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.

8/10 RSN Essay Contest

This year’s topic for the Renal Support Network’s Annual Essay Contest, for people diagnosed with CKD, is Who Inspires, Encourages, or Educates You to Live Well with Kidney Disease?  First prize is $500.  Winning entries are published in print and online.  Essays must be submitted by August 10, 2018.  For full information and to enter the contest, see http://www.rsnhope.org/essay-contest/.

3/8 Mindfulness & Patient Safety WIHI

IHI will present a March 8, 2018 “WIHI” on Mindfulness and Patient Safety.  When we’re “mindful” we’re paying attention to what’s happening in the Present Moment instead of reviewing the past or planning the future.  Mindfulness is also a powerful stress reduction and self-care technique.  Find more information, sample exercises, and relevant links, and register, at http://www.ihi.org/education/AudioVideo/WIHI/mindfulness-and-patient-safety/Pages/default.aspx.  Find ten introductory exercises at http://www.ihi.org/communities/blogs/10-mindfulness-exercises-for-the-health-care-workplace.