Talk Description
416R - Research Paper
Abstract
Aim:
To improve access to KSC care for people with advanced kidney failure who are unable to attend outpatient clinics due to frailty.
Method:
During the period October 2023-April 2024, data on demographic profile, number and frequency of appointments, Charlson Comorbidity Index (CCI), Clinical Frailty Scale (CFS); symptom experience and management (IPOS-Renal); health-related quality of life (EQ5D5L); patient/carer satisfaction and completed advance care planning were extracted from REDCap data management system.
Results:
Sixteen patients received a home visit, on average, every 3 months, (average age 81; range 67-91 years). Average clinician-reported scores were 7 for CCI and 6 for CFS, while average patient-reported scores were 10 for IPOS-Renal and 50 for EQ5D5L. Patient/carer satisfaction was high and 100% of visited patients have documented some form of ACP. All the patients who have met the home visiting criteria have agreed to the initial and ongoing NP visits.
Conclusion:
The NP led home visiting KSC service allows access to care that, until now, was beyond reach for those who were unable to attend clinic appointments due to frailty. Evaluation of the home visiting service is ongoing and will be reported on at 6 months.
Abstract
Aim:
To improve access to KSC care for people with advanced kidney failure who are unable to attend outpatient clinics due to frailty.
Method:
During the period October 2023-April 2024, data on demographic profile, number and frequency of appointments, Charlson Comorbidity Index (CCI), Clinical Frailty Scale (CFS); symptom experience and management (IPOS-Renal); health-related quality of life (EQ5D5L); patient/carer satisfaction and completed advance care planning were extracted from REDCap data management system.
Results:
Sixteen patients received a home visit, on average, every 3 months, (average age 81; range 67-91 years). Average clinician-reported scores were 7 for CCI and 6 for CFS, while average patient-reported scores were 10 for IPOS-Renal and 50 for EQ5D5L. Patient/carer satisfaction was high and 100% of visited patients have documented some form of ACP. All the patients who have met the home visiting criteria have agreed to the initial and ongoing NP visits.
Conclusion:
The NP led home visiting KSC service allows access to care that, until now, was beyond reach for those who were unable to attend clinic appointments due to frailty. Evaluation of the home visiting service is ongoing and will be reported on at 6 months.