Patient, Caregiver, and Provider Perspectives on Challenges and Solutions to Individualization of Care in Hemodialysis: A Qualitative Study.

Rachelle SassJuli FinlayKrista RossumKaytlynn V SorokaMichael McCormickArlene DesjarlaisHans VorsterGeorge FontainePriscila Ferreira Da SilvaMatthew Thomas JamesManish M SoodAllison TongNeesh PannuKarthik TennankoreStephanie ThompsonMarcello TonelliClara J Bohm

Published in: Canadian journal of kidney health and disease (2020)

Participants identified challenges to individualization of in-center HD care, primarily regarding patient comfort and safety during HD sessions, affordable and reliable transportation to and from HD sessions, increased financial burden as a result of changes in functional and employment status with HD, individualization of treatment goals, and flexibility in treatment schedule and self-care. These findings will inform future studies aimed at improving patient-centered HD care.

Keyphrases

healthcare
palliative care
quality improvement
case report
affordable care act
primary care
pain management
chronic kidney disease
peritoneal dialysis
risk factors
end stage renal disease
young adults
mental illness