Patient Education and Support During CKD Transitions: When the Possible Becomes Probable.
Patients transitioning from kidney disease to kidney failure require comprehensive patient-centered education and support. Efforts to prepare patients for this transition often fail to meet patients' needs due to uncertainty about which patients will progress to kidney failure, nonindividualized patient education programs, inadequate psychosocial support, or lack of assistance to guide patients through complex treatment plans. Resources are available to help overcome barriers to providing optimal care during this time, including prognostic tools, educational lesson plans, decision aids, communication skills training, peer support, and patient navigation programs. New models are being studied to comprehensively address patients' needs and improve the lives of kidney patients during this high-risk time.
Nephrology Department and Center for Health Research, Geisinger Medical Center, Danville, PA; and Department of Medicine, Division of General Internal Medicine, Duke University School of Medicine, Durham, NC. Electronic address: jgreen1@geisinger.edu.
Jamie A
JA
Green
Nephrology Department and Center for Health Research, Geisinger Medical Center, Danville, PA; and Department of Medicine, Division of General Internal Medicine, Duke University School of Medicine, Durham, NC.
L Ebony
LE
Boulware
D003142:Communication; D003220:Conflict, Psychological; D003657:Decision Making; D003863:Depression / Q000209:etiology / Q000628:therapy; D018450:Disease Progression; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology* / Q000628:therapy*; D010353:Patient Education as Topic; D062526:Patient Navigation; D010379:Peer Group; D010817:Physician-Patient Relations; D011379:Prognosis; D051436:Renal Insufficiency, Chronic / Q000503:physiopathology; D017582:Renal Replacement Therapy / Q000379:methods
CKD; Decision aid; Patient education; Patient navigator; Psychosocial support