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Sensing Savvy

Deborah Brouwer-Maier RN, CNN

Deborah Brouwer-Maier is a nephrology nurse for more than 30 years. Her area of expertise is hemodialysis vascular access. She served on the KDOQI Vascular Access Work Groups in 1997, 2000 and 2006. She also served in various volunteer roles for the Fistula Frist Initiates since the formation of the initial Work Group. She is the support for the Hemodialysis Circle of Care Transonic products to support access creation, surveillance and preservation.

Recent Posts

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Jan 30, 2019 7:30:00 AM

Multiple Comorbidities Increases Risk of Early Dialysis Initiation
Patients who have CKD along with other comorbidities face an increased risk of early dialysis initiation, researchers found. Smoking, older age and proteinuria significantly increased the risk for  two or more comorbidities. The most common comorbidities found in these patients are diabetes, hypertension and hyperlipidemia.

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Topics: Hemodialysis

3 Ways Nephrologists can Improve Patient Communication

Posted by Deborah Brouwer-Maier RN, CNN on Jan 14, 2019 7:30:00 AM

What’s your No. 1 goal for patient care? As a nephrologist or nephrology care professional, it’s likely keeping your patients alive. But, according to a recent study performed at the Icahn School of Medicine in Mount Sinai, NY, many patients have a different leading objective.

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Controlling Life Threatening Bleeds (LTB) from Arteriovenous Fistulas or Grafts

Posted by Deborah Brouwer-Maier RN, CNN on Jan 2, 2019 7:30:00 AM

Life-threatening bleeds (LTB) from arteriovenous fistulas or grafts are significant bleeds which are not stopped by application of a normal amount of pressure as is commonly used to stop bleeding after dialysis needle removal. In many cases they occur spontaneously at home between dialysis sessions, away from the clinic or caregiving team. Although access-related LTBs are not common, they can result in the loss of the patient’s access and even be fatal.

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Topics: Hemodialysis, CABG Surgery

How Your Team Can Help Resolve Dialysis Non-Adherence

Posted by Deborah Brouwer-Maier RN, CNN on Dec 31, 2018 7:30:00 AM

As a healthcare professional, you know your treatment plans are only as powerful as your patients’ commitment. Your patients’ quality of life not only depends on your expertise but also on how well they implement their care plan after they leave your office. And when it comes to patients with end-stage renal disease (ESRD), non-adherence to dialysis and supporting factors such as diet and medication can lead to severe complications and an increased risk of mortality. Unfortunately, at least 50 % of hemodialysis patients are believed to be non-adherent, according to a study by the Department of Internal Medicine at Cairo University.

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Topics: Hemodialysis

Telehealth in Kidney Care: What You Need to Know

Posted by Deborah Brouwer-Maier RN, CNN on Dec 10, 2018 7:30:00 AM

In February, the Bipartisan Budget Act of 2018 was signed into law, expanding Medicare reimbursement for a small list of telehealth services, including home dialysis for end-stage renal disease (ESRD), according to the Clinical Journal of American Society of Nephrology

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Topics: Hemodialysis

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Dec 5, 2018 7:30:00 AM

DaVita’s Medical Group Division to Pay $270 Million Over Inflated Charges

The division, which is being sold to UnitedHealth Group, agreed to pay the sum to settle claims it provided inaccurate information on patients enrolled in Medicare Advantage plans, which led to overpayment from Medicare.

Source: Nephrology News & Issues

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Emergency Preparedness for Dialysis Clinics

Posted by Deborah Brouwer-Maier RN, CNN on Oct 31, 2018 7:30:00 AM

One of the most devastating hurricanes in the history of the United States, Hurricane Katrina caused $75 billion in damage in New Orleans and along the Mississippi coast. Beyond its toll on infrastructure and the lives of the area’s citizens, the hurricane exposed several gaps in emergency preparedness for hemodialysis patients. Many clinics in the area didn’t have sufficient emergency preparedness plans in place; patients didn’t know how to adequately prepare for the storm; and public health officials were unaware of how much of the population was dependent on dialysis.

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Topics: Hemodialysis

Kidney Care News To Know

Posted by Deborah Brouwer-Maier RN, CNN on Oct 24, 2018 7:30:00 AM

Otsuka Acquires Visterra
Otsuka has acquired antibody therapy maker Visterra for $430 million. Otsuka hopes to take advantages of Visterra’s therapies for CKD and other conditions.

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Topics: Hemodialysis

Researchers: Don’t Overlook Emotional Health in Kidney Care

Posted by Deborah Brouwer-Maier RN, CNN on Oct 1, 2018 7:30:00 AM

Not surprisingly, many patients undergoing care for chronic kidney disease often experience an emotional toll along with their physical symptoms. The emotional health of patients is often overlooked by their care teams, though they are either unaware patients are experiencing these issues or are focused entirely on maintaining patients’ physical health. 

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Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Sep 26, 2018 7:30:00 AM

Here is your latest kidney care news for September 2018. 

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