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Friday, March 4, 2022

10:00 am-12:00 pm

Home Dialysis Fundamentals

    • Why Home Dialysis? (Survival on Home Dialysis, Benefits)
    • Challenges and Obstacles in Home Dialysis
  • The Patient’s Conundrum: Dilemmas in Choosing Home dialysis

 

12:30-2:00 pm

Key Components to a Successful Home Program

  • Integrating Urgent Start PD and Support Team: Making it Work
    • Accessible PD Catheter Team 
    • The Need for Support Team: Interventional Nephrologist, Radiologists, Surgeons
  • Online Monitoring (monitors, progress, and compliance) – Compliance Management

12:30-2:00 pm

CKD Education 

  • Educating Patients about Advancing American Kidney Health
  • National Kidney Disease Education Program (NKDE) and Alternative Models: What Works Best
  • My Kidney Life Plan: Effectively Using the Right Tools in Decision-Making
  • Increasing Penetration for Home Dialysis Modalities 
  • Pre-emptive Kidney Transplant – What Is the Status?

4:00-6:00 pm

Optimizing Home Dialysis Management and Patient Retention 

  • Providing the Right Prescription
  • Implementing a Consistent and Flexible Training Program for Patients and Care Partners
  • Participation of the Interdisciplinary Team in Managing Patients
  • Supporting the Home Patient and Care Partners
  • Monitor Predictors for Drop-out
    • Burden of Therapy
    • Hospitalization
    • Missed Treatments


Saturday, March 5, 2022

10:00-12:00

Welcome: Ramesh Khanna, MD

General Session – Keynote Presentations 

Moderators: Ramesh Khanna, MD and Steven Alexander, MD

10:00 The Life Saving Art and Science of Effective Communication 

11:00 TBA

12:30-2:00 pm

Controversies in Home Dialysis Management

  • Overview: What Does a Standardized Virtual Visit Look Like? 
    • Virtual Visit Is Optimal for Home Dialysis Patients  
    • Virtual Visit Does Not Offer the Same Outcomes as a Face-to-Face Visit 
  • Providers Must Implement Strategies to Preserve Residual Renal Function in Dialysis Patients 
    • There Is Evidence that PD Preserves RRF
    • There Is No Objective Evidence to Show that PD Preserves RRF
  • Addressing the Safety of Home Dialysis
    • Dialyzing Solo at Home Is Safer
    • Home Dialysis Patients Should Require Care Partners

12:30-2:00 pm

PD Access Management

  • PD Access Placement Techniques:  Surgical, Laparoscopic, Percutaneous Techniques 
  • Engaging Surgeons and Interventional Radiologists in Managing Catheter Problems
  • Trouble shooting a Non-functioning PD Catheter

12:30-2:00 pm

An Update on AKI 

  • Sepsis Related AKI in Covid 19: How Is It Different?
  • Anticoagulation Strategies in CRRT for Covid 19 Patients
  • CRRT in Patients on ECMO  
  • Controversies in AKI: Takeaways from the 2020 KDIGO Conference

12:30-2:00 pm

Phosphate and Beyond

  • How to Manage a Case of Refractory Hyperphosphatemia on Dialysis.
  • Pearls for Diagnosing and Treating Osteoporosis in CKD
  • Calcimimetics in CKD: Where Do They Stand in 2022?

4:00-6:00 pm

Innovations in Dialysis Care 

  • Optic Line – A Device That Enables “Real Time” Infection Screening in PD 
  • Minimizing Patient Burden with UF Volume Measurement Tool
  • Sensors for Solutes 
  • Artificial Intelligence to Optimize PD Prescription Design? 

4:00-6:00 pm

Mitigating Cardiovascular Risk on HD 

    • Pharmacotherapy for Improving CV Outcomes on HD: State of the Art
    • Harnessing Technology for Predicting Intradialytic Hypotension 
    • Disturbing the Rhythm- Intradialytic Hypotension and Its Consequences
  • How to Remove All That Fluid? Novel Strategies

 

4:00-6:00 pm 

Volume Management 

  • Volume Assessment in PD vs HD –Differences
    • Timing of Volume Assessment- Pre vs Post HD, PD pts full vs empty abdomen, body mass composition- lean vs fat mass, Extra vs Intra cellular water content 
  • Are Biomarkers Useful in Volume Control? 
  • Role of Bioimpedance in Volume Control

4:00-6:00 pm

Dialysis Treatment Life Plan 

  • From CKD Management to Dialysis – Incremental Dialysis Plan 
  • Preservation of Residual Renal Function: How Significant Is This?
  • Overcoming Patients’ Resistance to Increasing Dialysis 
  • How to Operationalize Dialysis Facilities to Accommodate Varying Dialysis Schedules 


Sunday, March 6, 2022

10:00-12:00 pm

How Successful are Transitional Care Units? 

  • Transitional Units: Have They Improved Outcomes for Patients New to Dialysis?  
  • Effective Use of Transitional Units 
  • Barriers (Physician buy-in, staffing)
  • Making Transitional Units Financially Feasible

10:00-12:00 pm

Vascular Access

  • Effective Troubleshooting – When to Refer, When to Notify
  • Cannulating Endovascular Accesses
  • Role of Ultrasound in Guiding Difficult Access Cannulation

10:00-12:00 pm

Caring for the Caregiver: Effective Strategies to Recruit and Maintain Staff in Dialysis

Joint Session with Renal Healthcare Association (RHA)

This session will identify unique challenges in sustaining staff in the acute and outpatient dialysis facilities and recognize strategies on developing competence and confidence in the dialysis workforce.  Presentations will focus on hiring, orientation and training, engagement and retention strategies.  Additionally, the session will discuss the impact the pandemic has had on mental health as we continue to deal with the aftermath as well as identify coping strategies in dealing with future disasters.

10:00-12:00 pm

Managing Anemia in CKD 

  • Iron Therapy in Dialysis Patients: Risks vs Benefits 
  • Looking Beyond Ferritin and T Sat for Managing Iron Administration 
  • Developing Metrics for QOL in Anemia Management 
  • HIF inhibitors: Does Specific Patient Subpopulation Matter?

12:30-2:00 pm

Palliative Care in Nephrology 

  • What, When and How of Palliative Care for Kidney Patients (When to approach patients, who should do it)
  • Delivering Palliative Care in Dialysis: It’s a Team Effort 
    • Palliative vs Hospice Care:  What Is the Difference?
  • A Family Member’s Perspective on Palliative Care

12:30-2:00 pm

System Changes to Optimize Dialysis Facility Operations

  • Group Training for Home Dialysis Patients
  • Maximizing Staff Utilization:  Recognizing the Roles of Patient Care Technicians in Home Programs

12:30-2:00 pm

Innovative Approaches in Nutritional Management of CKD

  • Potassium Homeostasis in CKD 
  • Plant Based Diet and Mortality in Dialysis Patients
  • Pearls for Managing Hyperkalemia with Newer Potassium Binders 

4:00-6:00 pm

The ESKD Patient in the Dialysis Unit

  • How to Make a Difference in Reducing Hospital Readmissions?  
  • Preventing Covid in ESKD Patients by Vaccination- What Is the Data?
  • Depression on Dialysis: Any Tools of Trade? 
  • Dialysis Symptoms: Exercising Some Control

4:00-6:00 pm

Nursing Workshop 

  • Strategies to Obtain Accurate Kinetic Measurements in PD Patients
    • How to Get Patients to Bring Samples 
    • How to Address Discrepancy in Volume Measurement  
  • How to Get Them to Bring Home Records
  • How to Keep Patients Safe When They Don’t Follow Recommendations

 

Friday, March 4, 2022

9:55 am Welcome – Steven Alexander, MD 

Session 1

Moderator: Bradley Warady, MD, Jessica Geer, MSN, C-PNP, CNN-NP, RN

10:00 am Peritoneal and Vascular Access 

10:30 am Physiology of Blood Purification

11:00 am PD Prescription & Adequacy Monitoring 

11:30 am HD Prescription & Adequacy Monitoring  

12:00 pm Break

Session 2 

Moderator: Steven Alexander, MD; Amy Nau, MBA, MSN, RN, CNN, NE-BC

12:30 pm Cardiovascular Complications 

1:00 pm Pediatric Dialysis Nutrition Guidelines 

1:30 pm Growth and Growth Hormone Therapy

Session 3:  Breakout Sessions I

Moderator: John Mahan, MD  

2:30-3:45 pm – Fellows Case Conference – Stump the Consultants

Nurses’ Breakout I: (Nursing Round Table Discussions) 

2:30 pm Crit line Update

2:55 pm Child Life Overview

3:20 pm Bowel Management

RD’s Breakout I

Moderator: Kirsten Thompson, MPH, RDN

2:30-3:45 pm – Introduction to Resources 

Session 4 

Moderators: Alicia Neu, MD, Theresa Mottes, MSN, APRN, CPNP/AC

4:00 pm Major Infectious Complications   

4:30 pm Renal Anemia: The Basics 

5:00 pm   Adjourn


Saturday, March 5, 2022

10:00-12:00

Welcome: Ramesh Khanna, MD

General Session – Keynote Presentations 

Moderators: Ramesh Khanna, MD and Steven Alexander, MD

10:00 The Life Saving Art and Science of Effective Communication 

11:00 TBA

Session 5 – Symposium on Dialytic Therapies for Smallest Neonates 

12:30 pm The RAFT Trial

1:00 pm Peritoneal Dialysis 

1:30 pm CKRT: Aquadex and Carpe Diem

2:00pm            Break

Session 6: Breakout Sessions II

4:00-5:30 pm Best Abstracts

Moderators: Bradley Warady, MD; Jessica Geer, MSN, C-PNP, CNN-NP, RN

Nursing Breakout II (RN and APPs) 

4:00-6:00 pm

Moderators: Theresa Mottes, MSN, APRN, CPNP/AC and Rachel Galimberti, BSN, RN

4:00 Infants on Dialysis- The In’s and Out’s of Dialyzing the Itty Bitty’s

  • Peritoneal Dialysis
  • Hemodialysis

5:00 Access Complications

5:30 Optimizing Infant Growth

6:00 Adjourn

RD Breakout II

4:00-6:00 pm

Moderators:  Nonnie Polderman, BSc, RD and Elisha Pavlick, RD


Sunday, March 6, 2022

Session 7 – Hot Topics

Moderator: Franz Schafer, MD

10:00am 2022 ISPD Peritonitis Guidelines

10:30am TBD

11:00am TBD

11:30am TBD

Nursing Breakout Ill (RN and APPs) 

10:00-12:00 pm

10:00 am Renal Education Series for Hospital Staff (3 different institutions providing their practices for educating inpatient staff RNs 

  • Stanford
  • Children’s Mercy
  • Oregon 

11:00 am Collaborating in Providing Palliative Care: When to Refer?

RD Breakout III 

10:00-12:00 pm

Moderator:  Nonnie Polderman, BSc, RD and Kirsten Thompson, MPH, RDN

Session 8: – Lessons Learned from Collaborative Studies

Moderator: Alicia Neu, MD

12:30-2:00pm

Session 9 – Fundamentals for Families

Moderators: Brad Warady, MD; Jessica Geer, MSN, C-PNP, CNN-NP, RN 

4:00-6:00 pm

Sunday, March 6, 2022

ISPD-NAC ADC Session: Practical Implementation of Kidney Health Initiative (KHI)

10:00-12:00 pm

  • NAC President Welcome Remarks 
  • Anatomy of a Home Dialysis Practice in the AAKHI Era 
  • Enhancing Nephrology Fellow Education in a Low Volume PD Program 
  • Nurse Education and Clinical Support in a Low Volume PD Program 
  • Optimizing Nursing in Busy PD Program

ISPD-NAC ADC Session: Practical Implementation of Kidney Health Initiative (KHI)

12:30-2:00 pm

  • Patient-centric PD Prescriptions 
  • Managing PD Patients in Under-resourced Communities 
  • Roundtable: Patient Perspectives: How Can the Health Care Team Do Better

ISPD-NAC ADC Session: Practical Implementation of Kidney Health Initiative (KHI)

4:00-6:00 pm

  • Improving the Experience of a Telehealth Visit for the Patient and Practitioner 
  • PD Cycler for the Expert Clinician 
  • Practical Implementation of a Peritonitis Prevention Program 
  • Using QI to Improve Clinical Outcomes 

 

Friday, March 4, 2022

Special Session: To the Hospital and Beyond: A Special Program on Child Life and Dialysis

Program DescriptionChild Life Specialists (CLS) are members of the health care team who provide support for patients and their family members throughout their hospital journey. Their services and support vary depending on the needs of each individual patient and family that they encounter. CLS have special expertise to educate and work alongside the interdisciplinary team.  Some of their activities include utilizing therapeutic play to allow the child to understand their time in the hospital system, preparing patients for what they are going to experience in the hospital to promote positive coping, assisting with pain management techniques and how to empower a patient to do difficult tasks in addition to supporting the family throughout this journey.  All these interactions are guided by the CLS’s knowledge of child development.  

The goal of this special program is to provide a forum to share information of the roles of Child Life Specialists (CLS) in Nephrology with fellow Nephrology Practitioners and foster an exchange of ideas on how this group of professionals can best support and serve the unique patient population they care for. 

Topics and Presentations: 

10:00 am Welcome and Introductions – Amanda Porter, MS, CCLS

 

Presentation 1: Medication Adherence 

  • Recognizing that medication non-adherence in the pediatric population is high.  Strategies CLS do to combat non-adherence 

Presentation 2: Nutrition 

  • Phosphorus, Potassium & Sodium. How do we educate and encourage patients to monitor and maintain their strict diet? 

Presentation 3: Top Procedures

  • What are the main procedures that CLS support dialysis patients? 

Presentation 4: Fluid Goals 

  • How do CLS support and educate patients in the importance of their fluid goals. 

Presentation 5: Case Studies 

  • Case study presentations presented discussing the transition from CKD to Dialysis to Transplant 

Presentation 6: Patient/Team Panel

5:00 pm Adjourn