HOW TO INCREASE PATIENTS’ ADHERENCE TO HOMEDIALYSIS · DIGITAL CARE PATHWAY IN PRE DIALYSIS AND...

HOW TO INCREASE PATIENTS’ ADHERENCE TO HOMEDIALYSISPIRGIT SILVAST-ÄIKÄS

DEPUTY WARD MANAGER IN DIALYSIS TRAINING CENTER

PROJECT CORDINATOR IN KIDNEY HOUSE

BACKGROUND

DIALYSIS TRAINING CENTER IN HUS IN THE YEAR 2017

Peritoneal Dialysis = PD

• 98 patients active in PD in the end of 2017

• 47 new patients,

• Training time 1-2 weeks

Homehemodialysis = HHD

• 72 acitive patients in the end of 2017

• Training time 4-6 weeks

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BACKGROUND

PROBLEMS TO BE SOLVED

• Some choose the dialysis modality with very little

knowledge of different options.-> Adherence to the

chosen dialysis modality is low

• Training time is short and patients get a lot of new

information

• In the training period it takes most of the time to learn

new technical skills

• Patients remember only minor part of the

instructions

• Patients have assistants who need to get advice as well

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OBJECTIVE

TO INCREASE UNDERSTANDING OF KIDNEY DISEASES , TREATMENTOPTIONS AND DIALYSIS, SO THAT

• All citizens can take better care of their kidneys

• Patients understand the key points of kidney diseases and itstreatment

• Patients in all parts of Helsinki University district have equalknowledge of kidney trasnplantation and dialysis options

• Every kidney patient knows that you can do dialysis at home

• Every patient can have better instructions and rehearsethem at home

• To get safier treatment

• Patients stay at home longer

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METHODS

WHAT HAVE WE DONE SO FAR? A BIG TABLET FOR PD PATIENTS

We lend a big tablet which

contains step by step

instructions to CAPD and

APD

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METHODS

AND VIRTUAL KIDNEY HOUSE IN HEALTH VILLAGE

• Kidney

house in

so called

• ”Terveys-

kylä”

• Health

Village

• In the

Internet

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KIDNEY HOUSE HTTPS://WWW.TERVEYSKYLA.FI/MUNUAISTALO

• One part is open to

all citizens

• One part patients’

personal Digital

carepathways

• One part is open to

professionals

METHODS

KIDNEY HOUSE IS OPEN TO EVERYBODY 24/7

• Contents:

• Kidneydiseases in common

• Acute kidneyinjury

• Cronic Kidneydisease

• Dialysistreatments

• Kidneytransplantation

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METHODS

PILOT IN OCTOBERFOR PATIENTS IN PREDIALYSIS STAGE

• Patient cando

• ”DialysisModalityChoosingCourse” digitally

• =Digital carepathway to Dialysis

• Open only to predialysispatients

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CONTENT OF THESE DIGITAL DIALYSIS CARE PATHS

•

METHODS

”DIALYSIS MODALITY CHOOSING” -DIGITAL PATHWAY

• Modality choosing

– How to cope with forthcoming

dialysis.

– PD and HHD videos made

with patients in their homes

– 11 videos in all

– Social issues

– Nutrition issues, videos

– Questionaries

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METHODS

DIGITAL CARE PATHWAY IN PRE DIALYSIS AND IN TRAINING

• One path containsmaterial before PD and other path beforeHHD

• Instructions to operations, how to manage the machineetc

• One part contains allthe training material to PD or HHD

• Can be ”opened” to patients partly

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RESULTS

ENCOURAGING RESULTS FOR THE USE OF TABLET

• Both patients and nurses valued tablet very useful.

• Patients were positively influenced to take better care

of themselves after watching teaching material from

tablet.

• Patients reported that tablet was easy to use, even to

them who had no experience of computers.

• Content of the tablet was illustrative, useful and

added patients’ sense of security.

• All the patients and nurses could recommend the use of

tablet to the others.

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RESULTS

CUSTOMERS/ PATIENTS INCLUDED IN DEVELOPMENT

CROWDSOURCIN

GENGAGING TEST PANEL

CUSTOMER

PANEL

Mapping

otakantaa.fi

Service planning

Experience experts

ProductionImplementation

Constant

improvement

CONCLUSION

OUR SERVICES NOW ... AND IN THE FUTURE

THANK YOU

pirgit.silvast-aikas@hus.fi

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