Hot Weather Health

In all of the resources below, remember that dialysis patients must still control their fluid intake.  For tips on Dialysis Fluids Management in English, see https://s3-us-west-2.amazonaws.com/nwrn.org/files/NW18/Fluids.Eng.pdf and in Spanish, see https://s3-us-west-2.amazonaws.com/nwrn.org/files/NW18/Liquidos.esp.pdf.  These should override the water-consumption suggestions in all of the documents below.

The Oregon Health Authority has an excellent web page on Extreme Heat, that includes FAQ sheets in English, Español (Spanish), Русский (Russian), 简体中文 (Simplified Chinese), Af Soomaali (Somali), and tiếng Việt (Vietnamese).  Find it at https://www.oregon.gov/oha/ph/Preparedness/Prepare/Pages/PrepareForExtremeHeat.aspx.

Homeland Security’s “Ready.gov” website has a thorough discussion of how to stay cool and safe in extreme heat, at https://www.ready.gov/heat.  The National Institute for Occupational Safety and Health (NIOSH) has a page on how to identify signs of heat exhaustion or heat stroke, and what to do about it, at http://www.cdc.gov/niosh/topics/heatstress/heatrelillness.html.  CDC has a program that sends out a weekly email on Five Minutes or Less for Health Weekly Tip, which also covers skin cancer, hydration, and communicable diseases from mosquitoes and ticks.  Review their hot weather Tips or sign up at https://www.cdc.gov/family/minutes/tips/summersavvy/index.htm.

Update of Kidney School Nutrition/Fluids Module

MEI has updated the most popular module, Module 9: Nutrition and Fluids for People on Dialysis, in it’s award-winning Kidney School.  The new Module 9 has been completely updated with new information about the value of eating real food, phosphorus absorption from food additives vs. meat and plants, graphics and photos, and brand-new meal plans and recipes, and was reviewed by expert renal dietitians.  A Spanish translation will be available soon.

Kidney School offers free, tailored education for people with stages 4-5 CKD.  Sixteen interactive modules at the 6th grade reading level help patients and family members learn about kidney disease, treatment options, coping skills, lab tests, diet and nutrition, and much more.  Each online module creates a Personal Action Plan.  Audio files and PDFs in English and Spanish are also available.  Continuing education credits are available for professionals.

Find Kidney School at https://www.kidneyschool.org/, and the new Module 9: Nutrition and Fluids for People on Dialysis at https://www.kidneyschool.org/m09/.

Hot Weather Health

The Oregon Health Authority has announced a #SummerBummer collection of strategies for Preventing and Responding to common hot-weather risks, including drowning, poor air quality, mosquito-borne and tick-borne illnesses, algal blooms, fecal beach bacteria, food poisoning, and extreme heat.  Find their recommendations at https://www.oregon.gov/oha/ERD/Pages/StaySafeHealthyWithSafetyTipsFromOHAAsSummerKicksOffJune21.aspx.

CDC has a comparable program that sends out a weekly email on Five Minutes or Less for Health Weekly Tip, which also covers skin cancer, hydration, and communicable diseases.  Review their Tips or sign up at https://www.cdc.gov/family/minutes/tips/summersavvy/index.htm.

Homeland Security’s “Ready.gov” website has a thorough discussion of how to stay cool and safe in extreme heat, at https://www.ready.gov/heat, and one to help you Prepare Your Home for Wildfire Season at https://www.ready.gov/wildfires.

And of course people with ESRD have special issues with food and water in the summer:

10/30 NW16 PKG Support Group

The Portland Kidney Group invites patients and care partners to their October 30, 2018 Support Group Meeting in Milwaukie OR.  Topics of discussion will include treatment options and holiday coping strategies.  Kidney-friendly refreshments will be provided, but RSVP is requested.  For details see https://s3-us-west-2.amazonaws.com/nwrn.org/files/N/PKG/PKG1018.pdf.

9/27 PKG Support Group Meeting

The Portland Kidney Support Group invites patients and their care partners to a 10:00-11:30am meeting on September 27, 2018 in the conference room at FKC Scholls Ferry Dialysis Clinic, 10300 SW Nimbus Ave P-A, Tigard OR 97223.  Kidney friendly refreshments will be provided.  RSVP to Yasuyo at 503-443-4909, as space is limited.  Topics will include Feeling your best; making the most of your dialysis treatment by Dr. Gurvinder Suri, MD and Ideas for high protein snacks by Claudia Kreft, RD.

HDC Fluid Restriction Calculator

Home Dialysis Central has published a Dialysis Fluid Restriction Calculator to answer the question, “How much can I drink between dialysis sessions?” individualized for each patient.  For the Calculator and discussion, see https://homedialysis.org/news-and-research/blog/265-a-new-dialysis-fluid-restriction-calculator.

Preventing Organ Stunning

Home Dialysis Central has published a summary of “organ stunning,” where dialysis removes too much water, or removes it too quickly, and your internal organs are shocked.  This can damage your organs, and the damage may be cumulative.  The HDC article covers the causes and processes of organ stunning, and most important, describes how you can avoid it.  Find the article at https://homedialysis.org/life-at-home/articles/organ-stunning-on-hemodialysis-what-is-it-and-what-can-you-do.

Excessive Heat Warning Through 8/20

The National Weather Service has declared an Extreme Heat Warning through August 20, 2016 in western Oregon and western Washington south of Everett, except for coastal areas.  Temperatures are expected to exceed 100°F in western Oregon, and also in the San Joaquin, Coachella, and Imperial Valleys in California.  With low humidity and unstable air vulnerable to thunderstorms, many areas (including western Washington north of Everett) are also subject to a Red Flag Warning signifying increased risk of fire.

Northwest Renal Network’s Monthly Patient Bulletin for August, Keep Calm and Get Prepared, is on the importance of emergency preparedness – September is National Preparedness Month.  The poster/flyer includes a link to an online social media game called “30 Days, 30 Ways Preparedness Challenge” and a list of important considerations for your personal preparedness plan.  Find the Monthly Patient Bulletin at https://s3-us-west-2.amazonaws.com/nwrn.org/files/PM/Emer0816.pdf .

It’s important not just for dialysis patients, but for everyone else as well, to stay hydrated in such conditions.  Heat stroke can kill anyone.  See our previous posts at https://nwrnbulletins.wordpress.com/category/facility-staff/emergency-preparedness-staff/ and https://nwrnbulletins.wordpress.com/2016/07/22/sc-extreme-heat-fluid-control/ for a number of strategies to keep cool, stay safe, and at the same time keep fluids within a range that’s healthy for dialysis patients.