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Dialysis Compliance Buy-In...

Urology Article   (8,786 Views 14 Comments 424 Words)

traumaRUs has 27 years experience as a MSN, APRN and works as a Asst Community Manager @ allnurses.

14 Followers; 130 Articles; 185,646 Visitors; 20,631 Posts

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Noncompliance for chronic hemodialysis patients is multi-factorial. Improving compliance is the responsibility of everyone but the end result, either positive or negative lies with the patient. As providers, we owe it to our patients to work with them as to reasons and reasonable solutions. You are reading page 2 of Dialysis Compliance Buy-In.... If you want to start from the beginning Go to First Page.

SHGR is a MSN, RN, CNS and works as a Nursing Faculty.

2 Articles; 30,874 Visitors; 1,405 Posts

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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traumaRUs has 27 years experience as a MSN, APRN and works as a Asst Community Manager @ allnurses.

14 Followers; 130 Articles; 185,646 Visitors; 20,631 Posts

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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