CKD - standards of care

This is the forum for the Kidney Patient Guide. We welcome feedback about the site and any information that may be of use or interest to other visitors.

IMPORTANT NOTE: This forum is not for queries that would otherwise be addressed to a doctor. If you have a question about your condition or treatment please consult your renal unit or doctor. We do not have any editorial or medical resources to answer individual queries.

Moderator: administrator

Post Reply
JMan
Posts: 3443
Joined: Fri Apr 23, 2004 10:21 am
Location: Lives in a slightly weird bit of Shropshire called Telford!

Re: CKD - standards of care

Post by JMan »

NSF makes good reading, remembering that the National Service Framework are guidelines. Not set rules.
"Dialysis! What is this? The dark ages!"
L. 'Bones' McCoy, ST"
Read my blog:)
Live to Fly
Image
http://www.flickr.com/cybercast
IgAn1976
Posts: 88
Joined: Fri Mar 11, 2011 5:16 am

Re: CKD - standards of care

Post by IgAn1976 »

Thanks for that Mrs Advocate. :) x
JMan
Posts: 3443
Joined: Fri Apr 23, 2004 10:21 am
Location: Lives in a slightly weird bit of Shropshire called Telford!

Re: CKD - standards of care

Post by JMan »

Never said it was, NICE is often an Ass! I said the NSF was decent read if you like such documents!
http://www.dh.gov.uk/en/Publicationsand ... DH_4070359

I've come across numerous policys/guidelines that are flouted by trusts, in the 30 +years as a patient, it's improved a fair bit tho.:) Also a huge lack of common sense, nowt new there:) Happy thoughts! :D
Rik
Posts: 1742
Joined: Wed Apr 21, 2004 10:29 am
Location: West London - UK

Re: CKD - standards of care

Post by Rik »

all these years ... and I never knew I had CKD!!!!! :shock:
I just assumed CKD was an illness in itself ... like PKD or FSGS ...
jeez ... another acronym to add to my list :?
has anyone ever considered adding these acromyms after ones name ...
like one would with an O.B.E??!! :roll:
IgAn1976
Posts: 88
Joined: Fri Mar 11, 2011 5:16 am

Re: CKD - standards of care

Post by IgAn1976 »

DevilsAdvocate wrote:Unfortunately NSF's are out of date so it's not the standard care pathway that clinicians will be expected to work towards.

Just trying to offer guidance for those who feel like they're not getting the appropriate support....
Well I appreciate your very valuable help and time from your very busy life. :)

Thank you.
jenjen
Posts: 1535
Joined: Thu Jul 28, 2005 12:28 pm
Location: Leicester

Re: CKD - standards of care

Post by jenjen »

Ooo, good to see that they recommend laparoscopic insertion of peritoneal dialysis catheter - when I had mine done in 2005 it was open surgery, so now have an ugly 4 inch scar running down from my navel
JMan
Posts: 3443
Joined: Fri Apr 23, 2004 10:21 am
Location: Lives in a slightly weird bit of Shropshire called Telford!

Re: CKD - standards of care

Post by JMan »

DevilsAdvocate wrote:I just thought I'd share some NICE guidance that was published in May for those of you with CKD.

This outlines the standard of care you should receive within the UK healthcare system. Just thought I'd provide the link in case anyone feels they're not getting the help/support they need and want to know the guidance that clinicians should be following.

http://pathways.nice.org.uk/pathways/ch ... e-overview
Is there anywhere these guidelines can be viewed in a commonsense plain English kind of way?

Given that my 'team' of professionals consists about a dozen people, or does this come under terms such as supposed 'personalised care plan to suit the individuals needs'. Always looks good on paper ;) :lol:
JMan
Posts: 3443
Joined: Fri Apr 23, 2004 10:21 am
Location: Lives in a slightly weird bit of Shropshire called Telford!

Re: CKD - standards of care

Post by JMan »

Interesting snippit I found on the possible problems with pathways:

May appear to discourage personalised care
Risk increasing litigation
Don't respond well to unexpected changes in a patient's condition
Suit standard conditions better than unusual or unpredictable ones
Require commitment from staff and establishement of an adequate organisational structure
Problems of introduction of new technology
May take time to be accepted in the workplace
Need to ensure variance and outcomes are properly recorded, audited and acted upon.

I better not have any unexpected changes in my condition, no wait, been there done that!!:) ROFL
The problem is it's guidance, has some interesting synonyms:)
Post Reply