Wednesday, April 26, 2017

It's all part of a great whole body of knowlege - NKF Spring Clinicals


NKF Spring Clinicals in Orlando, FL:  4/17-4/22/2017

~ Kimberlee Langford, RN, BSN, CCM, CPC                                                                    

A North, Idaho girl, I was thrilled to go to see the sun in Orlando for the National Kidney Foundation’s Spring Clinicals – a smorgasbord of learning!

Pre-Conference, I was hungry to learn more about several topics: mineral bone disorders, hypothyroid and CKD, hormonal factors, IgA nephropathy, chronic pain, depression and how this relates to members’ poor participation in self-care.  I wanted to learn more about how to better inspire and teach our members to build their belief that they do have control over their health and that they can feel and live better lives – for those with CKD and for those on their way to CKD who don’t know it yet.

As Nurse Coaches, Renalogic Nurses can see, via knowledge and experience, where people with poorly managed diabetes, hypertension, hyperlipidemia, gout, kidney injury and autoimmune disorders are going.  We have cared for those on dialysis, we have dressed the amputated feet and legs, we have held the hands of folks who died as their kidneys failed.  We have a vision that our members don’t have.  We have knowledge and education that they don’t have.  Distilling that into a palatable and meaningful way that stimulates a desire to change requires us to be well-educated on diverse topics.  It requires us to have a network of community and ancillary healthcare team members to help them access for ongoing support.  This conference was so wonderful because of the diverse professionals to network with, of topics for us to choose from, and to share nuggets and takeaways with each other.  Also, extremely valuable were those moments out-of-workshop as we conversed, shared stories, ideas and built relationships with each other.



Personally and professionally, I am so proud to be a Renalogic Nurse.  I am, as the rest of us are, stirred by the passion for excellence and to really create a change in how kidney care is managed in our country that our Executive team shares in such a palpable manner. 


I believe that as we learn the whys – the pathophysiology,  the current research findings, and the questions and ideas on the horizons of renal care – we are so much more powerfully equipped to break down that complex information and make it more palatable and more easily digestible for members, and we use that understanding to help empower people with the information, tools and vision they need to really effect a change in their lives – to live differently and hopefully to not just manage – but to PREVENT a CKD diagnosis or to prevent it’s progression in those who already have it.

This is a BIG deal!  People today live such busy, hurried, hectic, stressed out – out, overfed and undernourished (in the belly and the spirit) lives.  I mean, who has time to cook, to exercise, to slow down and meditate or laugh?

BUT – that lifestyle comes with a price tag, as everything does:  obesity, cardiovascular issues, kidney disease, hypertension, stiff aortas, hormone imbalances, diabetes, cholesterol, addictions and depression, autoimmune disorders, gastrointestinal issues, cancers – and ALL of these affect our kidneys!

NOTHING is FREE!!! – We pay up front -  by finding the time to get adequate and quality sleep, exercising, nutritious foods, satisfying relationships, learning how to navigate the healthcare system ---

OR – we pay at the end:  disease, decreased longevity and quality of life – our very independence.

I found that my focus on helping members to put their energy into the factors they control was validated --  diet, exercise, communicating with the health care team, taking medications properly – and I was again struck by how while we learn about topics individually – we dissect the pieces out to really delve deep to facilitate our understanding and grow in knowledge…. The really power comes afterwards when we take those pieces and integrate them into one, great whole thru lenses colored by individual member/patient significance.

So, in a series of articles, I plan to share what I took away from this conference  - I’ll talk about topics individually, keeping in mind that people aren’t individual puzzle pieces that we can manipulate individually.  We have to understand and learn by dissecting into pieces…but we consider, teach and treat with power and increased effectiveness – as we consider the WHOLE person.  We have to be able to look at everything at the same time, paying attention to what is really important to the individual.  By keeping our focus patient-centered and member specific, we not only build trust and rapport, but we have greater power to secure individual goal achievement, improve overall health outcomes and reduce risks and global health costs.