Train Crees living in isolated areas to perform their dialysis at home

2023-05-17 22:46:58

Nomme Ispeimunikamikw (The Hope Center, or the center of hope), the center will allow increase patient autonomy while reducing the need to spend time outside of Eeyou Istchee (Cree territory)mentions the Cree Board of Health and Social Services of James Bay (CCSSSBJ), which is piloting the project.

Currently, about a hundred Crees, living in remote regions, receive dialysis treatments in Quebec. Those of Chisasibi and Mistissini can receive their treatments in one of the two clinics built to facilitate their care. Members of the other seven communities have to drive up to three hours, several times a week, to reach Chibougamau. Sometimes they have to move to Montreal.

We have cases of mothers who had to leave their children in the community to settle in Montreal for a year, two years and sometimes more, the time to receive a kidney. It has dramatic consequences for everyonesays Sophie Leclercq, manager of the Cree Board of Health and Social Services of James Bay.

Left to right: Nancy Schecapio-Blacksmith, CBHSSJB Director of Nursing, Daniel St-Amour, CBHSSJB Executive Director, elder Bill Jolly invited to cut the ribbon, Bertie Wapachee, CBHSSJB Board Chair and Mandy Gull Masty , Grand Chief of the Cree Nation Government.

Photo: Courtesy CBHSSJB

According to a study published in 2017, about 5% of Canadian dialysis patients have to travel more than 250 km to receive treatment. Among Aboriginal patients, it is 20%, with the risk of accidents that this entails, especially in winter.

A complex but profitable training

Training a patient and his family in the techniques of home hemodialysis or peritoneal dialysis will take four to six weeks at the new center in Waskaganish. The patient will gradually take control of his machine and his treatment to become completely autonomous at the end of the trainingsaid in a statement on CCSSSBJ.

Currently, receiving this training requires spending four to six weeks in Montreal. In particular, you have to learn how to prepare the dialyzer, install the tubing, connect using special needles for hemodialysis, summarizes Sheriane Cowie, specialized nurse assigned to the new center.

She will be responsible for evaluating Cree patients who will be able to benefit from home hemodialysis training. But first, we must finalize the recruitment of nurses and train them. Eventually, the center would like to be able to train and monitor around ten new patients per year.

Being able to perform dialysis at home greatly facilitates personal and professional life (New window) patients.

« Dialysis patients look forward to having more control over their treatment, while enjoying the healing that comes from staying close to home and family. »

A quote from Nancy Shecapio-Blacksmith, Director of DSPAQ-Santé
A woman smiles for the photo.

Nancy Shecapio-Blacksmith, Director of Professional Services and Quality Assurance (DSPAQ) – Health

Photo: Courtesy

crying needs

According to data from the Cree Council, 26.7% of Crees over the age of 20 have type 2 diabetes. Many will end up on dialysis, their kidneys no longer being able to function properly.

In comparison, this proportion is approximately 8% in the general population in Quebec.

Behind these statistics, there is a human and economic cost.

People with diabetes have a reduced life expectancy of 5 to 15 years and diabetes-related complications (decreased sight, hypertension, cardiovascular accidents, amputations, kidney problems) affect the quality of life of those affected. .

The organization responsible for the health of some 21,000 Crees in Quebec has also noted for several years skyrocketing rates of kidney failure in the territory. This is not without consequences on the finances of the organization which independently manages the funds allocated by Quebec.

An Aboriginal diabetic patient costs three times more in medical care than one of his congeners who are not afflicted by this disease, according to public health data.years, more than half of the population will be 40years, the fateful age for diabetes”,”text”:”In 10 years, more than half of the population will be 40 years old, the fateful age for diabetes”}}”>In 10 years, more than half of the population will be 40 years old, the fateful age for diabetesalready warned a few years ago doctor Stanley Vollant.

« And it’s going to cost the state hundreds and hundreds of millions. »

A quote from Dr. Stanley Vollant

Hence the idea of ​​investing in prevention and home care. Especially since Aboriginal people are reluctant to seek treatment in the Quebec hospital system, for fear of being the object of racist prejudice.

The Cree health institution is therefore working with the McGill University Hospital Center to coordinate the transition to home care and train the future staff of the Waskaganish dialysis centre. The new center will also include a respiratory health clinic.

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