scholarly journals Perceptions of multidisciplinary renal team members towards home dialysis therapies

Kidney360 ◽  
2021 ◽  
pp. 10.34067/KID.0006222020
Author(s):  
Krishna Poinen ◽  
Mary Van Der Hoek ◽  
Michael A. Copland ◽  
Karthik Tennankore ◽  
Mark Canney
Keyword(s):  
Quality Of Life ◽  
Multidisciplinary Team ◽  
Allied Health ◽  
Further Education ◽  
System Level ◽  
Health Staff ◽  
Home Dialysis ◽  
Team Members ◽  
Dialysis Nurses

Background: Patients with end stage kidney disease are encouraged to pursue home dialysis therapy with the aims of improving quality of life, increasing patient autonomy and reducing cost to health care systems. In a multidisciplinary team setting, patients interact with nephrologists, nurses and allied health staff, all of whom may influence a patient's modality choice. Our objective was to evaluate the perceptions of all renal team members towards home dialysis therapies. Methods: Cross-sectional survey of multidisciplinary renal team members across five renal programs in British Columbia, Canada. The survey contained questions regarding primary work area, modality preference, patient and system factors that may influence modality candidacy, perceived knowledge of home therapies and need for further education. Results: A total of 334 respondents (22 nephrologists, 172 hemodialysis nurses, 49 home nurses, 20 pre-dialysis nurses, and 71 allied health) were included (48% response rate). All respondents felt that home dialysis was beneficial for patients who work or study, improved patients' quality of life, and provided cost-savings to the system. Compared to in-center hemodialysis nurses, home therapies nurses were between 5 and 9 times more likely to favor a home therapy for patients of older age, lower socioeconomic status, lower educational level, higher burden of comorbidities and those lacking social supports. Nephrologists and patients were felt to have the most impact on modality choice, while dialysis nurses were seen as having the least impact on modality choice. Most respondents felt the need for further education in home therapies. Conclusions: The majority of multidisciplinary team members, including allied health staff, acknowledged the benefits of home therapies. There were significant discrepancies amongst team members regarding patient/system-level factors that may impact home therapies candidacy. Structured, focused and repeated education sessions for all renal team members may help to address misperceptions around factors that influence modality candidacy.

Attitudes of Elderly People in the South Moravian Region to Further Education

2014 ◽  
Vol 4 (2) ◽  
pp. 54-78
Author(s):  
Petr Adamec ◽  
Marián Svoboda
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Further Education ◽  
The South ◽  
The Third ◽  
Interesting Insight ◽  
Survey Results ◽  
Insight Into ◽  
Demographic Features

This paper deals with the results of sociological survey focused on identification of the attitudes of elderly people to further education. The research was carried out in September 2010. Experience of elderly people with further education, their readiness (determination) for further education as well as their motivation and barriers in further education were also subjects of this research. Detecting elderly population’s awareness of universities of the third age and finding out their further education preferences were an integral part of the research. Research sample consisted of citizens over 55 years living in the South Moravian region. The survey results are structured by socio-demographic features e.g.: age, sex, educational attainment etc. and provide an interesting insight into the attitudes of the target group to one of the activities that contributes to improvement of their quality of life.

Improving quality of life for dialysis patients through telecare

2000 ◽  
Vol 6 (1_suppl) ◽  
pp. 80-83 ◽  
Author(s):  
Karl A Stroetmann ◽  
Peter Gruetzmacher ◽  
Veli N Stroetmann
Keyword(s):  
Quality Of Life ◽  
Low Cost ◽  
Video Communication ◽  
Daily Routine ◽  
Dialysis Patients ◽  
Home Dialysis ◽  
Service Support ◽  
Initial Results ◽  
Selection Of

Home dialysis can improve the care and quality of life for patients with renal failure. We have explored the possibility of extending home care to more patients needing continuous ambulatory peritoneal dialysis (CAPD) using telemedicine. We tested videoconferencing support for five CAPD patients using low-cost ISDN equipment (128 kbit/s). Initial results indicated that it was possible to integrate video-communication into the daily routine of the clinic and the response from patients was surprisingly positive. Selection of appropriate, affordable technology and the ISDN service support by the telecommunications provider proved to be considerably more difficult than anticipated. The first indications also suggest medical advantages for home teledialysis.

scholarly journals Quality of life and welfare of nursing university students: integrative review / Qualidade de vida e bem-estar dos estudantes universitários de enfermagem: revisão integrativa / Calidad de vida y bienestar de los estudiantes de enfermería...

2017 ◽  
Vol 6 (3) ◽  
pp. 72
Author(s):  
Márcia Teles De Oliveira Gouveia ◽  
Hidelkarla Sales De Santana ◽  
Ana Maria Ribeiro Dos Santos ◽  
Girlene Ribeiro Da Costa ◽  
Márcia Astrês Fernandes
Keyword(s):  
Quality Of Life ◽  
University Students ◽  
Allied Health ◽  
Medical Literature ◽  
Integrative Review ◽  
Literature Analysis ◽  
Cumulative Index ◽  
Calidad De Vida ◽  
On Line

Objetivo: realizar busca de publicações científicas nas bases de dados sobre a qualidade de vida e o bem-estar do estudante universitário de enfermagem; descrever e analisar as perspectivas enfocadas na literatura. Metodologia: Revisão Integrativa da Literatura. Foram selecionados vinte e três estudos publicados entre 2010 e 2014, nas bases de dados Literatura Latino Americana e do Caribe de Informação em Ciências da Saúde, Medical Literature Analysis and Retrieval Sistem on-line e o Cumulative Index to Nursing and Allied Health Literature nos idiomas português, inglês e espanhol. Resultados: Observou-se que a qualidade de vida e o bem-estar encontram-se moderadamente bem na avaliação dos estudantes de enfermagem avaliados nos estudos, e que apesar dos estressores decorrentes do curso, os estudantes resolvem as situações estressantes com algumas técnicas de relaxamento e enfrentamento, mas também recorrendo ao uso de álcool e fumo. Os instrumentos utilizados nos estudos: WHOQOL-BREF, Inventário de Depressão de Beck e a Escala de Estresse Percebido. Conclusão: identificadas depressão, insônia, estresse e cansaço, decorrentes da vida acadêmica. Desse modo, importante às instituições e docentes estarem atentos para reconhecer precocemente os indicativos multidimensionais que afetam a qualidade de vida e o bem-estar dos seus estudantes, e implementar medidas preventivas.

scholarly journals Dutch nOcturnal and hoME dialysis Study To Improve Clinical Outcomes (DOMESTICO): rationale and design

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
A. van Eck van der Sluijs ◽  
◽  
A. A. Bonenkamp ◽  
F. W. Dekker ◽  
A. C. Abrahams ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Outcomes ◽  
Human Subjects ◽  
Control Group ◽  
Health Related Quality ◽  
Home Dialysis ◽  
Related Quality ◽  
Health Related ◽  
At Home

Abstract Background More than 6200 End Stage Renal Disease patients in the Netherlands are dependent on dialysis, either performed at home or in a dialysis centre. Visiting a dialysis centre three times a week is considered a large burden by many patients. However, recent data regarding the effects of dialysis at home on quality of life, clinical outcomes, and costs compared with in-centre haemodialysis are lacking. Methods The Dutch nOcturnal and hoME dialysis Study To Improve Clinical Outcomes (DOMESTICO) is a nationwide, prospective, observational cohort study that will include adult patients starting with a form of dialysis. Health-related quality of life, as the primary outcome, clinical outcomes and costs, as secondary outcomes, will be measured every 3–6 months in patients on home dialysis, and compared with a control group consisting of in-centre haemodialysis patients. During a 3-year period 800 home dialysis patients (600 peritoneal dialysis and 200 home haemodialysis patients) and a comparison group of 800 in-centre haemodialysis patients will be included from 53 Dutch dialysis centres (covering 96% of Dutch centres) and 1 Belgian dialysis centre (covering 4% of Flemish centres). Discussion DOMESTICO will prospectively investigate the effect of home dialysis therapies on health-related quality of life, clinical outcomes and costs, in comparison with in-centre haemodialysis. The findings of this study are expected to ameliorate the shared decision-making process and give more guidance to healthcare professionals, in particular to assess which type of patients may benefit most from home dialysis. Trial registration The DOMESTICO study is registered with the National Trial Register on (number: NL6519, date of registration: 22 August 2017) and the Central Committee on Research Involving Human Subjects (CCMO) (number: NL63277.029.17).

scholarly journals FP577HEALTH-RELATED QUALITY OF LIFE OF HOME DIALYSIS COMPARED TO IN-CENTER HEMODIALYSIS IN DIFFERENT CONTINENTS: SYSTEMATIC REVIEW AND META-ANALYSIS

2019 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Anna Bonenkamp ◽  
Anita Van Eck Van Der Sluijs ◽  
Tiny Hoekstra ◽  
Marianne C Verhaar ◽  
Frans J Van Ittersum ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Meta Analysis ◽  
Home Dialysis ◽  
Related Quality

The Family and Home Hemodialysis: Adolescents' Reactions to a Father on Home Dialysis

1981 ◽  
Vol 10 (3) ◽  
pp. 235-254 ◽  
Author(s):  
Rose H. Goldman ◽  
George L. Cohn ◽  
Robert E. Longnecker
Keyword(s):  
Quality Of Life ◽  
Active Role ◽  
Family Interactions ◽  
Home Hemodialysis ◽  
Home Dialysis ◽  
Role Changes ◽  
Developmental Problems ◽  
The Family ◽  
Psychic Numbing

Quality of life is the most controversial issue surrounding home hemodialysis. We examined how sixteen adolescents and their six families reacted to having a father on home hemodialysis, exploring the interplay between adolescent developmental conflicts and family stresses. Family members underwent role changes to adjust to alterations imposed by hemodialysis. Some adolescents helped relieve family stresses by taking an active role in dialysis. These eight adolescents developed greater self-esteem which enhanced identity growth and facilitated separation. Psychological responses were observed that resembled the “death guilt,” “psychic numbing,” and “invisible contamination” described in Hiroshima survivors. Adolescent developmental problems can be dwarfed by family conflicts around chronic illness and dialysis. Families adjusted to home hemodialysis showing new growth, managing with a barely workable arrangement, or adapting unsuccessfully. Understanding more about how home hemodialysis can influence family interactions can enable the medical staff to facilitate beneficial changes, and thereby improve the quality of life for patient and family.

Feasibility of the PHYZ X 2U program: a mobile and cloud-based outreach service to improve chronic disease outcomes in underserviced rural communities

2019 ◽  
Vol 25 (6) ◽  
pp. 539
Author(s):  
Serene S. Paul ◽  
Tania Gardner ◽  
Angela Hubbard ◽  
Justin Johnson ◽  
Colleen G. Canning ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Disease ◽  
Rural Communities ◽  
Chronic Diseases ◽  
Behaviour Change ◽  
Access To Health Care ◽  
Allied Health ◽  
Health Coaching ◽  
Mobile Clinic

Chronic disease is prevalent in rural communities, but access to health care is limited. Allied health intervention, incorporating behaviour change and exercise, may improve health outcomes. PHYZ X 2U is a new service delivery model incorporating face-to-face consultations via a mobile clinic and remote health coaching, delivered by physiotherapy and exercise physiology clinicians and university students on clinical placement, to provide exercise programs to people living with chronic disease in rural New South Wales, Australia. This pilot study evaluated the feasibility and acceptability of PHYZ X 2U by evaluating participants’ goal attainment, exercise, quality of life and behaviour change following participation in the 12-week program, and amount of health coaching received. Sixty-two participants with one or more chronic diseases set a total of 123 goals. Thirty-nine (63%) participants completed the program, with 59% of these achieving their goals and 43% progressing in their attitudes and behaviour towards exercise. Weekly exercise increased by 1h following program participation (P=0.02), but quality of life remained unchanged (P=0.24). Participants who completed the program received more health coaching than those lost to follow up. PHYZ X 2U can increase access to allied health for people with chronic disease living in rural and remote areas. Refining the service to maximise program adherence and optimally manage a broad range of chronic diseases is required.

scholarly journals Implementation of a Multidisciplinary Allied Health Optimisation Clinic for Cancer Patients with Complex Needs

2020 ◽  
Vol 9 (8) ◽  
pp. 2431
Author(s):  
Hannah Ray ◽  
Anna Beaumont ◽  
Jenelle Loeliger ◽  
Alicia Martin ◽  
Celia Marston ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Occupational Therapy ◽  
Cancer Patients ◽  
Allied Health ◽  
Program Completion ◽  
Complex Needs ◽  
Patient Interviews ◽  
Health Model ◽  
Multidisciplinary Model

This study examined the feasibility of implementing a multidisciplinary allied health model of care (MOC) for cancer patients with complex needs. The MOC in this retrospective study provided up to eight weeks of nutritional counselling, exercise prescription, fatigue management and psychological support. Implementation outcomes (acceptability, adoption, fidelity and appropriateness) were evaluated using nine patient interviews, and operational data and medical records of 185 patients referred between August 2017 and December 2018. Adoption, including intention to try and uptake, were acceptable: 88% of referred patients agreed to screening and 71% of eligible patients agreed to clinic participation. Fidelity was mixed, secondary to inpatient admissions and disease progression interrupting patient participation. Clinician compliance with outcome assessment was variable at program commencement (dietetic, 95%; physiotherapy, 91%; occupational therapy, 33%; quality of life, 23%) and low at program completion (dietetic, 32%; physiotherapy, 13%; occupational therapy, 10%; quality of life, 11%) mainly due to non-attendance. Patient interviews revealed high satisfaction and perceived appropriateness. Adoption of the optimisation clinic was acceptable. Interview responses suggest patients feel the clinic is both acceptable and appropriate. This indicates a multidisciplinary model is an important aspect of comprehensive, timely and effective care. However, fidelity was low, secondary to the complexities of the patient cohort.

scholarly journals They Lift My Spirit Up

2014 ◽  
Vol 41 (6) ◽  
pp. 599-604 ◽  
Author(s):  
LeRon C. Jackson ◽  
Laura C. Hanson ◽  
Michelle Hayes ◽  
Melissa Green ◽  
Stacie Peacock ◽  
...  
Keyword(s):  
Quality Of Life ◽  
African American ◽  
Qualitative Evaluation ◽  
Spiritual Needs ◽  
Spiritual Support ◽  
Team Members ◽  
Serious Illness ◽  
Support Teams ◽  
Support Team

Background. Active social and spiritual support for persons with cancer and other serious illnesses has been shown to improve psychological adjustment to illness and quality of life. Objective. To evaluate a community-based support team intervention within the African American community using stakeholder interviews. Methods. Support team members were recruited from African American churches, community organizations, and the social network of individuals with serious illness. Support teams provided practical, emotional, and spiritual care for persons with cancer and other serious illness. The intervention was evaluated using semistructured interviews with 47 stakeholders including those with serious illness, support team volunteers, clergy, and medical providers. Results. Stakeholders report multiple benefits to participation in the support team; themes included provision of emotional and spiritual support, extension of support to patients’ family, and support complementary to medical care. Reported barriers to participation were grouped thematically as desiring to maintain a sense of independence and normalcy; limitations of volunteers were also discussed as a barrier to this model of supportive care. Conclusions. This qualitative evaluation provides initial evidence that a support team intervention helped meet the emotional and spiritual needs of African American persons with cancer or other serious illness. Volunteer support teams merit further study as a way to improve quality of life for persons facing serious illness.

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