Treatment transition pathways
Home first for dialysis pathways - keeping options open
...patients will likely switch treatments at least once (most switch many times). Starting with a home first approach ensures treatment options remain open and therefore lifestyle changes, life events are less likely to be disrupted or limited by limited kidney treatment choices.
Dialysis options and choices study, Health and Care Research Wales
Example change ideas to get you thinking (from previous DAYLife participants)
- Carry out a walkabout on haemodialysis units to promote home haemodialysis (Nottingham)
- Link with in-centre team leaders (Stoke)
- Recruit a ‘link nurse’ role (Shrewsbury)
- Formalise unplanned dialysis start – home dialysis pathway (Birmingham)
- Implement a regular review all patients with eGFR < 15 ml/min under transplant clinic (Coventry)
