DaVita is a for profit acute and chronic hemodialysis, peritoneal, and home hemodialysis provider operating internationally. Acute renal failure and chronic kidney disease affects millions of persons, with new diagnoses occurring each and every day. These diagnoses are typically exacerbated from the number one and number two causes of renal disease, which are diabetes and hypertension. Renal disease management requires a collaborative approach between healthcare providers, patients, and families. Outcomes are directly related to the decisions patients make outside of the healthcare setting. As healthcare professionals, it is imperative that patients and families are educated regarding the acute and chronic kidney disease, making healthy …show more content…
Kidney Smart is an educational course geared educating the general public and DaVita patients about kidney disease progression, and the importance of maintain a healthy lifestyle that prevent symptom worsening. Information regarding signing up for a class is found on the healthcare site. Kidney Smart provides a platform that facilitates meaningful interaction within the community. Many people are oblivious regarding the how taxing diabetes and hypertension can be to the organs within the body. Interdisciplinary collaboration is essential with enhancing the patient experience across a variety of healthcare disciplines (Freshwater, Cahlil, and Essen, 2014). These efforts are instrumental toward preventing undesirable outcomes. Remaining employed while depending on dialysis, recipes, and other facts are also found within the healthcare site (DaVita, …show more content…
Post weights above estimated dry weight, and elevated blood pressure are two significant risks associated with hospitalizations. The registered nurse, dietician, and social worker are expected to meet once per week as an effort to collaborate and prevent hospitalizations and negative outcomes. Human resource expresses the importance of interdisciplinary communication by mandating conference calls that discuss facility outcomes. Discussions are centered upon dialysis access, nutrition, and fluid management, infection control, near misses, and medical error to name a
Kidney Care is comprised of U.S. dialysis and related lab services, ancillary services and strategic initiatives, including international operations and corporate administrative support. The U.S. dialysis and related lab services business is the largest line of business, which is a leading provider of kidney dialysis services in the U.S. for patients suffering from chronic kidney failure, also known as end stage renal disease (ESRD). The HCP division is a patient- and physician-focused integrated healthcare delivery and management company with over two decades of providing coordinated, outcomes-based medical care in a cost-effective manner ("DaVita Healthcare Partners 10-K Annual Report" 2015). STp(c) Segmentation, targeting, and positioning together comprise a three stage process.
Ms. Bardsley functions as a hemodialysis liaison and leader in clinical practice with the following roles: charge nurse, preceptor, and mentor for her colleagues. She is the resource person for the Hct-Line monitoring tool. The tool is used to monitor patient’s fluid removal during treatment to avoid hypotensive episodes associated with decreased perfusion to the heart. She routinely monitors the patient outcomes which to date has resulted in 0 admissions. She recently updated the policy to make it more user friendly for the staff and to maintain staff competency.
The nephrologist has to deduce the major cause of the disease in the individual so that he or she can know the approach to apply in treating the ailment. According to the National Kidney Foundation (2016), the considerations made are the potential risks that expose the patient to chronic kidney disease. The major risks are other conditions in the body such as diabetes, hypertension and pregnancy. The age and weight of the individual also influence the treatment and diagnosis of the disease in the patient. Chronic kidney disease mostly affects individuals over the age of 60 years thus the diagnosis approach developed mostly suits them. If the disease is found in a child, the diagnosis and treatment approach changes since the dosage especially in prescription will change. Weight is another factor that is considered in the diagnosis and treatment of the condition. Obese individuals are at a higher risk of developing diabetes, which is a cause of the disease. The other factors considered in the treatment of the disease is the stage of the disease in the individual whether it is at mild, moderate or advanced
It has also developed numerous courses that are intended to provide information and tools that may be needed to approach both significant nursing care and patient care issues. Given the scale of the population suffering with chronic kidney disease and the diversity of backgrounds in which patients are found, this curriculum may be of benefit to nurses caring for nephrology patients in many settings (ANNA, 2015). It supports, promotes among its members, and sponsors nursing research intended to develop evidence-based practice and to advance nursing science (ANNA, 2015). It strives to provide nurses with leadership opportunities, and encourages nurses to seize opportunities to advance and refine their leadership abilities (ANNA, 2015).
...and dialysis can help you feel better quickly. (DaVita, n.d ) There are three common types of dialysis: hemodialysis, peritoneal dialysis and lastly would be a kidney transplant. Hemodialysis is the most common method used to treat advanced and permanent kidney failure. This method replaces the work of your failed kidneys. Your blood is allowed to flow, a few ounces at a time through a specific filter and removes wastes and extra fluids. The clean blood is returned to the body. Moreover, removing the toxic wastes, salts and fluid help control your blood pressure and keep a balance of chemicals like potassium and sodium in the body. When a patient is on Hemodialysis a strict schedule must be followed. The patient will go 3 times a week for 3 to 5 hours, sometimes longer. Secondly, peritoneal dialysis Kidney transplants are another treatment that can be used to
The effective collaboration between the members of the renal health care team resulted in successfully reducing John’s hypertension, hyperkalaemia and overloading in the short term.
Dialysis is used when a person’s kidneys have lost 85-95% of their functioning ability. Over 100,000 people in the US are staying alive due to kidney dialysis. Kidney dialysis is also called renal dialysis. There are two types of kidney dialysis: peritoneal and hemodialysis. Both types of dialysis remove waste, salt and extra water, which builds up in the body. Dialysis not only cleanses impurities out of the blood, it also maintains blood pressure and makes sure to keep healthy levels of sodium, bicarbonate and potassium in the body. (Lewin, 2010)
Hypertension is one of the most prevalent disorders in the US, affecting about 1 in 3 adults. Since uncontrolled blood pressure has been linked to consequences such as stroke, congestive heart failure, and chronic kidney disease, it poses considerable risk for a significant portion of the population. According to the American Heart Association, hypertension was responsible for 46,284,000 ambulatory care visits in 2007; and it is estimated that this condition will be either directly or indirectly responsible for $76.6 billion in health care costs in 2010.9 The morbidity and mortality associated with uncontrolled hypertension make initiatives to improve the quality of care in this area important in any outpatient practice.
... smoking; this is making their kidneys die quicker than they already are which are struggling to try to maintain a small amount of filtration process. Lastly, a second long term goal is to encourage a person who drinks excessive alcohol to stop because that will defiantly put the person at risk to die faster than the disease itself and will also affect their liver function as well. These goals are meant to help and restore the process of Acute Renal Failure but will only be accomplished if the person with this disease is willing to give it everything they got to fight or await a miracle to end their sickness.
In the older population, dehydration can also be caused by ineffective kidneys, they may not be able to hydrate themselves due to a disability such as stroke, or they chose not to intake fluids. Hydration is an important fac...
The chronic care model calls for an organizational change in the way individuals with illnesses are cared for, and the involvement of nurses, social workers and patients themselves. The challenge is moving in an effective way of improving quality from research carried out predominantly in health maintenance organizations to the mainstream of health care practice (Wielawski, 2006). Wagner’s explanation is to substitute the customary physician-centric office structure with one that supports clinical teamwork in association with the patient. The notion spreads outside the health care organization to collaborative associations in the community. Wagner et al. (2001) termed this approach the “chronic care model.” With this model, physicians, nurses, case managers, dieticians, and patient educators
The Link between Nephrology attracting fewer doctors and the number of patients with kidney disease is expected to rise in the coming years because of a growing elderly population which is a crucial factor. So, what will happen if the number of neurologist doctors keeps declining, these patients will not get the medical care they need. Especially, since many of the patients with kidney problems are older they need more Nephrology doctors that are available around the clock. Nephrologist should be available to travel in and out of hospitals because a lot of their older patients are either on dialysis or in need of a kidney transplant. However, there are some younger patients with kidney disease. For example, I was diagnosed with having a rare form of kidney disease at the age of 15. The kidney disease that I have is called C3 Glomerulonephritis which is a rare form of kidney disease that affects two to three people per million. C3 Glomerulonephritis usually affects children or young adults. These patients need the care of a
As the kidneys regulate the quantity of fluid which leaves the body, patients who suffer from kidney disease progression, may be not be able to regularize fluid removal from their body. Due to this scenario, their physician or specialist may ask them to reduce their intake of fluid. Lowering daily fluid intake for the renal diet involves: not drinking to socialize or from habit, only having a drink when thirsty, and sucking on a wedge of lemon or chips of ice. It also entails taking measures for monitoring the quantity of fluid that is drunk. This is done by measuring a regularly used glass or cup to measure the quantity of fluid it holds, as well as placing the recommended daily quantity of water into a specific container, and then only taking the fluid that is consumed from this. This insures that the recommended amount is not exceeded (Medical
On these occasions, I rely on my nursing assessment, evaluation, and interventions, collaborative skills, and scientific knowledge to make sound clinical judgments for the benefit of my patients. As a hemodialysis nurse, I will persevere to comply with innovation in nursing practice, EBP, research, and education. I believe growth requires generation of innovative, improved ideas and practices for the betterment of the organization and patient satisfaction. For this reason, I will embrace technological advancements; empower front line staff to embrace change and innovation; and motivate staff to be change agents on the floor with the aim to provide better quality of care for our
Chronic Kidney Disease. Mayo Foundation for Medical Education and Research, 2014. Web. 20 May 2014.