{"title":"Use of Sharesource in Remote Patient Management in Peritoneal Dialysis: A Canadian Nurse's Perspective.","authors":"Karen Eyolfson","doi":"10.1159/000496997","DOIUrl":null,"url":null,"abstract":"<p><p>Remote patient management (RPM) via 2-way connectivity addresses many challenges that the peritoneal dialysis (PD) renal care team faces when treating home dialysis patients. It addresses psychological barriers and social determinants of health by permitting self-care, increased independence, and enabling patients to remain in their community. RPM lends opportunities for patient's empowerment in self-care and treatment decisions. AMIA cycler with remote monitoring, step-by-step voice guidance, and graphic interface all contribute to patient engagement and empowerment in the Canadian home dialysis setting.</p><p><strong>Objectives: </strong>To describe a series of unique patient cases in the realm of PD and how adopting new technology has enabled patients and clinicians to rise above challenging circumstances to optimize home dialysis, especially in patients living in remote communities.</p><p><strong>Methods: </strong>With the introduction of RPM at Seven Oaks Hospital in Winnipeg, MB, nurses have tracked and documented examples of success on home dialysis. Despite obstacles, patients embraced self-care in the home setting with increased confidence.</p><p><strong>Results: </strong>Included are patients who were provided support to perform reliable home dialysis with AMIA cycler with Sharesource that offers voice guidance, graphic interface, and 2-way connectivity. Patients overcame the challenges of self-care in a remote setting with physical impairments, as well as enhanced acceptance of home dialysis. The utilization of RPM by the care team promoted patient independence and confidence in performing therapy at home.</p><p><strong>Conclusions: </strong>Our experience with this technology demonstrates an increase in patient confidence in training and RPM of home dialysis. We have provided specific case examples of patient engagement and empowerment leading to improved self-care. New technology can address psychological barriers and social determinants of health in home dialysis patients.</p>","PeriodicalId":10725,"journal":{"name":"Contributions to nephrology","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000496997","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contributions to nephrology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1159/000496997","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2019/4/8 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 2
Abstract
Remote patient management (RPM) via 2-way connectivity addresses many challenges that the peritoneal dialysis (PD) renal care team faces when treating home dialysis patients. It addresses psychological barriers and social determinants of health by permitting self-care, increased independence, and enabling patients to remain in their community. RPM lends opportunities for patient's empowerment in self-care and treatment decisions. AMIA cycler with remote monitoring, step-by-step voice guidance, and graphic interface all contribute to patient engagement and empowerment in the Canadian home dialysis setting.
Objectives: To describe a series of unique patient cases in the realm of PD and how adopting new technology has enabled patients and clinicians to rise above challenging circumstances to optimize home dialysis, especially in patients living in remote communities.
Methods: With the introduction of RPM at Seven Oaks Hospital in Winnipeg, MB, nurses have tracked and documented examples of success on home dialysis. Despite obstacles, patients embraced self-care in the home setting with increased confidence.
Results: Included are patients who were provided support to perform reliable home dialysis with AMIA cycler with Sharesource that offers voice guidance, graphic interface, and 2-way connectivity. Patients overcame the challenges of self-care in a remote setting with physical impairments, as well as enhanced acceptance of home dialysis. The utilization of RPM by the care team promoted patient independence and confidence in performing therapy at home.
Conclusions: Our experience with this technology demonstrates an increase in patient confidence in training and RPM of home dialysis. We have provided specific case examples of patient engagement and empowerment leading to improved self-care. New technology can address psychological barriers and social determinants of health in home dialysis patients.
期刊介绍：
The speed of developments in nephrology has been fueled by the promise that new findings may improve the care of patients suffering from renal disease. Participating in these rapid advances, this series has released an exceptional number of volumes that explore problems of immediate importance for clinical nephrology. Focus ranges from discussion of innovative treatment strategies to critical evaluations of investigative methodology. The value of regularly consolidating the newest findings and theories is enhanced through the inclusion of extensive bibliographies which make each volume a reference work deserving careful study.
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