Renal Patients, a leading consultant and
local MP mark the first anniversary of the Baxter Renal Education Centre
(BREC) and lend their support to, Dialysis Options, a new campaign that
promotes the availability of home based dialysis treatment for all kidney
patients where clinically appropriate, irrespective of age, background
or gender.
In July, BREC celebrated it's first birthday
with an event led by Dr Jonathan Kwan, Consultant Nephrologist at St
Helier hospital. The event highlighted the reality of living with dialysis
and showcased the flexibility of being able to perform dialysis in the
home. It was attended by Susan Kramer, MP for Richmond as well as local
kidney groups, local media and former BREC patients.
The centre enables kidney failure patients
to learn how to perform Peritoneal Dialysis (PD) in a home from home
environment and has so far trained over 200 kidney failure patients.
BREC is based in Kew, West London, and is the only centre of its kind
in the UK. It allows a relative or friend to stay with the patient whilst
they are trained, which adds to the learning experience making it more
relaxed and friendly.
CURRENT SITUATION
IN THE UK
Patients suffering from Established Renal Failure have three options
to choose from when faced with making their treatment choice: transplant,
hospital-based dialysis or home-based dialysis.
41,776 people in the UK now receive some form of Renal Replacement
Therapy according to the most recent Renal Registry Report. But the
Registry also reveals that just 22% of dialysis patients now receive
their treatment at home with Peritoneal Dialysis (PD), and the discrepancy
widens depending on your age or even where you live.
Over 65's account for nearly half of all patients currently on dialysis
but they are only half as likely as younger patients (18% to 36%) to
access a home based treatment such as PD. A recent survey of kidney
patients highlighted the fact that of those interviewed who were over
the age of 60 years, 63% said that they would prefer a home based treatment
where medically appropriate.
PD uses a natural membrane in the abdominal lining (peritoneal membrane)
to filter the blood. Dialysis fluid flows into the peritoneal cavity
through a small, soft plastic catheter which has been surgically inserted
in the abdomen. Fluid and waste cross the peritoneal membrane into the
dialysis fluid, which is then drained from the abdomen and exchanged
with fresh fluid.
DOREEN'S STORY

I was diagnosed with Type 2 diabetes over 20 years ago now and I have
learned to live with my condition very well. I like to keep active and
enjoy life to the full so I was apprehensive when my consultant at the
Royal Free hospital in London first spoke to me about the possibility
of having to eventually have dialysis treatment due to my failing kidneys.
After I learned about dialysis and looked at all the options open to
me, I decided that a hospital based treatment would restrict my lifestyle
greatly, and liked the sound of a home-based treatment instead.
My dialysis
Regular blood tests were showing that my kidneys were going into renal
failure and in March 2007 I was told that my kidney function was so
low I would have to start dialysis. I chose to go onto Automated Peritoneal
Dialysis (APD), which is a home-based treatment that is performed at
night whilst I sleep.
All of the equipment I need is delivered straight to my door. The Baxter
delivery team bring it in so I don't have to do any lifting.
Training
I attended the Baxter Renal Education Centre in West London for my training.
The centre is a purpose built and specially designed self-contained
residential unit. I was taught to perform peritoneal dialysis (PD),
in a home from home environment. My training took four days and my husband
was able to come with me and learn the ropes too. The staff were brilliant
and the nurses explained everything to us and took me through each step
at my own pace.
Living with Dialysis
I like the fact that my dialysis takes place at night time. I have four
children and nine grandchildren who take up a lot of my time. I can
still visit my family and even spend the night by simply taking my dialysis
machine with me. I have to plan ahead but at least I can get on with
my life.
The Future
I am looking forward to my 55th wedding anniversary soon. One of my
daughters is organising a meal in London for us all, which will be great
fun. I have even been told by my nurse that I can go to Australia to
see my son if I like, all it would need is a bit of extra planning.
NOTES:
" Baxter Healthcare: Dialysis Options is supported by Baxter Healthcare
Ltd, a globally diversified healthcare company that assists healthcare
professionals and their patients with treatment of complex medical conditions,
including cancer, haemophilia, immune disorders, kidney disease and
trauma. The company applies its expertise in medical devices, pharmaceuticals
and bio-technology to make a meaningful difference in patient's lives.
SEE ALSO
Dialysis
options - HERE