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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.

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Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Apr 23, 2018

In Patients with Type 2 Diabetes, BMI can be a Predictor of Developing ESRD

After a five year follow up, researchers found 5.8 percent of patients classified as obesity grade two and 7.8 percent of patients classified as obesity grade three had developed a “major renal event” compared to 4.2 percent of patients classified as normal weight. They also found: “Every additional unit of BMI over 25 kg/m2 increased the risk of major renal events by 4 (1-6)%.”

Source: Nephrology News & Issues  

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Kidney Care News to Know: Caffeine Could Reduce Mortality Risk in CKD Patients

Posted by Deborah Brouwer-Maier RN, CNN on Apr 11, 2018

Researchers found that CKD patients may get some medicinal benefits from consuming caffeine. They found that those who consumed higher amounts of caffeine—between 206.5 to 1,378.5 milligrams daily—cut their mortality risk by nearly a quarter compared to those who consumed lower amounts.kidney-care-news.jpg

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How Dialysis Clinics Can Prevent Infection

Posted by Deborah Brouwer-Maier RN, CNN on Mar 7, 2018

Protecting patients from bloodstream infections (BSIs) should be a top priority for any dialysis clinic. Dialysis patients are at high-risk for infections as the bloodstream is being repeatedly exposed for access, and patients’ immune systems are compromised.

Dialysis patients with central lines experience an estimated 37,000 BSIs per year, with 1 in 4 of those cases resulting in death. Additionally, patients are hospitalized for infection to the tune of $23,000. Nephrology experts agree that this potentially deadly and costly BSI problem is preventable when dialysis clinics follow some important guidelines.

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Topics: Hospital Administration

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Jan 15, 2018

DaVita Profits Decline 15 Percent for Q3

The loss can be attributed to higher than expected medical costs and the underperforming managed care business. Net loss for the quarter was $214 million. As of the end of September, DaVita provided services to 218,200 patients.

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Topics: Hemodialysis

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Dec 13, 2017

U.S. Renal Care Names Michael Huguelet Executive Vice President & Chief Development Officer

Huguelet previously held positions with North Star Anesthesia and DaVita. Prior to becoming involved in the kidney care space, he was involved in investment banking. The executive vice president and chief development officer is a newly created position for U.S. Renal Care.

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Ways Dialysis Providers Can Defuse Patient Conflict

Posted by Deborah Brouwer-Maier RN, CNN on Nov 8, 2017

As a dialysis provider, you know that healthcare settings and patient conflict go hand in hand. But unresolved patient conflict creates more stress for your staff, decreases productivity and teamwork and harms your clinic’s ability to safely deliver top-quality dialysis care.

Despite these consequences, providers often shy away from confronting challenges with patients because conflict is almost always uncomfortable. Experts call this avoidance a lack of “conflict competence,” and cite it as a major reason for dysfunctional dialysis units.   

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Topics: Hospital Administration, Hemodialysis

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Nov 1, 2017

Don E. Williamson Named COO of American Renal Associates

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Easy Ways to Improve Patient Communication at Your Dialysis Clinic

Posted by Deborah Brouwer-Maier RN, CNN on Oct 16, 2017

How a patient feels during his or her dialysis treatments often affects whether he or she will return to your clinic for further treatment. The National Kidney Foundation recommends patients evaluate the staff of a dialysis clinic before choosing a provider. The organization advises patients to see if the staff makes them feel welcome, if they were helpful, knowledgeable and were able to answer their questions. Patients also are encouraged to notice if clinic staff listens to them and addresses their needs.

Patients want to feel understood and at ease, and if your clinic is struggling to retain patients, this could be a contributing factor to patient retention.

Thankfully, a few changes in the way your staff communicates can improve patient experience at your dialysis clinic.

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Topics: Hemodialysis

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Sep 20, 2017

Fresenius Medical Care Acquires NxStage Medical

The deal was for about $2 billion, or $30 per common share. The deal is expected to close in 2018. Fresenius hopes the acquisition will help it accelerate growth within the home dialysis markets.

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Topics: Hemodialysis

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Aug 21, 2017

Largest Dialysis Providers Ranked

Fresenius Medical Care (No. 1) and DaVita (No. 2) ranked as the top dialysis providers in the USA. Fresenius saw 192,964 patients this year, while DaVita saw 190,500. Coming in third was U.S. Renal Care, seeing 25,120 patients. Fresenius’ bump in volume came from an increase in patients accepted for treatment for acute kidney injury.

Source: Nephrology News & Issues

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Topics: Hemodialysis

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