NxStage Kidney Care

1
NxStage Kidney Care

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

2
Agenda

• Compare and contrast
• More Frequent/Traditional/Periton
  eal
• 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 Tx2-3 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 ones 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 Cdean_at_Nxstage.com or 904-527-5322