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Abstract: TH-PO275

Shared Care in Haemodialysis: A Path to Independence

Session Information

Category: Dialysis

  • 701 Dialysis: Hemodialysis and Frequent Dialysis

Authors

  • Samad, Nasreen, Barts Health NHS Trust, Royal London Hospital, London, United Kingdom
  • Khan, Sara Z., American University of Antigua, Levittown, New York, United States
  • Ave, Franel, Barts Health NHS Trust, Royal London Hospital, London, United Kingdom
  • Capitan, Adrian, Barts Health NHS Trust, Royal London Hospital, London, United Kingdom
Background

Most dialysis patients spend many hours every week in hospital, which can leave patients feeling exhausted.
Shared care haemodialysis programmes can improve patient satisfaction and may reduce costs.
The Queens hospital dialysis unit is a satellite is one of the satellite units of Royal London Hospital, United Kingdom. In order to promote more control of dialysis care to be delegated to patients we aimed to offer shared care programme to all suitable patients coming to the unit which enabled the patients to manage their care with nursing support.
Shared haemodialysis care is when patients at dialysis units are supported to undertake tasks involved in their own treatment to the extent that they wish, which would range from performing selected tasks to complete independence in performing haemodialysis in the unit also named as self-care haemodialysis which is suitable for patients with housing issues.

Methods

All patients transferred to the unit were assessed for suitability for shared care. A dedicated link nurse for shared care offered these patients the list of performing 15 different dialysis related tasks.The performance data was collected from January 2018 to April 2019 and 3 monthly progress was noted in patients’ capability to perform specific tasks related to haemodialysis care.
All these patients were also offered to sign up to “Patient View” a web based system which enabled patients to review there blood results and physician’s letters.

Results

In January 2018, at the start of the programme 72 out of 100 (72%) patients were offered to perform the tasks. Only 19% were able to perform 5 or more tasks including 1 patient who could needle fistula independently.
By April 2019, 97 out of 105 (92.4%) patients were offered to perform dialysis related tasks and 49.5% were performing 5 or more tasks with 2 patients needling their fistulas independently.

Conclusion

Shared care in haemodialysis is a good way of involving patients in the dialysis care which provides feeling of achievement and independence to patients. It provides dialysis space for patients who cannot perform home haemodialysis due to housing related issues.
Achieving complete self care is a daunting task for both the patients as well as responsible health care providers as it was a slow progress to do more complicated tasks. Identifying barriers to achieve these tasks will help in implementation of shared care programme.