Indigenous Australians and location choices for dialysis modality

This essay discusses the reasons for not going for renal replacement therapy at home by Indigenous Australians. It also includes barriers and their solutions which can have a high impact on accessing the services along with health resources.

Indigenous Australians and
location choices for dialysis
modality

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8

INTRODUCTION
Renal replacement therapy refers to a term that is generally used to refer to the modality
of treatment that is used for replacing the waste filtering function of the kidney. Acute kidney
insufficiency causes progressive deterioration in body regulation of acid-base balance. It also
deteriorates electrolyte and fluid balance. The therapy is needed when individual kidney function
fails to achieve Homeostasis. Some situations may include chronic renal failure and septic shock,
acute kidney insufficiency, acute hepatic failure and others. To overcome this, there is a need for
renal replacement therapy which is highly effective and can provide individuals to live longer.
Renal replacement theory is a type of dialysis which is done for unstable patients who are not
able to tolerate regular dialysis. Nowadays, this dialysis can be done at home and have a positive
outcome (Nkhoma and et. al., 2021). Australian population generally used this treatment were
some of the group not likely to get treated with hemodialysis. There are some of the groups who
have lower uptake of renal replacement therapy at their home. In this report, there is a discussion
about the reason for not going for renal replacement therapy at home. There is also a discussion
about some barriers and their solution which can have a high impact on accessing the services
along with health resources. This essay also includes a recommendation that how nephrology
nurses can influence an individual to uptake renal replacement therapy at home which can also
be helpful for the healthcare system.
MAIN BODY
Home dialysis has shown better improvement in quality of life within a patient with a
renal problem. This provides various levels of benefit like freedom of daily diet, increased
control and opportunity to travel along with medications. It also provides benefits in high-quality
interaction with family members and helps in improved sleep patterns through adopting home
dialysis. It was also helpful to return to work easily. There are various clinical benefits of home
dialysis which help to provide the ability to increase the frequency at home. As per the
observation, it has been identified that consumers have a high level of reference for home
dialysis. There are the majority of patients and caregivers like to prefer home-based modalities
(Haber and et. al., 2021). Through this, they can travel for long and also get improve quality of
life which enhances their freedom. Through Australian survey, it has been identified that about

51 % of the patient has chosen modality of dialysis and rate of choice was lowest at the dialysis
center.
There is a huge impact of local policy on home dialysis uptake. Despite consumer
preferences, there is various evidence that supports improve clinical and personal outcomes
along with financial advantage which can help to increase uptake of home dialysis. From a study,
it has been found that in New Zealand, there are about 50% of people on dialysis is receive home
dialysis where policy plays an important role. Various community houses have overcome some
personal residence limitations like temporary accommodation water and power issues (Majeed-
Ariss and et. al., 2017). There is a various reason which creates the issue to the uptake of home
dialysis within Australian people. This may include learning technology, the need for education,
unfavorable policy, advocacy and support. Due to such reasons, people of Australia don't like to
prefer home dialysis at their home as a Renal Replacement Therapy.
There is a huge population who don’t have enough information about renal replacement
therapy which can be taken at home due to not having proper information and awareness. This
also seems difficult and painful and many people do not prefer to take this therapy. To this, the
Australian population is not well educated and there is a number of the group who are not
enough educated that can create an impact on the information and can understand the benefit of
this home therapy (Ahmadzai and et. al., 2018). There can be a high level of benefit like
financial and physical but not having proper information and enough knowledge, they do not like
to prefer home dialysis. The Australian population is not having enough educated and due to this,
they are having not to have enough knowledge and understanding. They also get difficult to
operate any type of health-related machines or technology.
Instead of this, health care professionals and nephrology nurses should influence this
population by creating awareness and providing enough information. They may also ensure that
they could operate technology and machines and enable themself for the dialysis process. This
can be difficult for Australian people and think that may risk of life. They did not like to take any
risk and adapt to home dialysis. There are also various barriers like not having information, lack
of education and unfavorable policy, fear of losing a life. This process can have a high impact
and create a barrier to adopt home dialysis. There is a discussion about such barriers which can
have a high impact and can create resistivity to adopt these home dialysis within the Australian

population. These barriers and their solution are going to be discussed further (Molnar and et. al.,
2018).
Lack of education is one of the main barriers where the Australian population does have
not enough information and education about getting that this treatment can be possible at their
home without taking any risk of life. In this, there is need to learn some few things which can
help to get dialysis ownself. Due to lack of education, they are not able to believe in themself
about operating machines while dialysis process at home. So, due to lack of education, they do
have not enough trust in themself to proceed with this process at their home.
There is a need to provide enough information and education about the process which can
be highly effective and should provide enough confidence within-population to adapt to this
technology. Providing education regarding this home dialysis can be effective and can help them
to provide different benefits such as financial and physical help and support (Lepcha and et. al.,
2019).
Difficulty in operating technology and machines is also a barrier that has a high impact
on to uptake of home dialysis within the Australian population. Lack of education and not having
proper information for operating machines can create this barrier. In this, it creates difficulty to
understand every function of the machine which have the latest technology. This technology is
not able to understand easily but with some information and guidance, it can be understood
easily within few weeks. There is a need to understand every function of the machinery which
have a high impact on this process. There should not be a risk of any wrong stepped or operation
which may lead to the risk of patient life (Ren and et. al., 2018).
There is a need to provide information and awareness through guiding patients and their
families to proceed with this process. There is a need to provide every step of information
effectively. So, there could not be any type of mistake and can have an easy process to proceed
with this home dialysis. Through practicing two or three times in observation of professionals
can ensure learning technology for operating this machine for the home dialysis.
There is a high impact of local policy on home dialysis uptake. Despite consumer
preferences, there is a need for policy that should be supportive and can help to follow
effectively. This is one of the factors or barriers which have a high impact on reducing the uptake
of home dialysis in Australia. Due to local policy which is not in favor of the patient and can be
difficult to follow. This can lead to impact the uptake of home dialysis at home and patients

should not get comfortable following the policy effectively. This can have a negative impact and
it forces the patient to take this dialysis in a health care setting (Chen and et. al., 2020).
There is a need to make local policy smooth and should have an easy process to proceed
further. Through making it easy, can help a wide range of patient to adopt this policy easily
which have a positive outcome and they should adopt or uptake home dialysis for their benefit.
In this, there is a need to simplify this policy which can attract a large group of the patient to
adopt home dialysis. Through following easy policy can have a positive outcome by attracting a
large number of the patient for adopting home dialysis.
Within the healthcare setting, nephrology nurses are the health care professional who has
the role to keep the focus on kidney health. They are the one who provides care to the patient
who is suffering from kidney-related issues. They have also the role to minimize the risk of
developing kidney problems. To this, they need to perform the various role as a nursing
professional for delivering and caring for a patient with a better treatment option and helping and
supporting them for improving their health and quality of life (Calvo, 2019).
It is recommended that as a nephrology nurse there is a need to educate Australian people
regarding home dialysis. They should create awareness and share information with the patient
whom they are caring for. They have high reachability for delivering information regarding
home dialysis. This can be effective and enable them to share this information to adapt home
dialysis and also influencing them to learn the process which can help to process home dialysis
with own. There is also a need to provide some education regarding the process of home dialysis.
They should ensure that patient and their family member should learn this process effectively
that should not create any type of hindrance or health-related issue on an emergency basis
(Gilliland, 2017).
It is also recommended that they should provide information regarding home dialysis
with critical information of every step. This method can take a few weeks to provide learning
and knowledge about home dialysis to the patient and their family member. Nephrology nurses
can have the ability to influence a large population and to motivate them to adopt this home
dialysis which can have different benefits for the patient and their family members. They should
also aware them about the benefit which can include getting freedom for their choice of food,
ability to travel and perform various activity which may be restricted within the healthcare
setting. This can be highly effective and can influence patients and their family members to

adopt home dialysis which can also help to spend more time with their family members. This can
also help to adopt a better environment for health improvement (Daza and et. al., 2021).
It is also recommended that the Nephrology nurse should also provide information about
the policy which needs to follow while using home dialysis. This policy should be explained
readily. So, patient and their family member can easily understand and can get able to follow that
policy carefully and effectively. As a nephrology nurse, it is essential to share information and
providing education about each step of home dialysis along with learning to operate technology
and machines. This can be more precise and helpful and can help to save money which can have
invested in the healthcare settings (Pennington, 2018).
CONCLUSION
From the above discussion, it can be concluded that some groups in Australia don't
update home dialysis due to some personal reasons. In this, there are some of the reasons which
include lack of education, lack of information, unfavorable policy and unable to operate
technology and machines. In this, there is a need to provide better education and information to
the patient and their family member which can motivate and influence them to adopt home
dialysis. This can be effective and can financially help them that can allow expensing in other
activities. In a health care setting, nephrology nurses can have a high impact on their patients.
They can be effective to deliver information and create awareness about the home dialysis to the
patient with a renal health issue. They are the ones who can influence a huge number of the
patient to motivate them to adopt or take home delicious within Australia. In this report, there is
a discussion about the reason due to which there is low uptake of renal replacement theory at
home within Australia. There is also discussion about the barrier and their solution which can be
effective amongst Australians to access service and health resources. There is also a
recommendation for nephrology nurses through which they can influence individuals and the
healthcare system to adopt home dialysis.

REFERENCES
Books and Journals
Ahmadzai and et. al., 2018. Sarcoidosis: a state of the art review from the Thoracic Society of
Australia and New Zealand. Medical Journal of Australia, 208(11), pp.499-504.
Calvo, 2019. Dietary phosphate and the forgotten kidney patient: a critical need for FDA
regulatory action. American Journal of Kidney Diseases, 73(4), pp.542-551.
Chen and et. al., 2020. Correlation between breath ammonia and blood urea nitrogen levels in
chronic kidney disease and dialysis patients. Journal of breath research, 14(3),
p.036002.
Daza and et. al., 2021. Multiple-Organ Extracorporeal Support Therapies in Critically Ill
Patients. Open Journal of Nephrology, 11(2), pp.281-293.
Gilliland, 2017. Nursing Care for Patients with Biological Arteriovenous Grafts. Nephrology
Nursing Journal, 44(4).
Haber and et. al., 2021. New Australian guidelines for the treatment of alcohol problems: an
overview of recommendations. Medical Journal of Australia, 215, pp.S3-S32.
Lepcha and et. al., 2019. Effects Of Supervised Versus Home Based Exercise Training In
Hemodialysis Subjects-A Randomized Clinical Trial. National Journal of Integrated
Research in Medicine, 10(5).
Majeed-Ariss and et. al., 2017. The anticipated and the lived experience of home and in-centre
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1533.
Molnar and et. al., 2018. Hospitalizations in dialysis patients in Canada: A national cohort
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Nkhoma and et. al., 2021. Reducing health inequities for asylum seekers with chronic non-
communicable diseases: Australian context. Australian Journal of Primary
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Pennington, 2018. Development of a Calciphylaxis Risk Assessment and Screening Tool to
Assist in the Identification of Primary and Secondary Calciphylaxis Lesions. Nephrology
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Ren and et. al., 2018. Enhanced oral absorption and anticancer efficacy of cabazitaxel by
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