First 90 to 120 Days on Dialysis: Importance of an Orientation
Patients with end stage renal disease (ESRD) can experience many challenges during the first 90 to 120 days on dialysis. There are many critical touchpoints and opportunities for kidney professionals to help them navigate this vulnerable time, during which patients may be anxious, confused, and even depressed—while simultaneously dealing with effects of uremia and general poor health. The dialysis interdisciplinary team has many goals to accomplish for these patients, including:
- Assessing current support systems, general coping ability, and emotional, mental, and physical health (historical and at the present time)
- Assessing patient vocational goals, plans and ability or interest in engaging in vocational and work activities
- Educating on transplant and modality options
- Discussing advance care planning, including health care proxy, living wills and do-not-resuscitate.
To read the rest of this post by DaVita social work manager Deborah Evans, visit the DaVita Medical Insights blog here.