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https://ckmcare.com/CKMPathway/PathwayTreatmentOptions

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288                    Patient Decision Aid
289                </a>
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291                    <li><a class="dropdown-item" href="/CKMPathway/pathwayintroduction">Introduction</a></li>
292                    <li><a class="dropdown-item" href="/CKMPathway/PathwayTreatmentOptions">Treatment Options</a></li>
293                    <li><a class="dropdown-item" href="/CKMPathway/PathwaySurvey">Assessment</a></li>
294                    <li><a class="dropdown-item" href="/CKMPathway/AdditionalConsiderations">Additional Considerations</a></li>
295                    <li><a class="dropdown-item" href="/CKMPathway/PathwayResult">My Results</a></li>
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300                    Patient
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303                    <li><a class="dropdown-item" href="/Pathway/AtAGlance">Pathway</a></li>
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364                        <li><a class="navigation-link active" href="/CKMPathway/pathwayintroduction">Introduction</a></li>
365                        <li><a class="navigation-link" href="/CKMPathway/PathwayTreatmentOptions">Treatment Options</a></li>
366                        <li><a class="navigation-link" href="/CKMPathway/PathwaySurvey">Assessment</a></li>
367                        <li><a class="navigation-link" href="/CKMPathway/AdditionalConsiderations">Additional Considerations</a></li>
368                        <li><a class="navigation-link" href="/CKMPathway/PathwayResult">My Results</a></li>
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389    <div class="container">
390        <main>
391            <div class="w-section section bg path-images">
392                
393
394
395
396
397
398
399
400<div class="pda-result-content-grid pda-result-content-grid-faq" id="pda-result-content-faq">
401
402    <div class="c-title">
403        <h2></h2>
404    </div>
405    <div id="accordion" class="pda-content">
406        <div class="card">
407            <div class="card-header" id="headingTwo">
408                <h5 class="mb-0">
409                    <button class="btn ui-btn ui-shadow ui-corner-all " style="  white-space: normal !important; outline: none !important;" data-toggle="collapse" href="#collapseOne">
410                        <strong>How does this treatment work?</strong>
411                        <i class="icon fas fa-plus-square"></i>
412                    </button>
413                </h5>
414            </div>
415            <div id="collapseOne" class="collapse card-body row" aria-labelledby="headingOne" style="">
416                <div class="card pda-content-ckm col-md-6">
417                    <div class="card-header">Conservative Kidney Management (CKM)</div>
418                    <div class="card-body">
419                        <p>
420                            No dialysis or transplant.
421                        </p>
422                        <p>
423                            CKM is a treatment option for managing kidney failure. It involves:              
424                        </p>
425                        <ul class="m-list">
426                            <li>Treating symptoms</li>
427                            <li>Preventing or managing problems</li>
428                            <li>Protecting remaining kidney function</li>
429                            <li>Psychosocial care</li>
430                            <li>Helping plan for the future</li>
431</ul>
432                        <p>
433                            CKM does
434                            <em>
435                                <strong>not</strong>
436                            </em> include dialysis, but it does include all of the other parts of kidney care and support.
437                        </p>
438                        <p>
439                            The goal of CKM is to live well without dialysis.
440                        </p>
441                        <p>
442                            Click link to <a target="_blank" href="/Resources/Details/108">learn more</a> about CKM.
443                        </p>
444                    </div>
445                </div>
446                <div class="card pda-content-pd col-md-6">
447                    <div class="card-header">Dialysis</div>
448                    <div class="card-body">
449                        <p>
450                            Dialysis is a medical treatment that does some of the kidneys’ work to remove toxins and
451                            water from your body. It will not cure kidney disease or stop kidneys from getting worse.
452                            Dialysis will not treat other medical problems like diabetes or heart conditions.&nbsp;It
453                            requires a great deal of time and effort. Patients' experiences vary widely. In general,
454                            the healthier you are, the more likely you are to find it helpful. There are two main types
455                            of dialysis.
456                        </p>
457                        <p>
458                            Watch this video to learn more about dialysis and to see how it actually works:
459                        </p>
460                        
461                        <p><iframe width="380" height="350" src="https://www.youtube.com/embed/mi34xCfmLhw?start=6"
462                                    frameborder="0" allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>
463
464                        </p>
465                        <p>
466
467                            <strong>Peritoneal dialysis</strong>
468
469                            <br>This type of dialysis happens inside your body. Fluid goes in and out of your belly through
470                            a tube. Clean fluid goes in, fluid with toxins is flushed out. You can do this at home.
471                        </p>
472                        <p>
473
474                            <strong>Hemodialysis</strong>
475
476                            <br>This type of dialysis happens outside your body. A machine filters your blood and then returns
477                            it to your body. Hemodialysis is usually done in a special dialysis unit in a clinic or hospital.
478                        </p>
479                    </div>
480                </div>
481            </div>
482        </div>
483
484        <div class="card">
485            <div class="card-header" id="headingThree">
486                <h5 class="mb-0">
487                    <button class="btn ui-btn ui-shadow ui-corner-all " style="  white-space: normal !important; outline: none !important;" data-toggle="collapse" href="#collapseTwo">
488                        <strong>How will I feel?</strong>
489                        <i class="icon fas fa-plus-square"></i>
490                    </button>
491                </h5>
492            </div>
493            <div id="collapseTwo" class="collapse" aria-labelledby="headingTwo" style="padding:10px">
494                <div class="card pda-content-ckm col-md-12">
495                    <p>
496                        Many factors affect how you will feel with CKM or dialysis such as
497                        other health problems and your overall health.  The following section
498                        of this tool will help you determine how CKM or dialysis may
499                        benefit you personally.
500                    </p>
501                </div>
502            </div>
503        </div>
504
505        <div class="card">
506            <div class="card-header" id="headingThree">
507                <h5 class="mb-0">
508                    <button class="btn ui-btn ui-shadow ui-corner-all " style="  white-space: normal !important; outline: none !important;" data-toggle="collapse" href="#collapseThree">
509                        <strong>How long will I live?</strong>
510                        <i class="icon fas fa-plus-square"></i>
511                    </button>
512                </h5>
513            </div>
514            <div id="collapseThree" class="collapse" aria-labelledby="headingThree" style="padding:10px">
515                <div class="card pda-content-ckm col-md-12">
516                    <p>
517                        Many factors affect how long you’ll live with CKM or dialysis.&nbsp; You may have weeks,
518                        months, or years on either treatment. Some factors that affect how long you’ll live
519                        include:
520                        </p>
521                        <ul class="m-list">
522                            <li>your kidney function</li>
523                            <li>other health problems (e.g., diabetes, heart disease)</li>
524                            <li>your lifestyle (e.g., weight, exercise, diet, blood pressure)</li>
525                            <li>your overall health (physical and mental health)</li>
526                        </ul>
527                        <p>
528                            The following section of this tool will help you determine how CKM or dialysis may benefit
529                        you personally.
530                    </p>
531                </div>
532            </div>
533        </div>
534
535        <div class="card">
536            <div class="card-header" id="headingFour">
537                <h5 class="mb-0">
538                    <button class="btn ui-btn ui-shadow ui-corner-all " style="  white-space: normal !important; outline: none !important;" data-toggle="collapse" href="#collapseFour">
539                        <strong>Are there side effects?</strong>
540                        <i class="icon fas fa-plus-square"></i>
541                    </button>
542                </h5>
543            </div>
544            <div id="collapseFour" class="collapse card-body row" aria-labelledby="headingFour" style="">
545                <div class="card pda-content-ckm col-md-6">
546                    <div class="card-header">Conservative Kidney Management (CKM)</div>
547                    <div class="card-body">
548                        <p>
549                            No dialysis or transplant.
550                        </p>
551                        <p>
552                            You won't have the side effects or problems that you would have from dialysis.
553                        </p>
554                    </div>
555                </div>
556                <div class="card pda-content-pd col-md-6">
557                    <div class="card-header">
558                        Dialysis
559                    </div>
560                    <div class="card-body">
561                        <p>
562                            Dialysis risks include low blood pressure, muscle spasms,
563                            infections, abnormal heart rhythms and low levels of
564                            protein in the blood.
565                        </p>
566                        <p>
567                            <strong>Peritoneal dialysis</strong>
568
569                            <br>There are fewer problems with low blood pressure and muscle cramps compared to hemodialysis,
570                            but greater problems with low levels of protein in the blood.
571                        </p>
572                        <p>
573                            <strong>Hemodialysis</strong>
574
575                            <br>Some people feel unwell during the dialysis treatment (4 hours) and most people feel tired
576                            and washed out for 6-8 hours after treatment. There are more problems with low blood pressure
577                            and muscle cramps than peritoneal dialysis.
578                        </p>
579                    </div>
580                </div>
581            </div>
582        </div>
583
584        <div class="card">
585            <div class="card-header" id="headingFive">
586                <h5 class="mb-0">
587                    <button class="btn ui-btn ui-shadow ui-corner-all " style="  white-space: normal !important; outline: none !important;" data-toggle="collapse" href="#collapseFive">
588                        <strong>How much time will this treatment take?</strong>
589                        <i class="icon fas fa-plus-square"></i>
590                    </button>
591                </h5>
592            </div>
593            <div id="collapseFive" class="collapse card-body row" aria-labelledby="headingFive" style="">
594                <div class="card pda-content-ckm col-md-6">
595                    <div class="card-header">Conservative Kidney Management (CKM)</div>
596                    <div class="card-body">
597                        <p>
598                            No dialysis or transplant.
599                        </p>
600                        <p> 
601                        You are in control of your own time.&nbsp; There are no regular treatments.
602                        </p>
603                        
604                    </div>
605                </div>
606
607                <div class="card pda-content-pd col-md-6">
608                    <div class="card-header">Dialysis</div>
609                    <div class="card-body">
610                        <p>
611                            <strong>
612                                Peritoneal dialysis
613                            </strong>
614                            <br>Peritoneal dialysis needs to be done
615                            <strong>
616                                <em>every</em>
617                            </strong>day. The procedure takes 30-60 minutes and is done 4 times a day. You can also do it overnight
618                            while you sleep (8-10 hours) by using a machine.&nbsp;You can fit the dialysis around your
619                            personal schedule.
620                        </p>
621                        <p>
622                            <strong>
623                                Hemodialysis
624                            </strong>
625                            <br>Hemodialysis is done
626                            <em>
627                                <strong>3 times a week</strong>.
628                            </em>&nbsp;Each treatment usually takes 4 hours.
629                            The time spent in the dialysis unit will be about 5-6
630                            hours.&nbsp;This does not include travel to and from
631                            the dialysis unit.&nbsp;You will be given a fixed
632                            appointment. You can request changes, but it will depend
633                            upon availability and your dialysis needs.
634                        </p>
635                    </div>
636                </div>
637            </div>
638        </div>
639
640        <div class="card">
641            <div class="card-header" id="headingSix">
642                <h5 class="mb-0">
643                    <button class="btn ui-btn ui-shadow ui-corner-all " style="  white-space: normal !important; outline: none !important;" data-toggle="collapse" href="#collapseSix">
644                        <strong>Will I need surgery?</strong>
645                        <i class="icon fas fa-plus-square"></i>
646                    </button>
647                </h5>
648            </div>
649            <div id="collapseSix" class="collapse card-body row" aria-labelledby="headingSix" style="">
650
651                <div class="card pda-content-ckm col-md-6">
652                    <div class="card-header">Conservative Kidney Management (CKM)</div>
653                    <div class="card-body">
654                        <p>
655                            No dialysis or transplant.
656                        </p>
657                        <p>
658                            No surgery is needed.
659                        </p>
660                    </div>
661                </div>
662                <div class="card pda-content-pd col-md-6">
663                    <div class="card-header">Dialysis</div>
664                    <div class="card-body">
665                        <p>
666                            You will need surgery to create a dialysis access.&nbsp;This will most likely be noticeable,
667                            but your clothing will usually cover it.
668                        </p>
669                        <p>
670
671                            <strong>Peritoneal dialysis</strong>
672
673                            <br>A flexible plastic tube will be placed in your belly to allow fluid to drain in and out.
674                        </p>
675                        <p>
676                            <img src="/images/Surgery_PeritonealDialysis.jpg" width="80%" style="margin-left: auto; margin-right: auto; display: block;" onclick="enlargepic()">
677                        </p>
678                        <p>
679
680                            <strong>Hemodialysis</strong>
681
682                            <br>You will have surgery on your arm to connect an artery to a vein, which makes the vein grow
683                            large.&nbsp;This is needed so two large needles can be placed into it while you are connected
684                            to the dialysis machine.
685                  </p>
686                        <p>
687
688                            <img src="/images/Surgery_Hemodialysis_1.jpg" width="80%" style="margin-left: auto; margin-right: auto; display: block;" onclick="enlargepic()">
689                        <p>
690                            If this surgery is not successful or possible, a flexible tube will be placed in your neck.
691                        </p>
692                        <img src="/images/Surgery_Hemodialysis_2.jpg" width="80%" style="margin-left: auto; margin-right: auto; display: block;" onclick="enlargepic()">
693                        </p>
694                    </div>
695                </div>
696            </div>
697        </div>
698
699        <div class="card">
700            <div class="card-header" id="headingSeven">
701                <h5 class="mb-0">
702  
702                  <button class="btn ui-btn ui-shadow ui-corner-all " style="  white-space: normal !important; outline: none !important;" data-toggle="collapse" href="#collapseSeven">
703                        <strong>Who will do my treatment?</strong>
704                        <i class="icon fas fa-plus-square"></i>
705                    </button>
706                </h5>
707            </div>
708            <div id="collapseSeven" class="collapse card-body row" aria-labelledby="headingSeven" style="">
709                <div class="card pda-content-ckm col-md-6">
710                    <div class="card-header">Conservative Kidney Management (CKM)</div>
711                    <div class="card-body">
712                        <p>
713                            No dialysis or transplant.
714                        </p>
715                        <p>
716                            It is recommended that every 1-3 months you have a check-up with a doctor and/or other members
717                            of your care team to monitor your health. Community resources such as home care can be accessed
718                            for you.&nbsp;Between visits you can call your team with questions or concerns.
719                        </p>
720                    </div>
721                </div>
722                <div class="card pda-content-pd col-md-6">
723                    <div class="card-header">Dialysis</div>
724                    <div class="card-body">
725                        <p>
726
727                            Between visits you can call the kidney care team. The team includes a kidney doctor (nephrologist),
728                            nurse, dietician and social worker.
729                        </p>
730                        <p>
731
732                            <strong>Peritoneal dialysis</strong>
733
734                            <br>You will do your own treatment at home. You may need the help of family or friends.
735                        </p>
736                        <p>
737
738                            <strong>Hemodialysis</strong>
739
740                            <br>Specialized medical staff at the dialysis unit will do the treatment for you.
741                        </p>
742                    </div>
743                </div>
744            </div>
745        </div>
746
747        <div class="card">
748            <div class="card-header" id="headingEight">
749                <h5 class="mb-0">
750                    <button class="btn ui-btn ui-shadow ui-corner-all " style="  white-space: normal !important; outline: none !important;" data-toggle="collapse" href="#collapseEight">
751                        <strong>Will I need special training to do my treatment?</strong>
752                        <i class="icon fas fa-plus-square"></i>
753                    </button>
754                </h5>
755            </div>
756            <div id="collapseEight" class="collapse card-body row" aria-labelledby="headingEight" style="">
757                <div class="card pda-content-ckm col-md-6">
758                    <div class="card-header">Conservative Kidney Management (CKM)</div>
759                    <div class="card-body">
760                        <p>
761                            No dialysis or transplant.
762                        </p>
763                        <p>
764                            You won't need special training.
765                        </p>
766                    </div>
767                </div>
768                <div class="card pda-content-pd col-md-6">
769                    <div class="card-header">Dialysis</div>
770                    <div class="card-body">
771                        <p>
772                            <strong>Peritoneal dialysis</strong>
773                            <br />
774                            You will need 1-2 weeks of training.
775                        </p>
776                        <p>
777                            <strong>Hemodialysis</strong>
778                            <br />
779                            You won't need special training.
780                        </p>
781                    </div>
782                </div>
783            </div>
784        </div>
785
786        <div class="card">
787            <div class="card-header" id="headingNine">
788                <h5 class="mb-0">
789                    <button class="btn ui-btn ui-shadow ui-corner-all " style="  white-space: normal !important; outline: none !important;" data-toggle="collapse" href="#collapseNine">
790                        <strong>Will I have food and fluid restrictions?</strong>
791                        <i class="icon fas fa-plus-square"></i>
792                    </button>
793                </h5>
794            </div>
795            <div id="collapseNine" class="collapse card-body row" aria-labelledby="headingNine" style="">
796                <div class="card pda-content-ckm col-md-6">
797                    <div class="card-header">Conservative Kidney Management (CKM)</div>
798                    <div class="card-body">
799                        <p>
800                            No dialysis or transplant.
801                        </p>
802                        <p>
803                            Your medical team will offer advice on diet and fluid intake. If you prefer not to change your
804                            eating and drinking habits, just let the team know.
805                        </p>
806                    </div>
807                </div>
808                <div class="card pda-content-pd col-md-6">
809                    <div class="card-header">Dialysis</div>
810                    <div class="card-body">
811                        <p>
812
813                            <strong>Peritoneal dialysis</strong>
814                        
815                        <br />
816                        You will have many food and fluid restrictions.</br>
817
818
819                        <p>
820                        <strong>Hemodialysis</strong>
821                        <br />
822                            You will have many food and fluid restrictions.
823                        </p>
824                    </div>
825                </div>
826            </div>
827        </div>
828
829        <div class="card">
830            <div class="card-header" id="headingTen">
831                <h5 class="mb-0">
832                    <button class="btn ui-btn ui-shadow ui-corner-all " style="  white-space: normal !important; outline: none !important;" data-toggle="collapse" href="#collapseTen">
833                        <strong>Will I need equipment and supplies to do this treatment?</strong>
834                        <i class="icon fas fa-plus-square"></i>
835                    </button>
836                </h5>
837            </div>
838            <div id="collapseTen" class="collapse card-body row" aria-labelledby="headingTen" style="">
839                <div class="card pda-content-ckm col-md-6">
840                    <div class="card-header">Conservative Kidney Management (CKM)</div>
841                    <div class="card-body">
842                        <p>
843                            No dialysis or transplant.
844                        </p>
845                        <p>
846                            Your medical team may recommend some home monitoring equipment such as a blood pressure machine,
847                            but it's optional.
848                        </p>
849                    </div>
850                </div>
851                <div class="card pda-content-pd col-md-6">
852                    <div class="card-header">Dialysis</div>
853                    <div class="card-body">
854                        <p>
855
856                            <strong>Peritoneal dialysis</strong>
857
858                            <br>Equipment and supplies are provided. You will need to have room in your home to store these
859                            supplies and equipment.
860                        </p>
861                        <p>
862                            <strong>Hemodialysis</strong>
863
864                            <br>Treatments are done at dialysis units.&nbsp;They have all the necessary equipment and supplies.
865                        </p>
866                    </div>
867                </div>
868            </div>
869        </div>
870
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874                    <button class="btn ui-btn ui-shadow ui-corner-all " style="  white-space: normal !important; outline: none !important;" data-toggle="collapse" href="#collapseEleven">
875                        <strong>Can I change from one treatment to another?</strong>
876                        <i class="icon fas fa-plus-square"></i>
877                    </button>
878                </h5>
879            </div>
880            <div id="collapseEleven" class="collapse" aria-labelledby="headingTwo" style="padding:10px">
881                <div class="card pda-content-ckm col-md-12">
882                    <p>
883                        You can change your mind. All options may still be possible.
884                    </p>
885                </div>
886            </div>
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989            <p><small>The Conservative Kidney Management (CKM) pathway is a resource for patients and care providers to help in the management of chronic kidney disease with a focus on quality of life, symptom management, and living well without dialysis. <a href="www.CKMcare.com">www.CKMcare.com</a></small></p>
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998                    <p>The Conservative Kidney Management (CKM) pathway is a resource for patients and care providers to help in the management of kidney disease with a focus on quality of life, symptom management, and living well without dialysis. To learn more about the site, the Pathway, or the project, <a href="mailto:[email protected]">email the CKM team directly.</a></p>
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1002                    <a href="/Resources/Details/108" target="_blank" class="footer-link">CKM Booklet</a>
1003                    <a href="http://www.kidney.ca/ways-to-donate" class="footer-link">Support The Kidney Foundation</a>
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1005                    <div><a href="/Events" class="footer-link">Events &#38; Newsletters</a></div>
1006                </div>
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1010                    <div><a href="/AboutPathwayPages" class="footer-link">About</a></div>
1011
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