Presentation on theme: "NxStage Kidney Care Encourage,Enhance,Empower Crystal Dean RN"— Presentation transcript:
1NxStage Kidney Care Encourage,Enhance,Empower Crystal Dean RN Center DirectorNxStage Kidney Care Jacksonville
2Agenda Compare and contrast: More Frequent/Traditional/Peritoneal Specify the benefits of more frequent treatmentExplore patient experiences with NxStage Kidney Care
3More Frequent vs Traditional Dialysis More Frequent DialysisTraditional DialysisShort daily Tx:2-3 hours/dayRecovery time reduced to about 20 minutesLess heparinRemarkably less dietary and fluid restrictionsNo need for home altering water systemsIncrease incident of access issues due to more frequent useUsually 3 x week, 3-4 hrs/day +time regarding transportationLess access issuesRecovery time of hours or days for some patientsDietary and fluid restrictions
4Peritoneal Dialysis Advantages Considerations Flexible lifestyle and independenceFewer diet restrictionsLess visits to the clinicDoes not use needlesTherapy is done daily, which is gentler and more like your kidneysEasy to travel withSimple form of dialysisNeed to schedule exchanges into your daily routine, 7 days a weekHave a permanent, external catheterRisk of infectionNeed storage space in your home for suppliesNeed designated space for treatment and equipment
5Benefits of More Frequent Treatment Improvement in three year survival ratesMore likely to receive a kidney transplantReduced left ventricular hypertrophyReduced blood pressure and a decreased use of BP medsSignificant reductions in post-treatment recovery timeImprovements in measures of depressive symptomsImproved appetite and food intakeImprovements in quality of life measuresImproved sleep qualityDecrease in symptoms of restless legs syndromeImprovements in physical intimacy
6Reasons for Choosing More Frequent Dialysis Ability 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.
7Risks and Responsibilities The 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.