Author Archives: patricia stremel
Author Archives: patricia stremel
If you receive dialysis treatment for kidney disease, you probably spend a lot of time focused on your physical health. That’s important, but so, too, is your mental and emotional well-being.
Rollercoaster Emotions: dialysis requires significant time and effort. In addition to the considerable time spent traveling to and from appointments and receiving treatment itself, people receiving dialysis must carefully monitor their diet and fluid intake. It’s a lot of work, and it takes time to adapt to the changes.
Anger, sadness, worry, and guilt are also common. But the emotions aren’t always negative. People who knew that dialysis was likely in their future might feel a kind of relief now that they have started. Some people, such as those awaiting a kidney transplant. might feel a strange mixture of emotions, including hopefulness, anxiety, and fear.
No matter what you’re feeling, it helps to know this emotional rollercoaster is common. As you adjust to the dialysis routine, you should start to feel more like yourself again. And as you continue on with your life, there are steps you can take to manage sadness, worry, and stress.
Dialysis is life-saving, but it’s also life-changing. Still, by taking chance of your emotional health, and accepting help when you need it, you can live a rewarding life on dialysis.
Chronic Kidney disease(also called renal disease) is when the kidney don’t filter enough waste from the blood.The most common causes of CKD are diabetes, high blood pressure, genetics, drug side effects, and blockage caused by kidney stones.
Some people don’t have any signs or symptoms or CKD but others may notice :
When the kidneys can’t work on their own, dialysis – a treatment that removes the excess waste out of your body-is usually needed (CaglarK,2002).
Why does it matter what you eat?
When kidneys can’t remove wastes out of your body, they build up and act like toxins. To keep wastes from building up, you have to watch what you eat between dialysis treatments.
Choosing healthy foods, with the help of your dietitian, helps lower these wastes and may make you feel better between treatments.
CALORIES: Make sure you are getting enough calories every day because they are important to keep your energy level up.
PROTEIN: Your body needs protein to build muscle and lower your risk for infection. Now that you are on dialysis, you will need more high-quality proteins, such as lean meat.
Vitamins/Minerals: The kidneys are important in processing several vitamins and minerals. Some vitamins and minerals may need to be limited.
Fluids: Fluids can build up quickly between dialysis treatments and cause bloating and discomfort.The right amount of fluid intake can help you feel your best.
Blood Sugar: If you have diabetes, the carbohydrates you eat should be balanced with your medicines and activity level to keep your blood sugar under control.
Lean more about Kidney Transplant below.
A kidney transplant allows a person whose own kidneys have failed to receive a new kidney from another person. A successful kidney transplant can improve many of the complications of kidney failure.
A kidney may come from living donors or from individuals who have died (deceased donors). A living donor may be someone in your immediate or extended family, or it may be your spouse or a close friend. In some cases, a living donor may even be a stranger who wishes to donate a kidney to someone in need of a transplant. A deceased donor is someone who has consented to donate his or her organs upon death. In situations where the wishes of the deceased donor are not known, family members may consent to organ donation (N.K.Foundation,2009).
You Can find a transplant program by state or region using the website of The Organ Procurement and Transplantation Network (www.optn.org/members/search.asp). You may also ask your doctor about the transplant process. He or She can refer you to a transplant center for evaluation (N.K.Foundation,2009).
A number of factors affect the success of kidney transplantation. Generally, the chances that a transplanted kidney will continue to work correctly are between 89-95 percent one year after the operation (N.K.Foundation,2009)
Sometimes. It may be possible for a patient with type 1 diabetes to receive a pancreas transplant along with a kidney transplant. Your doctor can advise you about this possibility (N.K.Foundation,2009).
Medicare Part B will cover 80 percent of the cost of your antirejection medication. You will need to apply for Medicare Part B and also need a supplemental or secondary insurance policy. For medicines, Medicare Part D (prescriptions and Drug Plan benefits) can help. The financial counselor or social worker at your transplant center will be available to answer questions about coverage options(N.K.Foundation,2009).
Private or commercial health insurance policy, please contact your insurance company customer service or transplant coordinator, to obtain more information.
The living donor should have no financial responsibility for the surgical cost of kidney donation. The living donor evaluation and surgery are covered by Medicare or recipient’s insurance. However, he or she is not covered for time off from work, travel, lodging expenses, and incidental expenses. Travel and lodging cost may be covered by the recipient, or the National Living Donor Assistance Program(www.livingdonorassistance.org),(N.K.Foundation,2009).
Using a baking dish, combine brown sugar, butter and one teaspoon of cinnamon. Add apples and the cranberries; toss well to coat. Spread apple mixture evenly over bottom of the baking dish. Arrange the bread on the top. Mix the eggs, rice milk, vanilla and the remaining cinnamon into a blend well. Pour mixture over bread, soaking bread completely. Cover and refrigerate 4-24 hours. Preheat oven to 375ºF. Bake covered with foil for 30 minutes. Uncover dish and bake 15 minutes or into starts to brown. Remove dish from oven and let stand for 5 minutes before cutting.
This recipe contains/per serving: calories 428g, protein:19g, carbohydrates: 60g, fat:16g, Cholesterol: 170g, Sodium:363mg, calcium:81mg, fiber:2.8g and potassium 200mg.
Medicare Cards have a new face and unique ID numbers. The main idea is having new numbers for each member, removing Social Security Numbers from Medicare cards to prevent fraud, fight identity theft, and keep taxpayer dollars safe, said CMS at www.cms.gov/medicare/new-medicare-card.
The government has great intentions to protect member's information and is providing full support to who need help at Medicare.gov/NewCard and can sign up for emails about the status of card mailings in your area.
Let's look at Medicare Schedule to the card mailings:
All - Nationwide April 2018 - ongoing
Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia..................................................Beginning May 2018
Alaska, American Samoa, California, Guam, Hawaii, Northern Mariana Islands, Oregon..................................................Beginning May 2018
Arkansas, Illinois, Indiana, Iowa, Kansas, Minnesota, Nebraska, North Dakota, Oklahoma,
South Dakota, Wisconsin....After June 2018
Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York,
Rhode Island, Vermont ........After June 2018
Alabama, Florida, Georgia, North Carolina, South Carolina............................After June 2018
Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Texas, Utah,
Washington, Wyoming .......................After June 2018
Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Puerto Rico,
Tennessee, Virgin Islands ...........After June 2018
References: U.S. Centers for Medicare & Medicaid Services, https://www.cms.gov/medicare/new-medicare-card/nmc-home.html
Is a way to remove waste products from the blood when your kidneys can no longer perform adequately.
Hemodialysis a more commonly used blood-filtering procedure performed at the Center by the RN and PCT, 3 or 4 times weekly and can take into 4 hours each treatment. Peritoneal dialysis the patient give your self a treatment at home, at work or while going for a vacation with use of small size machine called cycler and the duration can be at the time of sleeping.
Understanding Peritoneal dialysis :
1: Can be done any time of the day or when the patient is sleeping.
2: Give the patient freedom to work, take care the family, travel or complete daily activities.
3: Peritoneal Dialysis is done 7 days a week, the peritoneal Nurse will training the patient to connect and disconnect from the Cycler without issues.
4: A cleansing fluid flows through a tube called ” catheter” inside of the abdomen and filters the waste products from your blood.
5: Nephrologist will prescribe the right period time for treatment, the fluid with all filtered waste products will flow out of the abdomen and will be discarded.
Renal Social worker and Dietitian will give support and orientations through your treatment and provide all the information to renal transplant enrollment.
Peritoneal Dialysis program will help the patient with educational material, responding questions and keep tracking the patient progress every month. Contact your Dialysis Center for more information and check with your Nephrologist to see if Peritoneal dialysis will work for you.
Peritoneal Dialysis can provide the freedom through the day to work, travel, shopping, enjoy the time with kids, walk in the park with your pet or any other daily activity.
Crown Dialysis Center of Palm Beach offers an excellent Peritoneal dialysis program, contact 1(561)372-3700 for more information.
Crown Dialysis Center of Palm Beach received an award for being in the top 25 dialysis blogs.
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Is a pleasure continue with our blog to inform all the dialysis community!
Thank you for all the supporters that make this possible .
You’ll feel more in charge if you take an active role in the decision.
Your kidney team should tell you about all treatment options and the pros and cons of each. But you make the choice based on your needs, lifestyle, medical conditions, and current level of kidney function. In order to make this decision, you need to learn about all the treatments.
Reference: Have your thought about Dialysis at Home? – National Kidney Foundation /wwwkidney.org material from publication Number 12-10-0337_KBA
Crown Dialysis Center is a Medicare Certified State-of-the-art facility offering all modalities of dialysis treatments.
A team of qualified health professionals manage the dialysis center under the leadership of Board Certified Nephrologist, Bharat K. Gupta MD.
Crown Dialysis is a leading-edge facility specialize in Staff Assisted Hemo-Dialysis at your home on your schedule.
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There are 5 stages of kidney disease. Your doctor determines your stage of kidney disease based on the presence of kidney damage and your glomerular filtration rate (GFR), which is a measure of your level of kidney function.Your treatment is based on your stage of kidney disease. Speak to your doctor if have any question about your stage of kidney disease or your treatment.
Stage of kidney Disease
1: Kidney damage (e.g.,protein in the urine) with normal GFR ……………………….GFR rate : 90 or above
2: Kidney damage with mild decrease in GFR ……………………………………….GFR rate : 60 to 89
3: Moderate decrease in GFR …………………………………………………….GFR rate : 30 to 59
4: Severe reduction in GFR ……………………………………………………..GFR rate : 15 to 29
5: Kidney failure ……………………………………………………………..GFR rate : less than 15
* Your GFR number tells your doctor how much kidney function you have.As chronic kidney disease progress, your GFR number decreases.
“National Kidney Foundation.Home Hemodialysis. A Guide for patients and their families.2009-2Print”