Improve health and outcome for people with late stage chronic kidney disease by providing patient centered nursing services in addition to a Nephrologist's routine patient care.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
130
Additional education will be provided by nurses to improve communication and reduce fragmentation of care.
Monitor weight to avoid problems related to hypervolemia.
To improve diet and health
Division of Kidney diseases and Hypertension
Great Neck, New York, United States
Hospitalization rate
Reduction in hospitalization rate in intervention group as compare to control group.
Time frame: 18 months
Improve hemodialysis access rates
Percentage of patients with AVF, AVG or catheters
Time frame: 18 months
Home dialysis
Increase choice of home dialysis as modality of treatment
Time frame: 18 months
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Medication will be reviewed by nurses to detect any discrepancies to reduce medication error.
Education will be provided to increase awareness and encourage patients to have advanced directive.
To reduce the number of patients starting dialysis with catheter in place, comprehensive stepwise intervention will be provided by nurses to ensure arterio-venous (AV) fistula placement in all appropriate patients, with coordinated follow up and failure recovery processes.