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.
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.
Temperatures over 110°F are predicted for the Coachella Valley again this week, and over 100°F in the Antelope, Imperial, and San Joaquin Valleys and Inland Empire. 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 strategies to keep cool and control fluids at the same time.
Temperatures are again forecast to exceed 100°F in the Coachella, Imperial, and Antelope Valleys through August 8, 2016, reaching 117°F at times in some locations. See our previous post at https://nwrnbulletins.wordpress.com/2016/07/22/sc-extreme-heat-fluid-control/ for suggestions on patient (and staff) education about keeping cool while still managing fluid intake.
The Renal Support Group has published a useful article, a patient’s story about fluids management, titled “Fluid Control For Energy to Live a Full Life.” Find it at http://www.rsnhope.org/health-library/article-index/fluid-control-for-energy-to-live-full-life/ .
There are several heat advisories in the Network 18 service area over the next several days, including temperatures on July 22, 2016 up to 118°F in the Imperial and Coachella Valleys, and well over 100°F for the Inland Empire, Antelope Valley, and other areas. Please be sure your patients and staff are educated on:
- Where to find weather forecasts; if local sources are unavailable you can use http://forecast.weather.gov/MapClick.php?lon=-116.36699315437531&lat=33.74364412778924#.V5HWPr9zeUc ; scroll down and use the map to navigate to your own location
- Ways to stay cool; see https://www.ready.gov/heat
- That dialysis patients must still control their fluid intake; for tips on Fluids Management, see
- How to identify signs of heat exhaustion or heat stroke; see http://www.cdc.gov/niosh/topics/heatstress/heatrelillness.html
- How and where to seek medical attention if there are concerns of over exposure to extreme heat
The UCLA Kidney Education Program, known as UKEEP, will present a free afternoon discussion in Santa Monica for the kidney community on Blood Pressure. RSVP to 800-516-5323, as seating is limited. For details on this summer’s UKEEP programs, see https://s3-us-west-2.amazonaws.com/nwrn.org/files/PM/UKeep0516.pdf .
The Mid-Atlantic Renal Coalition, ESRD Network 5, has developed a program for training dialysis patients to be mentors and mentees, and a test of the program has successfully reduced the number of missed dialysis treatments. Missed and shortened treatments can result in fluid management problems, unhappy patients, and unnecessary hospitalizations. The program is briefly described in Nephrology News & Issues, at http://www.nephrologynews.com/peer-mentoring-reduces-missed-dialysis-treatments/ . Network 5 has made all of the materials for the program, which they call Peer Up!, available for free download, at http://esrdnet5.org/Peer-Up!-Program-Toolkit.aspx . The Peer Up! Toolkit includes six sections: Background and Overview, Program Management, Recruitment and Retention, Mentor Training, Patient Support Resources, and Assessment and Evaluation. Both mentees and mentors reported improvements in psychosocial and physiological factors.