Network Guidance on COVID-19 Stress for Staff

Networks 16 and 18 have assembled a web page on Healthcare Workers – Coping with Infectious Disease Outbreaks in the Dialysis Setting.  In addition to guidance for maintaining your own health in situations of extreme stress, it includes links to the SAMHSA Disaster Distress Helpline (in English, Spanish, and 14 other languages) and their document on Taking Care of Your Behavioral Health: Tips for Social Distancing, Quarantine, and Isolation during an Infectious Disease OutbreakFind the Network web page at http://www.esrdnetwork18.org/wp-content/uploads/20200313-Coping-with-ID-Outbreaks.pdf.  While it’s aimed at facility staff, patients will also find it useful for managing their own stress.

RSN KidneyTalk re Boundaries

In Blurred Lines: Keeping Safe Boundaries at a Dialysis Clinic, Lori and Network 18 Patient Services Director Eileen Rhodes discuss the problems that can arise when patients and staff become friends.  Find this recorded podcast at https://www.rsnhope.org/kidneytalk/blurred-lines-keeping-safe-boundaries-at-a-dialysis-clinic/.

Previous podcasts can be found at https://www.rsnhope.org/, along with information about the Renal Support Network’s Annual Teen Prom, Annual Essay Contest, Monthly Support Group Meetings, Public Speaking Training, KidneyTalk Magazine, HOPEline Peer Support Hotline, KidneyTalk Blog, Renal Recipes, and the many other services RSN provides for ESRD patients.

Diabetic Foot Care

A recent study published in the American Diabetes Association’s (ADA) journal Diabetes Care (http://care.diabetesjournals.org/content/early/2019/05/28/dc19-0296) using 2000-2015 USRDS data has shown that the rates of nontraumatic lower-extremity amputation (NLEA) among adults with ESRD and diabetes fell 44% between 2000 and 2013 from 7.5 to 4.2 NLEA per 100 person-years, while NLEA among ESRD patients without diabetes declined 31% over the same period, from 1.6 to 1.1 per 100 person-years.  Both reductions were highly statistically significant.  However, both rates flat-lined after 2013.

We want to stress the importance of improving patient and staff education on diabetes self-management and preventive foot care, in order to resume the reductions in these rates.  CDC’s recommendations on diabetic foot care can be found at https://www.cdc.gov/features/diabetesfoothealth/index.html.  The ADA’s input is at http://www.diabetes.org/living-with-diabetes/complications/foot-complications/foot-care.html in English and http://www.diabetes.org/es/vivir-con-diabetes/complicaciones/el-cuidado-de-los-pies.html in Spanish.

HDC re LOL-HD

MEI’s Home Dialysis Central blog has an interesting post on Laugh Out Load Hemodialysis, which Satellite Dialysis has been experimenting with.  Among other things, the post describes the physiological benefits of laughter, including its positive impact on mood, pain, lungs, cardiovascular function, and immune response.  Find the post at https://homedialysis.org/news-and-research/blog/305-laugh-out-loud-hemodialysis-lol-hd-improving-the-dialysis-experience-at-satellite-healthcare/.  While the subject of the post is in-center dialysis, anyone with an internet connection and computer or smartphone who dialyzes at home can call up a million comedies to watch.  See also https://s3-us-west-2.amazonaws.com/nwrn.org/files/N/DPC/DPCLaugh2019.pdf for information on a May 26, 2019 webinar on Pain Relief through Laughter.

Medicare Diabetes Prevention Program

CMS has updated its web page on the Medicare Diabetes Prevention Program Expanded Model.  Diabetes is a leading cause of kidney disease, and this Medicare/CDC Program has been shown to reduce by up to 70% the progression from pre-diabetes to diabetes itself.  Find the web page at https://innovation.cms.gov/initiatives/medicare-diabetes-prevention-program/.

CDC Sepsis Prevention in Spanish

GaneleCDC has announced that its free Get Ahead of Sepsis fact sheets and brochures for patients and families are now available for download in Spanish.

Sepsis is a medical emergency.  Do you know how to protect yourself, your family, and your patients from sepsis?  CDC’s new Spanish-language materials help patients and families learn the risks, spot the signs and symptoms, and act quickly if they suspect sepsis.  Start a conversation today about how to Get Ahead of Sepsis.  To learn more about sepsis and how to prevent infections, see https://www.cdc.gov/sepsis/get-ahead-of-sepsis/sp/index.html. The English versions are at https://www.cdc.gov/sepsis/get-ahead-of-sepsis/patient-resources.html.