Dialysis Compliance Buy-In... - page 2

by traumaRUs Admin

4,414 Views | 13 Comments

Why are chronic hemodialysis patient noncompliant? This is the $64,000 question. With Medicare demanding more and more from providers, we must get creative in ways to encourage our chronic hemodialysis patients. First, we need to... Read More


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    Non compliance or freedom to choose? If someone chooses to go to the casino and skip their scheduled treatment, yes a patient really told me this, I can only explain the consequences and hope at some point it sinks in. Maybe a casino based dialysis center is what this patient needs to be compliant but I'm not holding my breath. With freedom comes responsibility but that concept seems to have left a large part of our society.
    Last edit by Chisca on Sep 1, '12
    SHGR likes this.
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    A stroke helps with compliance! You know we had a young patient 31 went to Vegas for a week-no dialysis organised came home and went straight to the ER for fluid overload!
    Yep a few weeks later a stroke-now he's frightened and compliant
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    Quote from Chisca
    Non compliance or freedom to choose? If someone chooses to go to the casino and skip their scheduled treatment, yes a patient really told me this, I can only explain the consequences and hope at some point it sinks in. Maybe a casino based dialysis center is what this patient needs to be compliant but I'm not holding my breath. With freedom comes responsibility but that concept seems to have left a large part of our society.
    That patient really does love to gamble, eh. Interesting argument for incentives (bribes)- like the ones they use in OB to improve compliance (where patients earn points toward a pack n play, or giving away sleep sacks etc)- it really is shown to work.

    Also, I have been to the casino. At the one here, you basically wear a card device that you plug into the slot machine. And the people sit there for hours while the machine goes "ding ding ding"... it puts them into a trance of sorts. Is this really that different from being hooked up to dialysis?

    Fascinating post. This gave me a lot to think about.
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    I used to live in Vegas and gambling is truly an addiction. I now live in central IL and who knows why my pts don't come. Another thing (which I didn't mention in the article) is sudden cardiac death - when the pt in the chair next to you suddenly dies and the staff is doing CPR, shoving breathing tubes down their throats, calling 911, etc., and then the chair is empty the next time, well that's certainly a deterrent too.


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