Avoiding the “Crash” into Dialysis

Kidney Health Connections

Up to one in four patients “crash” into dialysis unexpectedly, often with a catheter, which poses health risks and diminishes quality of life. This episode of Kidney Health Connections explores the challenges of patients starting dialysis treatment urgently and without proper preparation and education. Registered Nurse (RN) Emily Morey, a care manager at Interwell Health, describes the traumatic impact of these emergencies on patients, noting their fear, loss of independence, and increased vulnerability to infections and other complications. However, she emphasizes that patients can recover and regain independence with proper care and trust in their healthcare team.

The conversation highlights the critical role of early education and intervention in improving outcomes for patients with kidney disease. Optimal starts, which may involve preemptive transplants or planned dialysis with a functioning access, significantly enhance patients’ quality of life and ability to maintain their lifestyle. As a nurse, Morey also stresses the value of family support and a team-based approach in managing chronic kidney disease. Her stories of helping patients through these transitions illustrate the transformative power of compassionate, patient-centered care.

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