Three days before being called for her kidney transplant, Rachel was put on dialysis which uses an artificial device to clean and filter the blood of waste products. This caused her major pain and distress, Rachel says that this was ‘one of the most painful experiences she’s ever been through’. She said the pain was mainly in her shoulder and it felt like she was being ‘dragged down to the floor’, this affected her quality of life as for those three days she had a dependence on medicinal substances and medical aids. After the transplant Rachel still has to take drugs each day
Ms. Cetiner has been an RN in the hemodialysis unit for the past 6 years. She provides excellent care to our Veterans, and consistently functions in a professional manner with staff, patients and families. She was part of a unit I CARE award presented by Dr. Mayo-Smith for quality and commitment to our Veterans. She demonstrates competency in the utilization of the nursing process as evidenced by the accurate assessment, plan, implementation, and evaluation of patient care in her daily practice. She developed a unit diabetic foot
Chronic kidney disease (CKD) is an irreversible condition that progresses causing kidney dysfunction and then to kidney failure. It is classified by a GFR of <60mL/min for longer than 3 months. There are five stages of CKD: Stage 1 has kidney damage but has a GFR ≥ 90. Stage 2 has mild damage and a GFR of 60-89. Stage 3 has moderate damage and a GFR of 30-59. Stage 4 has severe damage and a GFR of 15-29. Stage 5 is also known as end stage renal disease (ESRD), this is kidney failure with a GFR of ≤ 15 and theses patients are typically on dialysis or in need of an immediate transplant. The leading cause of CKD is diabetes. Hypertension is also a major cause. Since most DM patients have HTN,
Patients require continuous treatments up to 3 times a week as they wait for a kidney transplant, while others are reliant on lifelong dialysis treatments due to their ineligibility of being a transplant recipient. Since wait times for kidney transplants can extend into several months and years, the cost incurred for these patients in relatively high. With the incidence of ESRD on the rise, there is a continuing need to provide services to address it. Healthcare organizations are expected to adapt their healthcare delivery models to address this increase of ESRD pertaining to kidney failure while staying financially viable.
DaVita Dialysis is no different in 2005 the organization fell prey to the nursing shortage and had to
According to University of California (2016), more than 650,000 patients per year in the United States and 2 million patients global are affected by end stage renal disease (ESRD). Number of patient effective by ESRD is increasing every year by 5%. How serious problem it is shows Healthy people 2020. One of the goals of Healthy People 20202 is” reduce new cases of chronic kidney disease (CKD) and its complications, disability, death, and economic costs.” According to Healthy People 2020 CKD and ESRD are important public health problems in our country and main cause of suffering and poor quality of life of affected people. They are “responsible for premature death and exact a high economic price from both the private and public sectors.” Both diseases are very expensive to treat. Closely 25% of Medicare budget is
Chronic kidney disease (CKD) is a common disorder and occurs in the elderly population. In younger patients, it
In the United States Renal Data System (USRDS) report for 2015 there were 661,648 cases of End Stage Renal Disease (ESRD) at the end of 2013, of which 117,162 cases were newly reported. Of the newly reported cases, 88.2% of individuals with ESRD started renal replacement therapy with hemodialysis (HD) while 9% began peritoneal dialysis (PD), and 2.6% received a kidney transplant.
With these few effects, people are not able to have a secured job to pay for dialysis services. People with this disease may lose their jobs or it will be hard for them to obtain income to pay for the necessary treatments to sustain their lives. Some personal insurances cover renal disease, but it can be expensive in the long run and will leave individuals with high debts. Medicare will cover for these treatments, so, the government must keep on funding these people so they can have the opportunity to stay alive. Thanks to the program that the government has created, ESRD patients are given an opportunity to be with their families and help society with their
DaVita Dialysis Center was founded in 1999, with the goal to develop programs to enrich lives. It was originally called Total Renal Care (TRC), but during its restructure it was renamed with the term, DaVita, Italian for “giving life.” CEO, Kent Thiry saved the company from the brink of bankruptcy through his leadership style. The corporate headquarters were originally in El Segundo, California, but were moved to Denver, Colorado. Today, it has grown to be an organization with over 53,000 teammates around the nation. The company has expanded to 2,251 outpatient dialysis centers in the United States and 118 outpatient dialysis centers in 10 foreign countries. It treats patients with acute kidney failure, chronic kidney failure, and end stage renal disease. The company’s core values are accountability, continuous improvement, fulfillment, fun, integrity, service excellence, and team. The core values are integrated in the organization’s vision for leadership to stress collaboration and a team-based environment. Teammates feel an emotional level of trust and mutual commitment.
DaVita is a kidney care company that services people by supplying dialysis treatments to patients that have serious “chronic kidney failure and people that are going through end stage renal disease”. “DaVita’s website states that “as of December 31, 2013, DaVita operated and also provided administrative services at 2,074 of its outpatient dialysis centers located in the United States, they served nearly 168,000 patients in that aspect as well as provided services at 73 outpatient dialysis centers that are located in 10 separate countries.” (DaVita Health Care Partners). Retrieved April 18, 2014 from http://davitahealthcarepartners.com/.
My community assessment project focused on adults with chronic renal disease who are receiving peritoneal dialysis under the care of the Davita Dialysis Clinic located in Dothan, Alabama. This modality of artificial kidney replacement minimizes the disruption of the user’s daily life by allowing them to remove waste products from their bodies on daily basis during their ordinary sleeping hours. According the Centers for Disease Control and Prevention, it was estimated that as many as 10% of adults or more than 20 million people in the United States may be suffering from chronic kidney disease and in 2011 alone, 113,136 of these individuals began treatment for their end stage renal disease ("National chronic kidney disease fact sheet,
My community assessment project focused on adults with chronic renal disease who are receiving peritoneal dialysis under the care of the Davita Dialysis Clinic located in Dothan, Alabama. This modality of artificial kidney replacement minimizes the disruption of the user’s daily life by allowing them to remove waste products from their bodies on daily basis during their ordinary sleeping hours. According the Centers for Disease Control and Prevention, it was estimated that as many as 10% of adults or more than 20 million people in the United States may be suffering from chronic kidney disease, and in 2011 alone 113,136 of these individuals began treatment for their end stage renal disease ("National chronic kidney disease fact sheet, 2014," 2014).While chronic kidney disease is most commonly seen among individuals of African American descent and in adults over the age of 70, this harsh and deadly disease is not a respecter of age, gender, or race. More than 70,000 people die each year as a result of kidney disease, and Alabama has been ranked fifth in the nation for kidney disease occurrence ("Kidney Facts : Alabama Kidney Foundation," n.d.)
Diabetes is highly prevalent condition, affecting 8.2 % of adults globally or 382 million people. Incidence is increasing with a estimated global prevalence of 592 million people by 2035. It further results in Chronic kidney disease & further may lead to ESKD(End-Stage Kidney Disease).
In the U.S. kidney disease is the 8th leading cause of death with an estimated 31 million people having chronic kidney disease. Women are more likely to have chronic kidney disease than men. Compared to whites, African Americans chance of developing this disease is 3.8 times higher, Native Americans risk is 2 times higher, and Asians it is 1.3. Diabetes