Equivalent Fall Risk in Elderly Patients on Hemodialysis and Peritoneal Dialysis

Farragher, Janine; Rajan, Tasleem; Chiu, Ernest S.; Ulutaş, Özkan; Tomlinson, George; Cook, Wendy L.; Jassal, Sarbjit V.

doi:10.3747/pdi.2014.00163

Cited by 20 publications

(20 citation statements)

References 28 publications

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“…In this respect, studies point out a 47% rate of episodes of falls. (18) These facts support its importance in the instrument, so each institution is able to record and identify its main causes of falls and, from then on, carry out interventions.…”

Section: Discussionmentioning

confidence: 92%

Validação de instrumento de avaliação da segurança de pacientes renais em hemodiálise

et al. 2018

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Resumo Objetivo Construir e validar um instrumento de avaliação da segurança de pacientes renais crônicos em hemodiálise. Métodos Estudo metodológico que abrangeu elaboração do instrumento e validação de conteúdo por 14 juízes; e avaliação da compreensão, por nove enfermeiros. A construção foi fundamentada na legislação sanitária sobre hemodiálise e padrões internacionais de segurança de pacientes. Para análise da concordância dos juízes, foi calculado o Coeficiente de Correlação Intraclasse, Índice de Validade de Conteúdo e teste binomial. Resultados Os itens do instrumento do tipo Likert foram distribuídos nas seis metas internacionais de segurança de pacientes, obtiveram Coeficiente de Correlação Intraclasse de 0,98. O instrumento final ficou com 57 itens com Índice de Validade de Conteúdo de 0,96 e teste binomial ≥0,86. Conclusão O instrumento foi considerado compreensível, relevante e condizente com os padrões de segurança, tendo demonstrado validade de conteúdo e compatibilidade para avaliar a segurança do paciente em ambientes de tratamento hemodialítico.

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Section: Discussionmentioning

confidence: 92%

Validação de instrumento de avaliação da segurança de pacientes renais em hemodiálise

et al. 2018

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“…Equally, there appear to be minimal differences in QoL based on cross‐sectional studies of patients on peritoneal and hemodialysis in the Broadening Options for Long‐term Dialysis in the Elderly (BOLDE) and FEPOD studies . Moreover, important markers of frailty such as falls risk do not appear to differ between modalities in a small study …”

Section: Conventional Dialysis In the Elderly: How Do We Rewrite Our mentioning

confidence: 94%

“…28 Moreover, important markers of frailty such as falls risk do not appear to differ between modalities in a small study. 37 As a result there are no clear reasons for choosing one modality over another, although both are associated with modality-specific benefits and disadvantages in the elderly. 34 Guidelines already exist emphasizing the need for education in dialysis modality selection with patient preference paramount in decision making.…”

Section: Modality Choicementioning

confidence: 99%

Conventional dialysis in the elderly: How lenient should our guidelines be?

Corbett

Brown

2018

Seminars in Dialysis

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There has been a dramatic, worldwide expansion in life expectancy across the last century. This has resulted in a progressively more elderly and comorbid population. It is increasingly recognized that healthcare in this group needs to move to the concept of “adding life to years”. Recognition and assessment of frailty is vital in changing our approach in elderly patients. Current guidelines in dialysis have a limited evidence base across all age groups, but particularly the elderly and serve them poorly. Moreover, the burden of guidelines for each comorbidity of the multimorbid patient is increasing and can be conflicting. Finally, there is increasing evidence relating to the harm associated with the delivery of conventional dialysis. In dialysis patients, frailty is the overwhelming determinant in relation to patient‐specific outcomes rather than modality of treatment; therefore, the focus should be on promoting quality of life. We need to focus on new priorities of care when we design guidelines “for people not diseases”. Patient‐centered goal‐directed therapy, arising from shared decision making between physician and patient, should allow adaption of the dialysis regime to maximize opportunities while minimizing treatment‐related morbidity and concentrating on alleviating symptoms.

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“…The overlap with frailty and functional decline extends to accidental falls. Falls are almost twofold more common in the dialysis population, both in those maintained on HD and those on peritoneal dialysis (63,64).…”

Section: Symptommentioning

confidence: 99%

Supportive Care: Integration of Patient-Centered Kidney Care to Manage Symptoms and Geriatric Syndromes

Davison

Jassal

2016

CJASN

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Dialysis care is often associated with poor outcomes including low quality of life (QOL). To improve patient-reported outcomes, incorporation of the patient's needs and perspective into the medical care they receive is essential. This article provides a framework to help clinicians integrate symptom assessment and other measures such as QOL and frailty scores into a clinical approach to the contemporary supportive care of patients with advanced CKD. This approach involves () defining our understanding of kidney supportive care, patient-centered dialysis, and palliative dialysis; () understanding and recognizing common symptoms associated with advanced CKD; () discussing the concepts of physical function, frailty, and QOL and their role in CKD; and () identifying the structural and process barriers that may arise when patient-centered dialysis is being introduced into clinical practice.

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Equivalent Fall Risk in Elderly Patients on Hemodialysis and Peritoneal Dialysis

Cited by 20 publications

References 28 publications

Validação de instrumento de avaliação da segurança de pacientes renais em hemodiálise

Validação de instrumento de avaliação da segurança de pacientes renais em hemodiálise

Conventional dialysis in the elderly: How lenient should our guidelines be?

Supportive Care: Integration of Patient-Centered Kidney Care to Manage Symptoms and Geriatric Syndromes

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