Person-Centered Approach to Deciding on Long-Term Dialysis

  Denise Eilers Correspondence: Denise Eilers, 2709 Middle Road, Davenport, IA 52803. Email: GeneDeEi@aol.comI appreciate the opportunity to offer comments on “Characterizing approaches to dialysis decision-making with older adults” by Ladin et al.(1). My thoughts reflect a somewhat unique perspective on the basis of my dual roles as a registered nurse and a former home […]

Dialysis Patient-Centeredness and Precision Medicine: Focus on Incremental Home Hemodialysis and Preserving Residual Kidney Function

Summary: An exponential interest in incremental transition to dialysis recently has emerged in lieu of outright three times/wk hemodialysis initiation as the standard of care. Incremental dialysis is consistent with precision medicine, given individualized dialysis dose adjustment based on patient’s dynamic needs, leading to reduced patient suffering from longer or more frequent dialysis treatments and […]

Blog Post on Home Dialysis Central by Beth Witten on Self-Cannulation: A Patient Right…

Self-Cannulation: A Patient Right And CMS Expectation For Interested And Trained Patients This blog post was made by Beth Witten, MSW, ACSW, LSCSW on July 20th, 2017. I recently heard through the grapevine that some dialysis clinics do not allow patients to cannulate their own vascular accesses. I thought I’d share some arguments in support of patients being […]


Infection In Home Haemodialysis – It Can Be Sneaky! This blog post was made by Dr. John Agar on July 13th, 2017. Home haemodialysis (HD) permits both longer and more frequent dialysis and, as has often been discussed here and in the literature, offers the most efficient, effective and symptom-free dialysis of all HD modalities. But, there is a […]

Nephrology News & Issues (NN&I) article “No more ‘renal diet’ – tell me what I can eat!”

CLINICAL No more ‘renal diet’ – tell me what I can eat! PEGGY HARUM, RD, LDN — JUNE 20, 2017 Getty Images/iStockphoto/ThinkStock I recently attended a meeting to hear nephrologist Kamyar Kalantar-Zadeh MD, MPH, PhD, give a talk entitled “A balanced approach to phosphorus balance.” He began to tell attendees that European patients choose their […]

Nephrology News & Issues (NN&I) article Monitoring and surveillance of the hemodialysis vascular access by Joan Arslanian

CLINICAL Monitoring and surveillance of the hemodialysis vascular access To maintain a dialysis patient’s access, patency depends on diagnostic accuracy and active and timely interventions JOAN ARSLANIAN, MS, MPA, MSN, RN, FNP-BC, CS, CNN — MARCH 19, 2015 The patient’s vascular access is often referred to as their “lifeline,” and without it, the life- sustaining […]

Home Dialysis Central (HDC) Medicare Open Enrollment(10/15-12/7): It’s Not as Scary As You Think BY Beth Witten

Medicare Open Enrollment (10/15-12/7): It’s Not As Scary As You Think. This blog post was made by Beth Witten, MSW, ACSW, LSCSW on October 20th, 2016. During open enrollment, people can join or switch Medicare drug plans or can switch from a Medicare Advantage (MA) plan to Original Medicare. By law, people on dialysis can […]

Nephrology News & Issues (NN&I)

Quality will improve if we pay for dialysis based on time MELVILLE HODGE — OCTOBER 18, 2016 Oleksiy Mark/Getty Images/iStockphoto/ThinkStock Why do American dialysis patients, living in the most scientifically advanced and prosperous country in the world, still face a double-digit risk of death? While mortality rates have declined among the prevalent population, 17% of […]

NN&I Is it possible to reduce hospital admissions through evidence-based clinic staffing?

CLINICAL Is it possible to reduce hospital admissions through evidence-based clinic staffing? The role of evidence-based clinic staffing standards has been absent from considerations about ways to reduce hospital admissions among dialysis patients SHARE ON: WILLIAM A. WOLFE, MSW — JULY 6, 2016 Patients who find themselves on in-center dialysis have the higher rates of […]