Is Assisted Peritoneal Dialysis a Solution for Northern Manitoba?
BACKGROUND: End-stage kidney disease (ESKD) continues to fundamentally impact the lives of First Nations (FN) patients. Home peritoneal dialysis (PD) offers patients more mobility and flexibility, but few Manitoba FNs have availed themselves of this option. OBJECTIVE: This paper discusses Manitoba F...
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ftpubmed:oai:pubmedcentral.nih.gov:7008677 2023-05-15T16:16:18+02:00 Is Assisted Peritoneal Dialysis a Solution for Northern Manitoba? Lavoie, Josée G. Zacharias, James Kaufert, Joseph Krueger, Nicholas Kinew, Kathi Avery Mcleod, Lorraine Chartrand, Caroline 2019-05 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008677/ http://www.ncbi.nlm.nih.gov/pubmed/31322114 https://doi.org/10.12927/hcpol.2019.25856 en eng Longwoods Publishing http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008677/ http://www.ncbi.nlm.nih.gov/pubmed/31322114 http://dx.doi.org/10.12927/hcpol.2019.25856 Copyright © 2019 Longwoods Publishing http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 License, which permits rights to copy and redistribute the work for non-commercial purposes only, provided the original work is given proper attribution. CC-BY-NC Research Paper Text 2019 ftpubmed https://doi.org/10.12927/hcpol.2019.25856 2020-05-03T00:28:07Z BACKGROUND: End-stage kidney disease (ESKD) continues to fundamentally impact the lives of First Nations (FN) patients. Home peritoneal dialysis (PD) offers patients more mobility and flexibility, but few Manitoba FNs have availed themselves of this option. OBJECTIVE: This paper discusses Manitoba FNs' experience of PD, to highlight enablers and barriers to expanding the use of PD in rural and remote Manitoba communities. METHODS: We analyzed interviews of individuals living with ESKD (N = 14), family caregivers (N = 14) and healthcare providers and administrators (N = 27). RESULTS: Barriers to PD uptake include medical suitability, patients' distrust of home modalities and fear in their ability to manage. Other factors include limited family support and lack of appropriate housing. CONCLUSIONS: Assisted peritoneal dialysis (APD) is an emerging model where PD supplies are centrally located, and where a cohort of PD patients can provide mutual support with added assistance from an APD worker. This model could mitigate existing treatment barriers. Text First Nations PubMed Central (PMC) Healthcare Policy | Politiques de Santé 14 4 52 65 |
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Research Paper Lavoie, Josée G. Zacharias, James Kaufert, Joseph Krueger, Nicholas Kinew, Kathi Avery Mcleod, Lorraine Chartrand, Caroline Is Assisted Peritoneal Dialysis a Solution for Northern Manitoba? |
topic_facet |
Research Paper |
description |
BACKGROUND: End-stage kidney disease (ESKD) continues to fundamentally impact the lives of First Nations (FN) patients. Home peritoneal dialysis (PD) offers patients more mobility and flexibility, but few Manitoba FNs have availed themselves of this option. OBJECTIVE: This paper discusses Manitoba FNs' experience of PD, to highlight enablers and barriers to expanding the use of PD in rural and remote Manitoba communities. METHODS: We analyzed interviews of individuals living with ESKD (N = 14), family caregivers (N = 14) and healthcare providers and administrators (N = 27). RESULTS: Barriers to PD uptake include medical suitability, patients' distrust of home modalities and fear in their ability to manage. Other factors include limited family support and lack of appropriate housing. CONCLUSIONS: Assisted peritoneal dialysis (APD) is an emerging model where PD supplies are centrally located, and where a cohort of PD patients can provide mutual support with added assistance from an APD worker. This model could mitigate existing treatment barriers. |
format |
Text |
author |
Lavoie, Josée G. Zacharias, James Kaufert, Joseph Krueger, Nicholas Kinew, Kathi Avery Mcleod, Lorraine Chartrand, Caroline |
author_facet |
Lavoie, Josée G. Zacharias, James Kaufert, Joseph Krueger, Nicholas Kinew, Kathi Avery Mcleod, Lorraine Chartrand, Caroline |
author_sort |
Lavoie, Josée G. |
title |
Is Assisted Peritoneal Dialysis a Solution for Northern Manitoba? |
title_short |
Is Assisted Peritoneal Dialysis a Solution for Northern Manitoba? |
title_full |
Is Assisted Peritoneal Dialysis a Solution for Northern Manitoba? |
title_fullStr |
Is Assisted Peritoneal Dialysis a Solution for Northern Manitoba? |
title_full_unstemmed |
Is Assisted Peritoneal Dialysis a Solution for Northern Manitoba? |
title_sort |
is assisted peritoneal dialysis a solution for northern manitoba? |
publisher |
Longwoods Publishing |
publishDate |
2019 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008677/ http://www.ncbi.nlm.nih.gov/pubmed/31322114 https://doi.org/10.12927/hcpol.2019.25856 |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008677/ http://www.ncbi.nlm.nih.gov/pubmed/31322114 http://dx.doi.org/10.12927/hcpol.2019.25856 |
op_rights |
Copyright © 2019 Longwoods Publishing http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 License, which permits rights to copy and redistribute the work for non-commercial purposes only, provided the original work is given proper attribution. |
op_rightsnorm |
CC-BY-NC |
op_doi |
https://doi.org/10.12927/hcpol.2019.25856 |
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Healthcare Policy | Politiques de Santé |
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14 |
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4 |
container_start_page |
52 |
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65 |
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1766002162640355328 |