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Channel: Clinical Care – DaVita® Medical Insights
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5 Key Components for Individualized Care Plan Success

Within the field of nephrology and across the entire health care spectrum, patient-centered care has become a fundamental approach to creating higher levels of patient satisfaction, increased patient...

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Motivational Interviewing for Busy Health Care Professionals

Do you feel frustrated at times with your patients? You tell them what they need to do to improve their health and why they need to do it. Then, the next time you see them nothing has changed. You may...

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Multiple Transplant Center Waitlists: What Patients Should Consider

Among treatment options for end stage renal disease (ESRD), kidney transplantation is considered the optimal treatment for most patients, with the best outcomes—in terms of the replacement of kidney...

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Rare Renal Disorders: It Isn’t Always Acute Kidney Injury (AKI)

Nephrology care team members who perform dialysis therapies are often only peripherally exposed to patients with rare renal conditions. At times, a patient receiving hospital care can have unforeseen...

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Podcast: Home Dialysis First

“Home first” has become a slogan in the nephrology community, but what does that slogan mean? Listen to this podcast, in which Ashley Henson interviews Mamatha Gandhi, MD, on how Dr. Gandhi has...

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Ways to Support Patients on Peritoneal Dialysis

When it comes to the ongoing management of peritoneal dialysis (PD) patients, finding ways to help improve outcomes and reducing patient loss rate should always be the number one focus. In my...

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The Importance of Education for Patients with Chronic Kidney Disease

To say that I was not an early adopter of the Kidney Smart® community education program is an understatement. When the program was first introduced to me, I completely dismissed it as “just another...

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Podcast: Hurricane Harvey and Disaster Planning

Hurricane season generally begins June 1 and lasts through November 30; the damage from hurricanes can affect an entire community. In 2017, the flood waters from Hurricane Harvey paralyzed the entire...

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Podcast: Home Is Where the Start Is

Patients with ESRD who start on home dialysis have improved outcomes and enjoy a better quality of life compared with patients who start with in-center hemodialysis. Listen to this podcast, in which...

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Kidney-Friendly Holiday Meal Tips to Share with Your Patients

Holidays around this time of the year tend to revolve around traditions that include food, which can pose a significant challenge for patients who are trying to adhere to a kidney diet. However, with a...

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Educating Patients about Transitioning from In-Center to Home Dialysis

Each year, approximately 100,000 patients face choosing a dialysis modality as they transition from CKD to ESKD. In 2016, 87.3% of incident patients (< 3 months on dialysis) initiated in-center...

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Advance Care Planning in End-Stage Kidney Disease

Patients on dialysis often have multiple comorbidities and generally have a life expectancy substantially shorter than that of the general population. Despite improvements in dialysis care, annual...

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Protecting Kidney Disease Patients from Intestinal-Renal Syndrome

When I asked several nephrologists to define intestinal-renal syndrome or explain the significance of the severe imbalance of gut microbes seen with progressive uremia, the question mostly drew a blank...

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Dialysis Patients and Exercise

Prognosis for patients with kidney failure requiring renal replacement therapy remains poor. Three-year survival for patients on dialysis is only 51% and five-year survival is 35%.  Cardiovascular...

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Anderson-Fabry Disease (AFD): A Rare Genetic Disorder with Multi-System Affects

Anderson-Fabry Disease (AFD) is the second most common of lipid storage diseases affecting approximately 1 in 100,000 people. The mutation occurs in the alpha-galactosidase A (GLA) gene. Because of the...

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Evaluating In-Center Hemodialysis (ICHD) Patients for Home Dialysis

Patient non-adherence to the dialysis schedule or prescribed medication is a common challenge for clinicians serving hemodialysis (HD) patients and has been associated with significant morbidity,...

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How to Help Dialysis Patients Avoid Hospitalizations during Flu Season

Due to a weakened immune system, end stage kidney disease (ESKD) patients on dialysis are at higher risk for pneumonia and other conditions that require hospitalization. Influenza is one condition in...

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Caring for Patients and Each Other with Empathy during a Pandemic

During this uncertain and continually changing time of the COVID-19 (coronavirus) pandemic, patients are likely feeling afraid and care teams are likely feeling sustained stress. Patients’ fear of the...

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Collaboration of Caring for Home Dialysis Patients

Although COVID-19 (coronavirus) is a current focus for most clinicians, DaVita Medical Insights continues to publish on other important clinical topics, some of which may be pertinent to the pandemic....

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Podcast: Kidney Care Transformation: A Global Perspective

Innovations in nephrology are taking place as the importance of kidney health is emphasized globally. Listen to this podcast, to hear how kidney care is transforming around the world, with insights...

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