Presentation for Community Members Diabetes, Blood Pressure & Kidney Health Checks & Care in Indigenous Communities Presentation for Community Members

To help make a plan to keep kidneys healthy. Why Are We Here? To work together to help improve health Help keep kidneys healthy Help prevent or delay dialysis & To help make a plan to keep kidneys healthy.

Kidney Health in Canada 1 in 10 Canadians has kidney problems Almost 1 in 3 First Nations adults have kidney problems 15% of First Nations children showed signs that kidney problems were starting Diabetes & high blood pressure are the leading causes There is increasing kidney failure and use of dialysis over the last 20 years

Kidney Health in Manitoba 2012 2024 2015 report predicted rapid growth of dialysis and transplant patient populations Between 2010 and 2017, Manitoba’s dialysis patient population grew by almost 35 per cent. 6

Kidney Health in Manitoba More impact on central & northern Manitoba The Kidney Care team wants to bring more PREVENTION efforts to these areas 6

Getting & Keeping Kidneys Healthy How can we work together to help improve health How do we help keep kidneys healthy so people don’t have to do dialysis How do we prevent kidney problems

Bringing kidney, diabetes and blood pressure testing to rural and remote Indigenous Communities in Canada Mobile health-care teams do the testing that provides on-the-spot results Test results provided right away A kidney health plan is created Follow up care is arranged, if needed

Why is this important today? You or your family member may not know you have kidney problems. We can check your kidney health and provide care.

Why Kidney Health Screening? Results in under 1 hour Find kidney problems early Find & provide care for risk factors Plan health care to keep kidneys working PREVENT or delay dialysis

Who Should be Screened? Kids ages 10 - 18 All adults Health problems that can lead to kidney damage can start at younger ages All adults Unless already being treated by a kidney doctor

What’s Involved? Meeting with Community leadership Community talk about kidneys and diabetes, blood pressure Kidney, diabetes & blood pressure checks Kidney health plan/follow up care Report back to community

Indigenous Leadership & Partners Using First Nations model of care Indigenous patients as partners Communities as partners

Manitoba Partners Participating Communities CanSOLVE CKD & Indigenous Patient Engagement Research Council Members Diabetes Integration Project – First Nations Health & Social Secretariat of Manitoba Chronic Disease Innovation Centre – SOGH Manitoba Renal Program Kidney Foundation of Canada Manitoba Branch Research Manitoba Children's Hospital Research Institute of Manitoba Four Arrows Regional Health Authority

Testing Process

Consent to be Tested Voluntary Confidential (unique number) You may stop at anytime Very low risk of harm

Registration for Testing Date of Birth Address (PO box number or phone number) Personal Health Information Number Height & Weight

Point of Care Testing On site results using portable equipment & custom-built app

How long will this take? Less than one hour: 15 min registration and consent 15 minutes screening & testing 15 minutes reviewing results and follow-up with nurse (if needed)

Check Results: Show Your Chance of Kidney Failure so we Know How to Best Treat Your Kidneys and/or Keep them Healthy

Follow Up: Team Approach Low Risk Patients Team: Primary care provider Focus: Lifestyle blood pressure Medium Risk Patients Team: Primary Care providers Kidney specialist Focus: Diagnosis Lifestyle Blood pressure Protein leak reduction High Risk Patients Team: Multidisciplinary Kidney Health Clinic Primary care provider* Kidney specialist Kidney Nurse Kidney Dietitian Kidney Pharmacist Kidney Social worker Focus: Healthy Lifestyle Reduction of blood pressure Reduction of protein leak in the urine Treat consequences of low kidney function Treat related heart and diabetic diseases

Possible Ways to Help Kidney Problems: Lifestyle Healthy foods, physical activity Traditional Diets/Medicines? Getting a healthy blood pressure Medications Treating and managing diabetes Other care/treatment as needed

Kidney Health Plan to Change Your Chance of Kidney Failure (Click to animate) No Current Risk Low Intermediate High

Diagnosis & Treatment = Preventing/Delaying Dialysis

What Do I Need To Do? Do not pee before the appointment Bring your Manitoba Health Card Avoid smoking before appointment Bring your questions!

What Do I Need to Know Dates: Times: Place: ??? Driver: ??? Remember that screening is for everyone over the age of 10.

Kids and Youth Age 10-18 Parental or Guardian consent including agreement from child/youth

What we need to know: What is the best way to promote the screening in the community? What are reasons people may not want to get tested? Questions

Testing kidneys and treating kidney damage early is important. Questions?