The ISN is committed to engage with ethical issues in kidney health policy, practice and research; and support the development of basic and advanced ethics expertise among its members.
Dive into this new section on the ISN Academy and find perspectives on and analysis of ethical issues in different contexts of professional practice in kidney care around the world.
These resources may also help you in identifying potential sources of ethical advice or insights into ethical challenges in kidney care. They also aim to inspire as you take action in exploring or addressing ethical issues.
Chronic kidney disease-associated pruritus, also known as uremic pruritus and in this book called ‘kidney itch’, is defined as itching suffered by people with chronic kidney disease who have no other condition to explain it.
Repeated scratching causes trauma, bleeding and, eventually, scarring of the skin. Kidney itch can also have far-reaching effects on quality of life, with patients’ work and social life commonly affected.
Even though kidney itch is common, it often goes undiagnosed, and when recognized, it is often inadequately treated or not treated at all.
Two New Videos: Fluid Management in PD; Dry Weight Assessment in HD
Adequate assessment of dry/target weight and fluid management decreases dialysis-related complications and mortality. Nurse members of the ISN’s Kidney Health Professionals Working Group have prepared two videos on this topic for both PD and HD.
Global Kidney Care Podcast Season 2 Episode 5: Innovative Nursing in Nephrology - PD Catheter Insertion
Roberto Pecoits-Filho and Smeeta Sinha are joined by Elaine Bowes, Kings College NHS; Ana Elizabeth Prado Lima Figueiredo, Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS; and Barbara Crisp, Greys Hospital, Pietermaritzburg.
All three discuss their roles on the leading edge of PD catheter insertion by nurses.
With the growth of point-of-care ultrasound (POCUS) in the emergency room and intensive care and cardiac units, a full POCUS examination is now considered standard procedure in many hospitals, adding a contemporary examination tool to the nephrologist’s repertoire.
Dialysis Catheter-Related SVC Syndrome and RA Thrombus - a Double Jeopardy
Balasubramaniam Jeyaraj, India
Despite resistance to venous catheters as dialysis access, use of central venous catheters (CVCs) and their inherent complications is on the rise. One dreaded complication is SVC syndrome and here we have a case with SVC thrombus and right atrial clot - a double jeopardy!
Management is not simple and straightforward either in the absence of standard guidelines. Thrombolytic agents choices abound, but data is mostly from Interventional cardiologists and neurologists. Let this case presentation kindle our thoughts and understanding of this problem.