denoting greater activation.

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Training, management, and credentialing for CRRT in the ICU

Details: Continuous renal replacement therapy (CRRT) in the intensive care unit (ICU) requires a dedicated training and educational process that includes both theoretical and practical approaches. Important goals for this process include achieving an acceptable circuit life without patient complications and providing a high percentage of staff with bedside expertise. Lectures …

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Global Health Education: A Call to Action in This Moment

Details: The world is a much smaller place than when I grew up, and I'm not even that old. I can wake up in my house in suburban New England, and go to bed in Kampala, Uganda. Which is what I did over a year ago, before COVID turned the world upside-down. I had never before travelled to a far corner of the world to try to understand and experience the delivery of health …

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Overcoming Barriers for Uptake and Continued Use of Home …

Details: Home dialysis modalities are used in a minority of patients with kidney failure in the United States. During the 2018 National Kidney Foundation–Kidney Disease Outcomes Quality Initiative (NKF-KDOQI) Home Dialysis Conference, numerous ideas were suggested to help minimize barriers for the uptake and retention of home dialysis therapies. First, …

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Augmented Nurse Care Management in CKD Stages 4 to 5: A …

Details: Dietary education is primarily focused on consistently maintaining low sodium intake and providing greater skill in reading food labels. A visit to the patient’s kitchen helps the nurse assess the types of food the patient has available and offers an opportunity for further discussion on nutrition. Medication reconciliation consists of review

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Missed Hemodialysis Treatments: A Modifiable But Unequal …

Details: These differences are likely multifactorial and related to many factors, such as education, health literacy, health insurance coverage, access to care, location of the dialysis units, and transportation, to name a few. For example, missed hemodialysis treatments seem lower in the Northeast region of the United States, a region that is more

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