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RSA Conference 2024
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The Roads More Travelled

Concurrent

Concurrent

2:15 pm

13 June 2024

P8

Session 3: Concurrent 1.4

Talk Description

406C - Research Paper

Abstract
Case Description:
The case follows the journey of an Aboriginal person in regional Australia and his acute start to dialysis and the challenges faced due to his complex situation, dealing with various agencies, and social complexities.

Discussion:
Following the journey of the patient, it became apparent there was a lack of understanding of the dialysis commencement process when multiple agencies become involved. The complexities of someone for whom English is a second language and the large distances patients need to travel in regional areas. The large distances are also impacted by limited public transport as well as the expense of travel in regional areas, often with limited return benefits. Importantly there is also discussion on how many remain displaced from where they call home as a result of requiring dialysis treatment.

Conclusion:
The case study reviews the distance travelled by dialysis patients when starting their dialysis journey and how this could be improved by combining multiple treatments required when patients are having to attend metropolitan centres for treatment. This became especially important during the covid pandemic when public transport options became limited as well as access to Aboriginal Communities. Through the study it was also noted that ANZDATA do not record those who have had to remain displaced as a result of requiring dialysis treatment and the importance of including this information to get accurate data on where the need for treatment is and monitor the ongoing distance patients need to travel. 

Presenters