ABSTRACT
A large portion of new patients with end stage kidney disease initiates dialysis in the acute setting and continue with outpatient dialysis at in-center facilities. To increase home dialysis adoption, programs have successfully operationalized Urgent Start peritoneal dialysis to have patients avoid in-center dialysis and move straight to home. However, Urgent Start home hemodialysis (HHD) has not been a realistic option for providers or patients due to complex machines and long training times (greater than four weeks). The landscape of dialysis treatment is evolving, and innovative approaches are being explored to improve patient outcomes and optimize health care resources. This article delves into the concept of directly transitioning incident patients from hospital admission to HHD, bypassing traditional in-center dialysis training. This forward-thinking approach aims to empower patients, enhance their treatment experience, maximize efficiency, and streamline health care operations. A large hospital organization in the Northeast was able to successfully transition three patients from hospital "crash" starts on hemodialysis directly to HHD.
Subject(s)
Hemodialysis, Home , Kidney Failure, Chronic , Humans , Kidney Failure, Chronic/therapy , Patient Education as Topic , Male , Female , Middle Aged , Patient TransferABSTRACT
Depression is a common mental health concern among patients with chronic kidney disease. This population has a higher prevalence of hospitalization than those without depression. Exercising during dialysis, specifically intra dialytic pedal cycling, as an intervention can improve patients' overall well-being and promote a better quality of life both mentally and physically.
Subject(s)
Kidney Failure, Chronic , Renal Dialysis , Humans , Quality of Life , Depression , Exercise , Exercise Therapy , Kidney Failure, Chronic/therapyABSTRACT
As we reflect back to the time before the pandemic, we can take a breath and identify all of the amazing obstacles that were overcome through teamwork. This article reflects the challenges that New York University Langone Hospital- Long Island encountered trying to overcome the clinical challenges of treating patients with COVID-19 while integrating research into a chaotic and ever-changing environment. Early on, it became evident that acute kidney failure was a major complication of this virus, and nephrology nurses played an integral role in managing this outcome. Science was the shining light that gave hope through the research, which was conducted as a team effort throughout the organization.
