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Navigating a Renal Diet: Decoding the Mystery

2024-03-28T20:57:49-04:00October 27th, 2022|Categories: Dialysis, Kidney Transplant, Nutrition, Staying Healthy, The Kidney Citizen|

By Fanny Sung Whelan, MS, RDN, LDN How to navigate a renal diet based on your kidneys’ needs No matter what stage of kidney disease you’re in, all of the different diet recommendations can cause your head to spin. Pair it with other conditions you may have, and you’ve got a real recipe for confusion! So how can you sort out all of the differences in what you can and can’t eat? Here we are going to outline the diet guidelines for the different stages of kidney disease. Disclaimer: it is important to discuss any diet changes with your [...]

Conquering Dialysis Fatigue

2024-03-28T20:57:50-04:00October 27th, 2022|Categories: Physical Health, Quality of Life, Staying Healthy, The Kidney Citizen|

By Patricia McCarley, RN, MSN, ACNP and Felicia Speed, PhD, LMSW Patients on dialysis may complain of an intense feeling of tiredness or fatigue with 60-97% of patients finding it as important a health outcome as mobility or pain. While it may be difficult to identify the exact cause, patients with chronic kidney disease (CKD) or end stage renal disease (ESRD) have several factors contributing to fatigue, including uremia, an increased level of waste products in the blood, and anemia, a decrease in red blood cell production. Anemia is a condition in which your body does not [...]

Advanced Care Planning: Turning “What If?” Into “Here’s How”

2024-03-28T20:57:51-04:00October 27th, 2022|Categories: Quality of Life, The Kidney Citizen, Uncategorized|

By David L. Mahoney, MD, FASN, FASDIN A number of years ago, I attended a lecture on Advance Care Planning. The speaker was a very engaging man who had recently dealt with end-of-life issues for a loved one. There were about 150 people in attendance at the lecture, which began with a series of questions: “How many of you have life insurance?” Virtually every hand in the room went up. “How many of you have a will?” About three quarters of the hands were raised. “How many of you have a living will?” About 10% of hands were raised [...]

Telehealth with a Behavioral Health Professional: What to Know Before You Start

2024-03-28T20:57:51-04:00October 27th, 2022|Categories: Mental Health, The Kidney Citizen|

By Kirsten Weir If you or a family member is managing chronic kidney disease, you’re probably thinking a lot about physical health—the health of the kidney and the rest of the body. Caring for your behavioral health is just as important. And with telehealth options that let you see a behavioral health professional from your home, it’s more convenient than ever. “The increased availability and acceptance of telehealth might be one of the few positive changes to come out of the [COVID-19] pandemic,” says Amy Walters, PhD, a clinical health psychologist and the director of Behavioral Health Services for St. [...]

Will the COVID-19 Pandemic Ever End?

2024-03-28T20:57:59-04:00August 1st, 2022|Categories: Dialysis, eNews, Immunizations, Mental Health, The Kidney Citizen|Tags: |

By Alan S. Kliger, MD, Clinical Professor of Medicine, Yale School of Medicine, and Chair, Excellence in Patient Care Advisory Committee, American Society of Nephrology Updated October 2022 Some recent quotes I’ve heard - - - I’ll bet you have too: “Who can even pay attention when the subject of COVID-19 is raised?” “Enough already – I’m through with it” “What’s the difference? Even with vaccines and boosters, I still got COVID twice!” After nearly three years of this pandemic, COVID-19 infection has gone from a frightening and deadly disease to a major disruptor of our lives, to [...]

Blood Sugar Testing to Manage Type 2 Diabetes in Patients Who Don’t Need Insulin

2024-03-28T20:58:05-04:00June 1st, 2022|Categories: eNews, Lifestyle, Nutrition, Quality of Life, Staying Healthy, The Kidney Citizen|

Checking your blood sugar daily may not help you manage your type 2 diabetes. If you have type 2 diabetes, it’s important to keep the amount of glucose, or sugar, in your blood at a healthy level. Many patients check their blood sugar at home each day. Patients place a drop of blood from their fingertip onto a test strip; then they insert the strip into a home glucose meter. This test measures your blood sugar level at that moment. People who use insulin check their blood sugar often so that they know how much insulin to take. But if [...]

DPC’s State Advocacy Efforts Flourish with Elevated Voice of DPC Patient Ambassadors

2024-03-28T20:58:09-04:00April 25th, 2022|Categories: Costs for Treatment, Kidney Transplant, The Kidney Citizen, Uncategorized|

Image: Medigap champion Kentucky State Rep. Tom Burch and Elizabeth Lively, DPC Eastern Region Advocacy Director By Kelly Goss, J.D., LL.M., Western Region Advocacy Director and Elizabeth Lively, Eastern Region Advocacy Director, Dialysis Patient Citizens (DPC) It’s been a busy start in 2022 for DPC’s state advocacy efforts. Many states are holding shorter legislative sessions due to the upcoming primary elections, and several bills impacting dialysis patients have been introduced and are moving quickly through the legislative process. Legislation to expand Medigap access has been introduced in Arizona, Kentucky, Louisiana, Maryland, Nebraska, New Jersey, Rhode Island, Vermont, and Wisconsin. Improving access [...]

Falling by the Wayside? Falls Prevention in Dialysis

2024-03-28T20:58:10-04:00April 25th, 2022|Categories: Dialysis, Fact Sheet, Physical Health, The Kidney Citizen|

By Laura Plantinga, PhD, Bernard Jaar, MD, MPH, and C. Barrett Bowling, MD, MSPH Why are dialysis patients at particular risk for falls? Studies show that approximately one-quarter of dialysis patients fall every year, meaning that they are about three times more likely to fall in any given year, compared to the general population. While older age certainly plays a role, there are several other factors that put dialysis patients — regardless of age — at higher risk for falls. In fact, most falls probably result from a combination of factors, usually a combination of long-term “predisposing” risk factors [...]

The Courage to Self-Cannulate – Taking Control Means Less Pain, More Independence

2024-03-28T20:58:11-04:00April 25th, 2022|Categories: Dialysis, Quality of Life, The Kidney Citizen|

By Michelle Carver, Vice President Clinical Service Initiatives at Fresenius Kidney Care If the idea of self-cannulating every time you dialyze seems impossible, you are not alone. Many people fear needles, especially the large ones used for dialysis. But trust me, when you learn to do it, you’ll wonder why you ever doubted yourself. It gives you control, may make your access site last longer and, believe it or not, hurt less. One of my dialysis patients compared it to putting a cotton-tipped swab in your ear – would you rather do it yourself or have someone else do [...]

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