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- Title
Home Hemodialysis in the Remote Canadian North: Treatment in Manitoba Fly-in Communities.
- Authors
Zacharias, James; Komenda, Paul; Olson, Judy; Bourne, Allison; Franklin, Doug; Bernstein, Keevin
- Abstract
Manitoba has the highest prevalence of ESRD in Canada. Northern Manitoba is a very sparsely settled area with a high proportion of aboriginal ESRD patients. Relocating to urban areas for dialysis is psychosocially and culturally stressful to patients. Delivering dialysis care in a home setting has demonstrated advantages in both clinical, economic, and health related quality of life domains. Establishing home hemodialysis in very remote communities has significant challenges, including poor and inadequate housing, unreliable water supply, limited community medical backup, and poor road access to communities especially for delivery of supplies. These challenges necessitate the development of strong community partnerships, and well documented processes for contingencies. A dedicated interdisciplinary support and training team at the urban hub is essential.
- Subjects
MANITOBA; HOME hemodialysis; CHRONIC kidney failure; HOME care services; RESIDENTIAL airparks
- Publication
Seminars in Dialysis, 2011, Vol 24, Issue 6, p653
- ISSN
0894-0959
- Publication type
Article
- DOI
10.1111/j.1525-139X.2011.01004.x