Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Hemodialysis III: Nursing Management

Hemodialysis III: Nursing Management

The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...

Peritoneal Dialysis III: Nursing Management

Peritoneal Dialysis III: Nursing Management

Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...

Dialysis

Dialysis

Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...

Dialysis

Dialysis

Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...

Hemodialysis I: Introduction

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Seroprevalence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) antibodies among healthcare workers with differing levels of coronavirus disease 2019 (COVID-19) patient exposure.

Infection control and hospital epidemiology·2020

Same author

Breaking the Law of Small Numbers.

Circulation. Heart failure·2017

Same author

Healthcare outcomes in undocumented immigrants undergoing two emergency dialysis approaches .

Clinical nephrology·2017

Same author

Noninvasive sphenopalatine ganglion block for acute headache in the emergency department: a randomized placebo-controlled trial.

Annals of emergency medicine·2015

Same author

Healthy Aging Brain Center improved care coordination and produced net savings.

Health affairs (Project Hope)·2014

Same author

Improving specialty care follow-up after an ED visit using a unique referral system.

The American journal of emergency medicine·2013

Search research articles

Related Experiment Video

Updated: May 26, 2026

A Murine Model of Hemodialysis Access-Related Hand Dysfunction

A Murine Model of Hemodialysis Access-Related Hand Dysfunction

Published on: May 31, 2022

An analysis of a case manager-driven emergent dialysis program.

Christopher S Weaver¹, Isaac J Myers, Gretchen Huffman

¹Department of Emergency Medicine, Indiana University School of Medicine, 1050 Wishard Boulevard, Room R2200, Indianapolis, IN 46220, USA. chsweave@iupui.edu

Professional Case Management

|December 8, 2011

Summary

A case manager-driven emergent dialysis program is feasible for undocumented immigrants with end-stage renal disease. This approach proved cost-effective, with no increase in complications compared to traditional dialysis methods.

More Related Videos

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

Related Experiment Videos

Last Updated: May 26, 2026

A Murine Model of Hemodialysis Access-Related Hand Dysfunction

A Murine Model of Hemodialysis Access-Related Hand Dysfunction

Published on: May 31, 2022

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

Area of Science:

Nephrology
Healthcare Management
Public Health

Background:

Rising undocumented immigrant population in the US leads to increased end-stage renal disease (ESRD) patients lacking regular dialysis access.
Hospital systems face challenges in providing care for this vulnerable ESRD population.
Existing care models for undocumented ESRD patients without consistent dialysis access require evaluation.

Purpose of the Study:

To assess the feasibility, effectiveness, and cost-efficiency of a case manager-driven emergent dialysis program.
To compare this emergent dialysis model with the institution's previous regularly scheduled dialysis program.
To determine if the emergent model could provide comparable or improved outcomes at a similar or lower cost.

Main Methods:

A before-and-after study design was employed at Wishard Memorial Hospital, an urban public hospital.
A cohort of 6 dialysis patients without regular dialysis access was analyzed.
Secondary data from March 11, 2010, to September 14, 2010, were used to compare the emergent program with the prior scheduled dialysis approach.

Main Results:

The case manager-driven emergent dialysis program was found to be feasible.
Total expenses for the emergent program were $101,802, compared to $122,890 for the previous regular dialysis program.
No significant differences were observed in intensive care unit days, length of stay, or complications between the two care models during the study period.

Conclusions:

Case management is crucial for high-risk ESRD patients lacking consistent dialysis access.
The emergent dialysis model, with case management oversight, demonstrated comparable or better cost-effectiveness than chronic, scheduled dialysis.
While not definitively proving superiority over chronic dialysis, the study highlights the significant role of case management in optimizing care for this population without increasing complications.