Christian Farman,RN

1
The Human Perspective - Essential when we
Developed Self-Dialysis

• Christian Farman,RN

2
We changed together!

• We started a new paradigm
• We introduced a new aproach
• Developed a new learing model
• See the patient as an equal/fellow players
• Think outside the box

3
What Does it Mean to Receive Dialysis Treatment
in Chronic Renal Failure?

• Life supporting treatment
• Dialysis treatment at least 3 days a week
• It takes 4-5 hours a day
• Food restrictions
• Fluid restrictions
• Extensive pharmaceutical treatment
• Limitation in social life
• Separation from family and work

4
I Put Demands on the Health Care Provider/System

• Learn to manage my own dialysis treatment
• Optimal individual dialysis treatment
• That the health care provider was listening to my
  needs
• Daily dialysis or at least 5-6 days a week
• To be fully involved and have influence over my
  dialysis regime and treatment

5
We Started With the Hardware and Software
6
and Then Proceeded
7
Another Step Towards Independence
8
and Then Did it by Myself!!
9
What Do We Gain Through Patient Involvement?

• Improved dialysis quality
• Healthier patients
• Patient adherence
• Less medication
• Quality of life
• Less infections
• Less admissions
• Win-win situation
• Everyone is a winner the patient, relatives,
  profession, healthcare system and society

10
Effects of Patient/Person Centered Care

• Reducing length of hospital stay 30-50
• Reduction of overall costs by 40
• Improved ADL
• Less uncertainty in illness
• Imrpoved pain control
• Better disease knowledge
• Ref. Dudas et al. 2012, Ekman et al. 2012, Olsson
  et al. 2012