Inside this Issue

Hemodialysis Compared to Peritoneal Dialysis

1

Product Pages 2-3

Recipe of the

Month: Apple

Crisp Pizza

4

Hemodialysis

compared to

Peritoneal

Dialysis

Continued

5

Better

Phosphorus

Food Choices 5

Social

Worker’s

Corner 6-7

Care

Conference 8

Birthdays 8

Monthly Puzzle 8

Volume 13, Issue 4 — April 2018

Comparison of dialysis methods

Hemodialysis Peritoneal dialysis

What is usually involved

Before hemodialysis treatments can begin, your doctor will need to create a site where blood can flow in and out of your body.

Hemodialysis uses a man-made membrane called a dialyzer to clean your blood. You are connected to the dialyzer by tubes attached to your blood vessels.

You will probably go to a hospital or dialysis center on a fairly set schedule. Hemodialysis usually is done 3 days a week and takes 3 to 5 hours a day.

You may be able to do dialysis at home. Home hemodialysis requires training for you and at least one other person. Your home may need some changes so that the equipment will work. You may have choices in how often and how long you can have dialysis, such as every day for shorter periods, long nighttime dialysis, or several times a week for 3 to 5 hours a day.

You will have a catheter placed in your belly (dialysis access) before you begin dialysis.

Peritoneal dialysis uses the lining of your belly, which is called the peritoneal membrane, to filter your blood.

The process of doing peritoneal dialysis is called an exchange. You will usual-ly complete 4 to 6 exchang-es every day.

You will be taught how to do your treatment at home,

on your own schedule.

Hemodialysis Compared to Peritoneal Dialysis

Hemodialysis and peritoneal dialysis are both used to treat kidney failure. Hemodialysis uses a man-made membrane (dialyzer) to filter wastes and remove extra fluid from the blood. Peritoneal di-alysis uses the lining of the abdominal cavity (peritoneal mem-brane) and a solution (dialysate) to remove wastes and extra fluid from the body.

Each form of dialysis has its advantages and disadvantages.

Mercy Dialysis Product Pages

— nutrition news you can use!

DIETITIAN

RESEARCHED

Better Salt Substitute Choices:

P a g e 2 Note: Product ingredients are always changing. Please continue to read ingredient labels.

Lemon Juice

Spices

Allspice - Use with beef, fish, beets, cabbage, carrots, peas, fruit.

Basil - Use with beef, pork, most vegetables.

Bay Leaf - Use with beef, pork, most vegetables.

Caraway - Use with beef, pork, green beans, cauliflower, cabbage, beets, asparagus,

and in dips and marinades.

Cardamom - Use with fruit and in baked goods.

Curry - Use with beef, chicken, pork, fish, green beans, carrots and in marinades.

Dill - Use with beef, chicken, green beans, cabbage, carrots, peas and in dips.

Ginger - Use with beef, chicken, pork, green beans, cauliflower and eggplant.

Marjoram - Use with beef, chicken, pork, green beans, cauliflower and eggplant.

Rosemary - Use with chicken, pork, cauliflower, peas and in marinades.

Thyme - Use with beef, chicken, pork, fish, green beans, beets and carrots.

Sage - Use with chicken, pork, eggplant and in dressing.

Tarragon - Use with fish, asparagus, beets, cabbage, cauliflower and in marinades. https://www.kidney.org/atoz/content/spice

Vinegar

All Varieties of Mrs. Dash Seasoning Blends (Excludes seasoning

packets and marinades). The Mrs. Dash Chili Seasoning Packet

is the only seasoning packet with no added potassium chloride.

Mercy Dialysis Product Pages

— nutrition news you can use!

P a g e 3

Salt Substitutes to Avoid:

Note: Product ingredients are always changing. Please continue to read ingredient labels.

Nu-Salt: 1/6

tsp contains

530mg of

potassium!

No Salt: 1/4 tsp contains

650mg of potassium!

Morton Salt Substitute: 1/4 tsp

contains 610mg of potassium!

Tony Chachere’s Salt Free

Seasoning: 1/4 tsp contains

460mg of potassium!

DIETITIAN

RESEARCHED

Mrs. Dash Taco Seasoning: Ingredients: yellow corn flour, chili pepper, maltodextrin, cornstarch, cumin, dried onion, garlic powder, potassium chloride, yeast extract, onion powder, sugar, black pepper, citric acid, oregano, red pepper, celery seed

General Guidelines:

Avoid salt substitutes, seasonings or seasoning mixes/blends that have

potassium chloride listed as an ingredient.

Look for salt substitutes, seasonings and seasoning mixes/blends with <10mg

sodium/potassium per serving

*Just because you do not see it listed on the nutrition fact label does not mean it

does not have potassium in it. Like phosphorus potassium can be added or

naturally occurring. It will only be on the

ingredient list if it is added. Not all products

list the mg of potassium currently. This will be

changing.

P a g e 4

April Recipe

Ingredients

9” pastry pie crust Filling 2/3 cup sugar 3 Tbsp. all purpose flour 1 Tsp. ground cinnamon 4 medium apples (peeled and

sliced) Topping 1/2 cup all purpose flour 1/3 cup packed brown sugar 1/2 cup old fashioned oats 1 Tsp. ground cinnamon 1/4 cup unsalted butter (softened)

Directions

Preheat oven to 350°F Roll pastry to fit 12” pizza pan Filling: Peel and slice 4 med apples add sugar, flour, ground cinnamon, and

mix until apples are coated evenly Toping: Mix, flour, brown sugar, old fashioned oats, and ground cinnamon Put apple filling on pastry cover with topping Bake for 35-40 minutes. Drizzle with caramel Cut into 8 slices & serve

Apple Crisp Pizza

Makes 8, 1 slice servings

Nutrients for 1 slice:

Calories 355 kcal Fat 13 g Cholesterol 20 mg Carbohydrates 61 g Protein 3 g Sodium 142 mg Fiber 3 g Potassium 145 mg Phosphorus 39 mg Calcium 10 mg

P a g e 5

Comparison of dialysis methods

Hemodialysis Peritoneal dialysis

Advantages

It is most often done by trained health professionals who can watch for any problems.

It allows you to be in contact with other people having dialysis, which may give you emotional support.

You don't have to do it yourself, as you do with peritoneal dialysis.

You do it for a shorter amount of time and on fewer days each week than peritoneal dialysis.

Home hemodialysis can give you more flexibility in when, where, and how long you have dialysis.

It gives you more freedom than hemodialysis. It can be done at home or in any clean place. You can do it when you travel. You may be able to do it while you sleep. You can do it by yourself.

It doesn't require as many food and fluid restrictions as hemodialysis.

It doesn't use needles.

Disadvantages

It causes you to feel tired on the day of the treatments.

It can cause problems such as low blood pressure and blood clots in the dialysis access.

It increases your risk of bloodstream infections.

Home hemodialysis may require changes to your home. You and a friend will need to complete training.

The procedure may be hard for some people to do.

It increases your risk for an infection of the lining of the belly, called peritonitis

Hemodialysis Compared to Peritoneal Dialysis

Instead of milk, try non-dairy rice milk or low phosphorus milk such as Dairy Delicious®

Instead of cheese, try cream cheese or sour cream

Instead of ice cream, try sherbet, sorbet, gelatin or frozen ice pops

Instead of chocolate or nuts, try jelly beans, gumdrops, hard candy, or unsalted popcorn/pretzels

Instead of chocolate cookies and cake, try sugar or shortbread cookies, vanilla wafers, or angel food cake

Instead of hot chocolate, try hot cider or hot spiced cranberry juice

Instead of whole grain breads, try French, white, or Italian bread

Instead of dried beans or peas, try green or wax beans

Instead of processed meats, try fresh

Better Phosphorus Food Choices

P a g e 6

Social Worker’s Corner

DO YOUR TIME, IT’S WORTH IT! Skipping and Shortening Dialysis Treatment

How many times have you said to yourself, “I’m so tired, I’m not going to dialysis to-

day,” or “I need to take a mental health day off today,” or “I feel so sick, I’m not leaving

my bed.”

This isn’t surprising! Having to do dialysis for the rest of your life, or until you receive a donor kidney, poses

numerous physical and psychological problems. However, skipping treatments will

make those WORSE.

So, why are there so many missed treatments? There are many reasons why people skip dialysis treatments, but some of the most com-

mon ones are:

Physical issues:

Nausea, vomiting or diarrhea (before, during or after treatment)

High/low blood pressure

Itching

Hunger

Cramping

Discomfort in arm access

Other issues that cause people to miss treatments are:

Transportation

Boredom during treatment

Personal time conflicts

Waiting time for treatment

Bad weather

P a g e 6 P a g e 7 P a g e 7

Why does this hurt me? Periodically missing dialysis can become a habit over time (especially when you’re feel-

ing good)

You may get away with skipping sessions, or shortening them for a while, but your

body WILL catch up to you (for both hemodialysis and home dialysis)

What happens when I miss a treatment?

What can you do?

Communicate, be open with your care team about your struggles

If transportation is an issue, develop a plan listing several alternatives rather than re-

acting when an unplanned situation presents itself

Get some ideas from your staff on how to spend your time during treatment if you’re

bored (for example, Journaling, writing on a blog, coloring, playing cards, etc.)

Mercy Dialysis—Vinton

502 N. 9th Ave

Vinton, IA 52349

Mercy Medical Center

701 10th St. SE

Cedar Rapids, IA 52403

Mercy Health Plaza

5264 Council St. NE

Cedar Rapids, IA 52402

Page 8

2nd Rose B.

9th Carl V.

24th Betty H.

21st Vickie M.

17th Alice H.

25th Sydne M.

Coconut or Rice

milk

Construction update:

The construction is scheduled to be completed near the end of May.

Thank you everyone for your flexibility with scheduling during this time.

Although not part of the construction project, we will be purchasing

some new chairs for the waiting room.

We have been approved to purchase all new machines at the Plaza.

These have been ordered and we expect that these will arrive and we will

do staff training in June.