Mrs Ancy Poonattu Varghese1
1Metro South Health Care, Loganlea , Australia
Biography:
Clinical Nurse Consultant with 16 years of experience focused on driving Patient-Centred Renal Care and Excellence in Patient Outcomes.
I am an experienced nurse with over 16 years of dedicated service in patient care, with a strong focus on renal nursing. I hold a bachelor’s degree in nursing, a Diploma in Infection Control, and a Master’s degree in Chronic Conditions and Ageing, reflecting my commitment to continuous professional development.
I am deeply passionate about research and driving positive change in healthcare practices to improve patient outcomes. My clinical interests in renal care include vascular access management, promoting a “fistula first” approach, and reducing the number of procedures patients undergo for access, thereby improving their quality of life.
I find the greatest fulfillment in making my patients lives easier and more comfortable. My daily motivation comes from knowing that I plays a meaningful role in patient care and from the appreciation and trust of those I cares for.
My professional goal is to make a lasting difference in patients’ lives by delivering empathetic, patient-centred care, advocating for their rights, and fostering kindness in every interaction. I embrace lifelong learning, adapts to change, and firmly believes that positive change is both necessary and inevitable in advancing healthcare.
Abstract:
Introduction
Vascular access is predominantly described as the “lifeline” for dialysis patients. However, the impact of comorbidity burden associated with vascular access among dialysis patients are increasing. Maintaining functional access has become a significant clinical challenge with infections, multiple procedures for treating stenosis, and reoccurrence of stenosis. Hospitalization related to Complex vascular access and patients been palliated due to exhausted vascular access is a real burden on dialysis patients as well as the hospital.
Background
The prevalence of end stage renal disease is increasing at an exponential rate and so as the prevalence of access issues like Central Venous Stenosis and exhausted peripheral vasculature. Patients often undergo multiple salvage procedures, leading to a cycle of hospitalizations, increased healthcare costs, and diminished quality of life. Dependance on central vascular access, remains high, despite their association with superior vena cava syndrome and life-threatening infections.
Aim
This study aims to quantify the clinical and economic burden associated with complex vascular access, focusing on the frequency of interventions, rates of catheter dependence, and mortality related to the complex access and its impact on patient outcome and hospital.
Conclusion
Complex vascular access represents a looming crisis in nephrology. There is an urgent need to identify the issue, promote access to surveillance, and greater utilisation of hybrid endovascular techniques. Early identification of high-risk patients and proactive multidisciplinary planning are essential to reduce morbidity and ensure the long-term posibility of renal replacement therapy.