1. NxStage Kidney Care Encourage,Enhance,Empower Crystal Dean RN
Center Director
NxStage Kidney Care Jacksonville

2. Agenda Compare and contrast: More Frequent/Traditional/Peritoneal
Specify the benefits of more frequent treatment
Explore patient experiences with NxStage Kidney Care

3. More Frequent vs Traditional Dialysis
More Frequent Dialysis
Traditional Dialysis
Short daily Tx:2-3 hours/day
Recovery time reduced to about 20 minutes
Less heparin
Remarkably less dietary and fluid restrictions
No need for home altering water systems
Increase incident of access issues due to more frequent use
Usually 3 x week, 3-4 hrs/day +time regarding transportation
Less access issues
Recovery time of hours or days for some patients
Dietary and fluid restrictions

4. Peritoneal Dialysis Advantages Considerations
Flexible lifestyle and independence
Fewer diet restrictions
Less visits to the clinic
Does not use needles
Therapy is done daily, which is gentler and more like your kidneys
Easy to travel with
Simple form of dialysis
Need to schedule exchanges into your daily routine, 7 days a week
Have a permanent, external catheter
Risk of infection
Need storage space in your home for supplies
Need designated space for treatment and equipment

5. Benefits of More Frequent Treatment
Improvement in three year survival rates
More likely to receive a kidney transplant
Reduced left ventricular hypertrophy
Reduced blood pressure and a decreased use of BP meds
Significant reductions in post-treatment recovery time
Improvements in measures of depressive symptoms
Improved appetite and food intake
Improvements in quality of life measures
Improved sleep quality
Decrease in symptoms of restless legs syndrome
Improvements in physical intimacy

6. Reasons for Choosing More Frequent Dialysis
Ability to take control of one’s own care.
Greater freedom to travel and freedom from specific time constraints.
Greater ability to work and participate in “normal” life activities.
For the home patient, reduced need to travel to and from dialysis facility.

7. Risks and Responsibilities
The systems used for home dialysis are prescription devices. All forms of dialysis, including treatments, performed in center and at home, involve some risks. In addition, there are certain risks unique to treatment in the home environment.
Treatments at home are done without the presence of medical personnel and on-site technical support. Patients and their care partners must be trained on what to do and how to get medical or technical help if needed.
Furthermore, when hemodialysis vascular access is exposed to more frequent use, infection of the site and other access-related complications may be potential risks.
Patients differ and not everyone will experience the reported benefits of home dialysis.

8. Explore Patient Experiences

9. Thank You Feel free to contact me with any questions:or