Posted by Patient Care Americaon April 18, 2017—2 Comments
April is National Donate Life Month! Patient Care America is proud to highlight one of our area sales managers, Tracy R. Howell, RD, who is also an altruistic anonymous living kidney donor. Read her story below, or click here to open the PDF.
By Vishal Bagchi MBA, RD, LD | Director of Medical and Scientific Affairs | Patient Care America
Advanced Glycation End Products (AGEs) are harmful compound in the body that are formed when protein and excess sugars bind. This process is part of life and happens normally in the body, but our bodies have a mechanism to get rid of them via the kidneys. Problems happen when we have access consumption and formation of AGEs or lower excretion due to damaged kidneys. AGEs are responsible for accelerating oxidative stress that alters normal cells....Read more
Earlier this year, the Centers for Medicare & Medicaid Services (CMS) launched the 5-Star Rating System as a part of the Dialysis Facility Compare (DFC) website at www.medicare.gov/dialysisfacilitycompare. On this site, clinics are rated on performance data, hospitalizations, mortality, transfusion rate, kt/v, hypercalcemia, fistula and catheter rate. The site is available publicly for anyone to view. CMS previously said it plans to update the DFC’s star rating on an annual basis beginning in October 2015.
Posted by Patient Care Americaon April 14, 2017—2 Comments
Intradialytic Parenteral Nutrition (IDPN) and Intraperitoneal Nutrition (IPN) are therapies that have been used for decades to treat malnourished dialysis patients. There is clinical evidence that supports its safety and efficacy. Originally IDPN was given in high volume of upwards of 2000 mL, and contained a large volume of dextrose. Due to the high incidence of diabetes in patients with renal failure, administering IDPN required blood glucose checks pre, during and post dialysis, and insulin if the patient required it. After a consistent infu....Read more
Before we answer that question, let's first define Refeeding Syndrome (RF). RF is severe electrolyte and fluid shifts associated with metabolic abnormalities in malnourished patients undergoing refeeding, whether orally, enterally, or parenterally. The first documented cases were reported in 1949 when World War II soldiers were being rescued by allied troops, brought back and fed. Since that time, more research has been done on enteral and parenteral feeding demonstrating mortality and morbidity. Surprisingly, not many documented cases of morta....Read more