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

2. 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.

3. 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

4. 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

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

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

7. 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

8. 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.

9. 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

10. 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

11. 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

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

13. 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

14. Testing Process

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

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

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

18. 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)

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

20. 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

21. 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

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

23. Diagnosis & Treatment = Preventing/Delaying Dialysis

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

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

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

27. 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

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