title: Overcoming early learning barriers in hemodialysis patients: the use of screening and educational reinforcement to improve treatment outcomes.
abstract: A dialysis team project to improve patient knowledge resulted in a significant improvement in patient understanding of health-risk behavior related to blood pressure and albumin management in a large hemodialysis clinic. This project demonstrates that brief intervention combined with a well-coordinated renal team can successfully steer the team's time and resources toward improving treatment outcomes, despite the busy feel of the day-to-day dialysis clinic. Analysis of the barriers to successfully educating the ESRD patient is performed and the full intervention is described. The nephrology social worker, the RN and an area manager of 5 outpatient dialysis clinics speak of their experience with the project. A participant (ESRD patient) describes his sense of satisfaction with care.
authors.affiliation: Fresenius Medical Care-North America La Mesa, San Diego, CA, USA. sj5555@aol.com
authors.forename: Stephanie
authors.initials: S
authors.lastname: Johnstone
authors.forename: Lynne LeSage
authors.initials: LL
authors.lastname: Walrath
authors.forename: Vivian
authors.initials: V
authors.lastname: Wohlwend
authors.forename: LaDaska D
authors.initials: LD
authors.lastname: Jobe
authors.forename: Craig
authors.initials: C
authors.lastname: Thompson
mesh_terms: D004521:Educational Measurement; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D010353:Patient Education as Topic / Q000379:methods*; D006435:Renal Dialysis; D016896:Treatment Outcome