Expanding the scope of shared decision-making in vascular access planning for hemodialysis: a case for interprofessional collaboration
Contact us if these videos are not relevant.
Contact us if these videos are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.Vascular access planning now prioritizes patients. Expanding shared decision-making to include all stakeholders can improve outcomes through better interprofessional collaboration.
Area Of Science
- Nephrology
- Vascular Surgery
- Healthcare Management
Background
- Current vascular access planning guidelines emphasize a patient-centered approach over a fistula-centered one.
- Shared decision-making (SDM) is crucial for optimizing vascular access selection and outcomes.
- Existing SDM models primarily involve the nephrology team and the patient.
Purpose Of The Study
- To advocate for broadening the scope of shared decision-making in vascular access planning.
- To promote the inclusion of all relevant stakeholders in the vascular access planning process.
- To highlight the benefits of early and consistent interprofessional collaboration.
Main Methods
- Review of current vascular access planning guidelines and literature.
- Analysis of the components and limitations of existing shared decision-making models.
- Proposal for an expanded interprofessional collaborative model for vascular access planning.
Main Results
- A shift from fistula-centered to patient-centered vascular access planning is evident.
- Expanding the shared decision-making dyad to include all stakeholders is proposed.
- Early and consistent interprofessional collaboration is suggested to enhance discussions.
Conclusions
- Expanding shared decision-making to include all vascular access planning stakeholders is recommended.
- Earlier and consistent interprofessional collaboration can lead to more constructive discussions.
- Improved patient outcomes are anticipated through a more inclusive and collaborative planning process.
Contact us if these videos are not relevant.
Contact us if these videos are not relevant.
Related Concept Videos
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...
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...
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
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...
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...
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...