KidneyViews Blog - Home Dialysis Central

KidneyViews

Welcome to the non-profit Medical Education Institute's Home Dialysis Central blogspot! This page is an umbrella under which Home Dialysis Central staff and guests can share their perspectives about home therapies and what we need to do to raise their profile and enable more people to use them. We'd like your comments as well! Bookmark our site and like us on Facebook! Help us tell the world about home dialysis.

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Home Hemodialysis Training Re-Imagined

(11 comments)

Because I have a front row seat inside so many home dialysis clinics on a weekly basis, and have been confronted with so many obstacles to HHD success, I am determined to devote my life work to finding solutions to each and every one.

Published on 11/02/2017 by Susan Ostrzycki/RN

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Tags: Making dialysis better,

Blood Flow Rate, Fistula Integrity, and Optimal Clearance

(23 comments)

Let me place my “take” on fistulas, blood flow rates, optimal clearance of small and middle molecules, and fistula integrity on record. I do this in response to that advocate blood flow rates of 400, 450, and (ye gods!) even 520 ml/min!

Published on 10/26/2017 by Dr. John Agar

A Further Guide to Self-cannulation with the Rope Ladder technique: Single-handed Needling

(4 comments)

Those who cannulate alone (and therefore with one hand!) gain valuable tips, empowering adaptations that suit personal temperament and aptitude. ...we revisit angle of entry, and also touch on taping, method of insertion, and gauge of needle.

Published on 10/19/2017 by Ant de Villiers

How Might the CHRONIC Care Act Affect People on Home Dialysis?

(1 comments)

Recently the U.S. Senate passed a bill called the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 or (CHRONIC Care Act). If this bill is enacted and signed

Published on 10/12/2017 by Beth Witten, MSW, ACSW, LSCSW

An Exemplar Dialysis Unit

(10 comments)

what follows is how I imagined things could be, as I thought through the dialysis service design we currently and repeatedly churn out—and the recurrent shortcomings of that design

Published on 10/05/2017 by Dr. John Agar

Act Now! Graham-Cassidy Bill Threatens Healthcare for People with Kidney Disease

(6 comments)

The “Better Care Reconciliation Act” was not successful, but we have a new bill that could have a serious impact on people with kidney disease. The Graham-Cassidy Health Care Plan is the new proposal that would replace the Affordable Care Act

Published on 09/25/2017 by Dr. Teri Browne

A Coordinated Assault to Stop Frequent Hemodialysis—Action Needed!

(22 comments)

I write to you today deeply concerned about the health and welfare of dialysis patients under the care of United States nephrologists. I urge all of you to act quickly. Those of you who live in states that are covered by one of these MACs can begin

Published on 09/21/2017 by Dr. Alan Collins

Incremental Dialysis

(12 comments)

Incremental dialysis (iHD) is a term that is beginning to appear more frequently in the haemodialysis literature and, while I am not a particular fan of the practice, it has been the subject of some recent papers

Published on 09/14/2017 by Dr. John Agar

Identifying and Overcoming Barriers to Peritoneal Dialysis (PD)

(0 comments)

With all of these advantages, why don’t more patients do PD? If not lack of education, could beliefs about who cannot do PD that have been passed down over time from healthcare professional to healthcare professional be the issue?

Published on 09/07/2017 by Beth Witten, MSW, ACSW, LSCSW

View from the Chair: When Home HD Must Stop

(2 comments)

Dr. John Agar raised the issue concerning advocacy, policy, and responsibility of clinics regarding home HD patients who are judged no longer competent to manage their own dialysis and

Published on 08/31/2017 by Ant de Villiers