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First, let me congratulate you on yet another patient-centered edition. The June 2022 article No Filters: Assessing Physician Communication When Discussing Conservative Management of Kidney Failure by Drs. Corona and Koncicki (
Palliative care and conservative management have always seemed to be an “afterthought” or consigned to “other options” instead of being as vital a consideration as any of the forms of kidney
In 1972, nearly 40% of all patients on dialysis in the United States were on home dialysis. The next year, the Medicare End Stage Renal Disease (ESRD) Program began, and as a result, the use of home dialysis decreased dramatically. Over the years that have followed the establishment of the Medicare ESRD Program, there has been a resurgence of home dialysis, and research demonstrates that more frequent dialysis has better health outcomes than dialysis administered three times per week (
In 1972, nearly 40% of all patients on dialysis in the United States were on home dialysis. The next year, the Medicare End Stage Renal Disease (ESRD) Program began, and as a result, the use of home dialysis decreased dramatically. Over the years that have followed the establishment of the Medicare ESRD Program, there has been a resurgence of home dialysis, and research demonstrates that more frequent dialysis has better health outcomes than dialysis administered three times per week (
In 1965, on opposite sides of the country, two revolutions in health care took place. In North Carolina, corpsmen returning from the Vietnam conflict put their skills and training to use in the newly formed profession: physician assistant (PA) (
In 1965, on opposite sides of the country, two revolutions in health care took place. In North Carolina, corpsmen returning from the Vietnam conflict put their skills and training to use in the newly formed profession: physician assistant (PA) (
I have been fortunate to work in the field of nephrology my entire career, mostly as a registered nurse for the first 20 years and now as an advanced practice provider over the past 3 years. I currently serve as an inpatient nurse practitioner in transplantation at an academic health system. For the first 2 years, I also had experience in outpatient clinics and dialysis units.
Seeing patients on an outpatient basis during my outpatient clinic experience allowed me to review labs, medications, and health issues with many minutes of teaching while completing a full examination. Health
I have been fortunate to work in the field of nephrology my entire career, mostly as a registered nurse for the first 20 years and now as an advanced practice provider over the past 3 years. I currently serve as an inpatient nurse practitioner in transplantation at an academic health system. For the first 2 years, I also had experience in outpatient clinics and dialysis units.
Seeing patients on an outpatient basis during my outpatient clinic experience allowed me to review labs, medications, and health issues with many minutes of teaching while completing a full examination. Health
Originally trained to provide holistic primary care, nurse practitioners (NPs) practice in a variety of acute and chronic care settings. The pathway to practice requires candidates to pursue multiple educational prerequisites and degrees (
Originally trained to provide holistic primary care, nurse practitioners (NPs) practice in a variety of acute and chronic care settings. The pathway to practice requires candidates to pursue multiple educational prerequisites and degrees (
