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Managing homeless dialysis patients.

Jean L Holley1, Cathy DeVore, Thessa Obrero

  • 1University of Virginia Health System, Kidney Center Dialysis Program, Charlottesville, USA.

Nephrology News & Issues
|January 28, 2006
PubMed
Summary

Homelessness is an increasing challenge for dialysis facilities. This study examines the characteristics of homeless patients undergoing dialysis and their impact on the care team.

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Area of Science:

  • Nephrology
  • Public Health
  • Sociology

Background:

  • An increasing number of homeless patients require dialysis treatment.
  • Little research has been published on the specific challenges of homelessness in dialysis patients.
  • This study addresses the gap in understanding the characteristics and care needs of this population.

Purpose of the Study:

  • To examine the demographic and clinical characteristics of homeless patients undergoing hemodialysis.
  • To assess the impact of homeless dialysis patients on the multidisciplinary care team.
  • To inform strategies for better supporting this vulnerable patient group.

Main Methods:

  • A retrospective review of six homeless patients receiving hemodialysis in a rural facility in April 2005.
  • Analysis of patient demographics, medical history, substance abuse, psychiatric history, and living situations.
  • Discussion of the medical, nursing, dietary, and social care considerations.

Main Results:

  • The six homeless dialysis patients were all men, with a mean age of 45.75 years.
  • Common characteristics included African American ethnicity (5/6), history of substance abuse (5/6), alcohol abuse (4/6), and psychiatric illness (5/6).
  • Patients utilized community shelters, the Salvation Army, or their vehicles for housing and all had Medicare coverage.

Conclusions:

  • Homelessness presents unique challenges for dialysis patients and care teams.
  • Understanding patient characteristics is crucial for providing effective, multidisciplinary care.
  • Further research and targeted interventions are needed to address the needs of homeless individuals requiring dialysis.

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