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Related Concept Videos

Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
418
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

493
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

421
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
421
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

477
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

356
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
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Related Experiment Video

Updated: Feb 17, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Caring for Undocumented Immigrants With Kidney Disease.

Rajeev Raghavan1

  • 1Department of Medicine, The Selzman Institute for Kidney Disease, Baylor College of Medicine, Houston, Texas.

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
|December 5, 2017
PubMed
Summary

Dialysis-dependent undocumented immigrants often receive only emergent care due to lack of policy. Expanding access to nonemergent dialysis is humane and cost-effective for kidney patients.

Keywords:
US health care systemUndocumented immigrantsUnited States immigration policydialysisend-stage renal disease (ESRD)health care costsimmigrationkidney diseasemedical ethicsmigrantsrenal replacement therapy (RRT)sanctuary city

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Area of Science:

  • Public Health
  • Health Policy
  • Nephrology

Background:

  • Undocumented immigrants are 3% of the US population and 27% of the uninsured.
  • An estimated 6,500 undocumented immigrants are dialysis-dependent.
  • Lack of uniform national policy leads to 30-50% receiving only emergent dialysis.

Purpose of the Study:

  • To examine the challenges and outcomes of dialysis care for undocumented immigrants.
  • To highlight the impact of health care reform and immigration policies on this population.
  • To advocate for policy changes to improve access to nonemergent dialysis.

Main Methods:

  • Review of existing data on undocumented immigrant health care access.
  • Analysis of the Affordable Care Act's indirect impact on insurance acquisition.
  • Discussion of policy shifts under different US administrations.

Main Results:

  • Over 400 undocumented immigrants received kidney transplants since 2005.
  • Over 200 accessed insurance via health exchanges, transitioning to regular hemodialysis.
  • Policy changes and uncertainties create challenges for vulnerable undocumented patients.

Conclusions:

  • Access to nonemergent dialysis for undocumented immigrants is humane and cost-effective.
  • A global framework is needed to translate advocacy into public policy for kidney patients.
  • Leading medical organizations should advocate for improved dialysis access worldwide.