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Optimizing Dialysis Modality Choices Around The World: A Review of Literature Concerning The Role of Enhanced Early Pre-ESRD Education in Choice of Renal Replacement Therapy Modality
(Vol 35/No. 4. On-line test expires: 08/31/2010)
To receive continuing education credit, you must read the information in this article and take an on-line post test and fill out an on-line program evaluation form. The certificate will then be generated for you as a .pdf file which you can print out locally on your computer.

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  AUTHOR
Sharon M. Key, MSN, RN, ACNP-BC
Sharon M. Key, MSN, RN, ACNP-BC, is a Recent Graduate, Vanderbilt University School of Nursing, Nashville, TN, and is a Member of ANNA’s Memphis Blues Chapter.
  OUTLINE

This article presents recent studies on factors affecting choice of self-care dialysis from around the world, denoting the relationship between early pre-end stage renal disease (ESRD) education and increased selection of self-care dialysis modalities. Style and content of various pre-ESRD education programs, barriers to early pre-ESRD education, and programs designed to decrease late referral are discussed. Economic factors favoring referral to incenter hemodialysis despite the lower cost of self-care dialysis are reviewed.

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  CE RELATED INFORMATION
This offering for 1.5 contact hours is being provided by the American Nephrology Nurses’ Association (ANNA), which is accredited as a provider and approver of continuing education in nursing by the American Nurses’ Credentialing Center-Commission on Accreditation (ANCCCOA). This educational activity is approved by most states and specialty organizations that recognize the ANCC-COA accreditation process. ANNA is an approved provider of continuing education in nursing by the California Board of Registered Nursing, BRN Provider No. 00910; and the Kansas State Board of Nursing, Provider No. LT0148-0738. This offering is accepted for RN and LPN relicensure in Kansas.

  EDUCATIONAL OBJECTIVES

Goal:
To increase awareness about pre-ESRD education programs, barriers to early pre- ESRD education, and programs designed to decrease late referral from nurses and other healthcare providers.

Objectives:
1. Explain how early pre-ESRD education can enhance a patient’s choice for self-care.
2. Discuss the ways nurses can provide pre-ESRD education to patients.
3. Identify the barriers to pre-ESRD education and the ability to offer multiple dialysis modalities.
4. Describe pre-ESRD education on a global scale.
5. Discuss solutions and research recommendations for providing pre-ESRD education and various RRT modality choices.

AUTHOR DISCLOSURE STATEMENT

Sharon M. Key has no conflicts of interest to disclose.


 ANNA and HDCN CE POLICY STATEMENTS

The CE policy and disclosure statements of the American Nephrology Nurses' Association are given in detail on the Symposium Home Page. The CE policy statements of HDCN are listed on this page.