uLearning Objectives
By the end of this presentation, participants will be able to:
•Identify the causes of Chronic Kidney Disease (CKD) •CKD risk factors •Management of CKD •Know the effect of CKD on individual, the family, and the community, as well as to all age groups throughout the life span •Know the available resources for professionals and clients •Be aware of at least one health-related organization for CKD uCHRONIC KIDNEY DISEASE uBose Akinseye uWhitney walker uMonzoor Hameed uChronic Kidney Disease
Rationale
uCKD and end-stage renal disease (ESRD) are significant public health problems in the United States and a major source of suffering and poor quality of life for those afflicted uThey are responsible for premature death and exact a high economic price from both the private and public sectors uCKD and ESRD are very costly to treat. Nearly 25% of the Medicare budget is used to treat people with CKD and ESRD (HealthyPeople.gov, 2018). uResources uProfessional resources include up to date education and evidence based research. Reliable resources include: uhttps://www.uptodate.com/home uhttps://www.andeal.org/topic.cfm?menu=5303&cat=4042 u uRelation and Importance:
uMaintaining optimum health and quality of life is important for individuals of all ages. uUnderstanding that chronic kidney disease is not only debilitating, but time consuming is important for the individual and family. u Dialysis is time consuming. Multiple hours a day for 3 days a week doesn’t have to be the course of the individuals life. This also puts a strain on family life and roles. When an individual becomes ill with disease, family roles and dynamics change. uIndividuals diagnosed with CKD need to maintain proper and appropriate diet and avoid strenuous activities. u uRelation and Importance (Contd.): uThe number of patients starting renal replacement therapy (RRT) is increasing. uImprovements in the management of chronic kidney disease (CKD) across communities to alter this trend are a public health priority. With this increasing number health care cost also increases within our community and nation. u In total, stage 2–stage 4 CKD costs Medicare FFS about $49 billion each year! See attached PDF for more staggering cost and effects on the community.
uHow to optimize health:
uEducation:
§Learning about the causes of kidney disease and the prevention is very important in working towards an optimized health. §Diabetes is the most common cause of kidney failure. Diabetes education is essential to prevent Chronic Kidney disease § All racial and ethnic groups have benefited equally from lifestyle modification program mentioned by the Diabetes Prevention Program (DPP) . This program educates individuals and the community on: •Heart & Kidney healthy diets •Weight reduction •Exercise Programs u uHow to optimize health contd. uProper Diet: §Understanding the types of food and beverages that aid good health is very important for patients diagnosed with CKD. §Dietary changes may include limiting fluids, eating a low-protein diet, limiting salt, potassium, phosphorous, and other electrolytes, and getting enough calories and vital nutrients.
§High salt intake is linked to risk factors for both heart disease and worsening kidney function. The key is to limit salt and high protein intake
uPopulation Disparities uMale §According to the National Health and Nutrition Examination Survey (NHANES), 12.1% of males have chronic kidney disease (NKF, 2016). uFemale §According to the National Health and Nutrition Examination Survey (NHANES), 15.1% of females have chronic kidney disease (NKF, 2016). uRace §As of 2013, more than 67.7% of all new end stage renal disease patients were White §26% were Black or African American (NKF, 2016). §14.7% patients identified as Hispanic or Latino (NKF, 2016). §About 0.9% were Native American (NKF, 2016). §Approximately 4.9% were Asian Americans (NKF, 2016). §Less than 0.29% did not identify with the above categories (NKF, 2016). § uCommunity and Professional Resources u Davita offers many community and professional resources for all stages of kidney disease. Davita also offers support groups for patients with kidney disease. The link below is a good source: §https://www.davita.com/kidney-disease/additional-resource uThis community website offers education on financial help for Kidney patients §https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/financial-help-treatment uEducation for the patient and family is vital for them during this life changing process. This website offers education for both §http://www.dpcedcenter.org/patient-family-resources u uHealth Related Organizations uThe National Kidney Foundation
The National Kidney Foundation is the leading organization in the U.S. dedicated to the awareness, prevention and treatment of kidney disease for hundreds of thousands of healthcare professionals, millions of patients and their families, and tens of millions of Americans at risk.
National Kidney Foundation, Inc., 30 East 33rd Street, New York, NY 10016, 1-800-622-9010.
§By Phone/Email §Main Number:
(800) 622-9010
info@kidney.org §NKF Cares Patient Information Help Line
(855) NKF-CARES
(1-855-653-2273)
nkfcares@kidney.org
uThe National Kidney Foundation
uNKF Membership
(888) 564-6653
membership@kidney.org uBy Fax §(212) 689-9261 uBy Mail §National Kidney Foundation
30 East 33rd Street
New York, NY 10016 u uAmerican Kidney Fund
uThe American Kidney Fund is the nation’s leading non-profit working on behalf of the 30 million Americans with kidney disease. uThe mission of the organization is to help people fight kidney disease and live healthier lives. The organization fulfills that mission by providing a complete spectrum of programs and services such as: prevention activities, top-rated health educational resources, and direct financial assistance, enabling 1 in 5 U.S. dialysis patients to access lifesaving medical care, including dialysis and transplantation.
uContact Information for Help
uPatient grants
800-795-3226
patientservice@kidneyfund.org
uKidney health questions/HelpLine
866-300-2900
helpline@kidneyfund.org u uReferences uAmerican Kidney Fund. (2018). About Us. Retrieved from http://www.kidneyfund.org uCDC. (2018). Chronic Kidney Disease (CKD) Surveillance System. Retrieved from https://nccd.cdc.gov/ckd/ uHealthyPeople.gov (2018). Chronic Kidney Disease. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/chronic-kidney-disease uNKF. (2017). About Chronic Kidney Disease. Retrieved from https://www.kidney.org/atoz/content/about-chronic-kidney-disease uNKF. (2016). Demographics of Kidney Disease. Retrieved from https://www.kidney.org/news/newsroom/factsheets/Demographics-of-Kidney-Disease u u
