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S 03 CES Fresenius Medical Care - NephroCare
We measure, we manage, we care: The Science of Nursing Excellence
Omega 1, 9:00 – 10:30
Session content
Cristina Miriunis
Introduction
Stefano Stuard
Anemia management: is there anything new on the horizon?
Maria Teresa Parisotto
The strength of excellent nursing practice: Every drop of blood count!
Overview
Anemia is a common complication of Chronic Kidney Disease and haemodialysis.
One of the fundamental aspects of anaemia management is to have the correct prescription (medication and treatment modality).
From a clinical viewpoint, anaemia management in dialysis patients is influenced by:
• removal of toxins and correction of uremia
• correction of over-hydration status
• correction of iron storage deficiency
• ESA therapy
If the haemoglobin level persist below the target range, with ESA therapy, it is appropriate to consider comorbidities, blood loss, vitamins deficiencies etc.
The haemodialysis procedure itself leads to the reduction in haemoglobin level due to blood retention by the extracorporeal circuit (needles, bloodlines, filter).
Anaemia management includes strategies to avoid inappropriate blood loss and proactively treat anaemia. It should be based on the patient's symptoms, lab-test values, and “clinical” assessment. Treatment of anemia should encompass a patient-centered approach, with the aim of promoting patient safety and minimising the risk from exposure to blood loss.
The success of this approach can only be successful with an appropriate planning from the Multi-disciplinary team (the correct medical prescription and the correct nursing treatment plan) based on teamwork.
Dialysis patients always require special care and attention during both their regular treatment session and for their overall general health status. But the two sides of the dialysis patient care are strongly influencing each other. Each action, practice technique, advice or education carried out during the treatment session has an impact on patient’s life style and outcome.
High quality care for patients is the aim and is only possible with high quality education and training for all staff involved in the dialysis services of our network.
BIOGRAPHY - Maria Teresa Parisotto
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