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269 270 271</head> 272<body class="body-pda" data-spy="scroll" data-target="#myScrollspy" data-offset="15"> 273 274 275 276 <div data-collapse="medium" data-animation="default" data-duration="400" data-contain="1" class="w-nav navigation-bar noprint"> 277 <div class="w-container container"> 278 <nav id="m-tabs" class="navbar navbar-expand-lg navbar-light bg-light"> 279 <a href="/?HomePage=YES"> 280 <img id="m-logo" src="/images/logo2.svg" style="width: 100px;margin-right: 55%;" /> 281 </a> 282 <button id="btn-m-tabs" class="navbar-toggler w-icon-nav-menu mobile-menu-icon" type="button" data-toggle="collapse" data-target="#m-tabs-navbarToggler" aria-controls="m-tabs-navbarToggler" aria-expanded="false" aria-label="Toggle navigation"></button> 283 <div class="collapse navbar-collapse" id="m-tabs-navbarToggler"> 284 285 <ul class="navbar-nav mr-auto mt-2 mt-lg-0" style="overflow: hidden!important;"> 286 <li class="nav-item dropdown"> 287 <a class="nav-link dropdown-toggle pda-c" 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346 <li class="nav-item"><a class="w-button mp" href="/PatientAccount/Login?isPractitioner=False&FromPage=PathwayTreatmentOptions">Create Profile</a></li> 347 <li> 348 <div class="w-nav-button hamburger-button"> 349 <div class="w-icon-nav-menu mobile-menu-icon"></div> 350 </div> 351 </li> 352 <li class="google-search visible-md visible-lg hidden-print" style="display:none;"><gcse:search></gcse:search></li> 353 354 </ul> 355 <a href="/?HomePage=YES" class="w-nav-brand brand-link"> 356 <img height="80" src="/Content/Images/logo.svg" class="logo" title="Home" alt="kidney care"> 357 </a> 358 359 360 361 <nav role="navigation" class="w-nav-menu navigation-menu"> 362 <ul class="nav navbar-nav" style="display:block;"> 363 <li class="google-search hidden-md hidden-lg hidden-print"><gcse:search></gcse:search></li> 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> 369 </ul> 370 </nav> 371 372 </div> 373 </div> 374 375 <div> 376 <ul class="icon-pathwaytool nav nav-pills nav-stacked"> 377 <li> 378 <a class="glyphicon glyphicon-envelope" data-toggle="modal" title="Send email to myself" data-target="#emailmodal"></a> 379 </li> 380 <li>
381 <a class="glyphicon glyphicon-print" id="btnprint" title="Print Assessment"></a> 382 </li> 383 384 <li> 385 <a class="glyphicon glyphicon-log-in" id="btnlogin" title="Patient Login"></a> 386 </li> 387 </ul> 388 </div> 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. 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. 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. 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. 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> Each treatment usually takes 4 hours. 629 The time spent in the dialysis unit will be about 5-6 630 hours. This does not include travel to and from 631 the dialysis unit. 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. 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. 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. 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. They have all the necessary equipment and supplies. 865 </p> 866 </div> 867 </div> 868 </div> 869 </div> 870 871 <div class="card"> 872 <div class="card-header" id="headingEleven"> 873 <h5 class="mb-0"> 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> 887 </div> 888 889 <div> 890 <p class="lead btn-center"> 891 <br /> 892 <a class="btn btn-success btn-lg" href="/CKMPathway/PathwaySurvey">Continue</a> 893 </p> 894 </div> 895 </div> 896 897</div> 898
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