End Stage Rendal Disease Essay

886 WordsAug 14, 20134 Pages
End Stage Renal Disease, also known as ESRD, does not happen overnight. There are five stages of kidney disease with stage five representing near or complete kidney failure. In reality, there are millions of Americans who do not have any type of health insurance simply because they can’t afford it. Because of this fact, efforts are being made to ensure that every citizen is provided affordable health insurance, and I applaud those efforts. There will come a time in everyone’s life that they will need medical attention. Chronic kidney disease, also known as CKD, impacts the lives of more than 26 million patients in the United States with millions of others at an increased risk of developing the disease, according to the Sullivan article. Patients with stage 5 renal CKD require either a kidney transplant or dialysis for survival. Both of these procedures are very costly. Now the question is what is more cost effective? I’m glad you asked. Everyone will not be able to receive a kidney transplant for various reasons. It could be financial. It could be the unavailability of a donor. The ones who cannot receive a kidney transplant for whatever reason are left with other options, hemodialysis and peritoneal dialysis. Hemodialysis is usually performed in a dialysis outpatient center and patients that chose this option is required to undergo therapy three times per week for approximately 3 ½ to 4 ½ hours per visit. Peritoneal dialysis is very different from hemodialysis. Each patient has a catheter implanted in their lower abdomen and infuses dialysis fluid into the peritoneal cavity. This is performed each day unlike hemodialysis which is only three times per week. Reimbursement for this therapy is identical to hemdialysis because the same amount is paid. For both therapies, reimbursement is currently based on a basic treatment with additional payments for

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