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Conservative Kidney Management Pathway and Chronic Kidney Disease Guidelines

Alberta's Provincial Conservative Kidney Management Clinical Pathway

The Conservative Kidney Management (CKM) pathway is an interactive resource for patients and care providers to help in the management of kidney disease with a focus on quality of life, symptom management, and living well without dialysis.

The CKM pathway will help provide chronic kidney disease patients appropriate care - in the right place, at the right time, irrespective of where they live in the province. It will enable patients and families to be cared for in their communities, where most wish to be.

The pathway coordinates kidney care with relevant primary and palliative care services, and will incorporate new initiatives currently being developed and rolled out under the direction of Alberta Health Services.

It is anticipated that the CKM pathway will reduce the burden on acute care facilities as well as enable quality, efficient, cost-effective and standardized CKM care, irregardless of location. The  CKM pathway will also enable greater control for patients and their families to make decisions regarding dialysis or CKM consistent with their values and goals.

Conservative Kidney Management (CKM) Patient Pathway

Patient Decision Aid

As kidney function declines, one of the biggest choices for a patient with chronic kidney disease is whether to get dialysis or conservative kidney management (CKM).

Information from the CKM pathway aided in the development and implementation of an interactive, web-based, patient decision aid (PDA) around the appropriate initiation of dialysis.

This tool is designed to help patients decide if CKM or dialysis is right for them based on their responses to nine key questions that explore their current health and preferences. The PDA provides a summary of treatment options, prognosis, and how each treatment aligns with the patient's stated preferences.

The patient decision aid is not intended as medical advice or to suggest treatment. However, it can be used to help facilitate treatment option discussions between patients, their family, and their healthcare team.

Explore the CKM Pathway

Patients and healthcare providers are able to explore the pathway and download a wealth of information on conservative kidney management and symptom management by visiting  www.ckmcare.com.

Conservative Kidney Management (CKM) Patient Pathway at a glance

The Conservative Kidney Management (CKM) Patient Pathway at a Glance.

Guidelines and Algorithms

Symptom Guidelines and Algorithms

Chronic Kidney Disease (CKD) Guidelines

There are a number of common symptoms that patients with kidney failure might experience. These symptoms and their management might change over time. The CKM pathway has symptom management guidelines for healthcare professionals, including some that are specific to the last days to weeks of life.

Symptom guidelines available on the CKM Pathway Website include:

  • Breathlessness
  • Edema
  • Fatigue and Sleep Disturbances
  • Nausea and Vomiting
  • Pain
  • Restless Legs Syndrome
  • Respiratory Secretions
  • Restlessness and Agitation
  • Uremic Pruritus

The goal within conservative kidney management is to optimize quality of life, including addressing bothersome symptoms and maximizing physical function.  This requires a slightly different approach to how we control blood pressure and manage complications of kidney failure such as anemia and phosphate levels.  The CKM pathway outlines how the chronic kidney disease guidelines can be adjusted to better meet the needs of patients being cared for conservatively without dialysis

CKD guidelines available on the CKM Pathway Website include:

  • Acidosis
  • Anemia
  • Blood Pressure
  • Calcium Phosphorus
  • Hyperkalemia
  • Lipids
  • Sodium
  • Vitamin D

Vision: To help people enjoy life while living with advanced chronic kidney disease by becoming a world leader in kidney supportive care research and clinical innovation.

Kidney Supportive Care Research Group (KSCRG)  l  Mailing Address: 8-105 Clinical Sciences Building, University of Alberta, 11350 83 Avenue NW, Edmonton, AB, T6G 2G3  l  Email: kscrg@ualberta.ca  l  Phone: (780) 492-0926 l  Fax: (780) 407-8117

Conservative Kidney Management (CKM) Patient Pathway at a glance
Conservative Kidney Management (CKM) Patient Pathway at a glance
Conservative Kidney Management (CKM) Patient Pathway at a glance
Kidney Supportive Care Research Group (KSCRG)
Conservative Kidney Management (CKM) Patient Pathway at a glance

The Conservative Kidney Management (CKM) pathway is an interactive resource for patients and care providers to help in the management of kidney disease with a focus on quality of life, symptom management, and living well without dialysis.

The CKM pathway will help provide chronic kidney disease patients appropriate care - in the right place, at the right time, irrespective of where they live in the province. It will enable patients and families to be cared for in their communities, where most wish to be.

The pathway coordinates kidney care with relevant primary and palliative care services, and will incorporate new initiatives currently being developed and rolled out under the direction of Alberta Health Services.

It is anticipated that the CKM pathway will reduce the burden on acute care facilities as well as enable quality, efficient, cost-effective and standardized CKM care, irregardless of location.

The  CKM pathway will also enable greater control for patients and their families to make decisions regarding dialysis or CKM consistent with their values and goals.

Conservative Kidney Management (CKM) Patient Pathway at a glance

The Conservative Kidney Management (CKM) pathway is an interactive resource for patients and care providers to help in the management of kidney disease with a focus on quality of life, symptom management, and living well without dialysis.

The CKM pathway will help provide chronic kidney disease patients appropriate care - in the right place, at the right time, irrespective of where they live in the province. It will enable patients and families to be cared for in their communities, where most wish to be.

The pathway coordinates kidney care with relevant primary and palliative care services, and will incorporate new initiatives currently being developed and rolled out under the direction of Alberta Health Services.

Conservative Kidney Management (CKM) Patient Pathway

It is anticipated that the CKM pathway will reduce the burden on acute care facilities as well as enable quality, efficient, cost-effective and standardized CKM care, irregardless of location. The  CKM pathway will also enable greater control for patients and their families to make decisions regarding dialysis or CKM consistent with their values and goals.

As kidney function declines, one of the biggest choices for a patient with chronic kidney disease is whether to get dialysis or conservative kidney management (CKM).

Information from the CKM pathway aided in the development and implementation of an interactive, web-based, patient decision aid (PDA) around the appropriate initiation of dialysis.

This tool is designed to help patients decide if CKM or dialysis is right for them based on their responses to nine key questions that explore their current health and preferences. The PDA provides a summary of treatment options, prognosis, and how each treatment aligns with the patient's stated preferences.

The patient decision aid is not intended as medical advice or to suggest treatment. However, it can be used to help facilitate treatment option discussions between patients, their family, and their healthcare team.

Conservative Kidney Management (CKM) Patient Pathway at a glance
Conservative Kidney Management (CKM) Patient Pathway

Information from the CKM pathway aided in the development and implementation of an interactive, web-based, patient decision aid (PDA) around the appropriate initiation of dialysis.

Conservative Kidney Management (CKM) Patient Pathway at a glance
Conservative Kidney Management (CKM) Patient Pathway

Conservative Kidney Management (CKM) Patient Pathway at a glance

The Conservative Kidney Management (CKM) pathway is an interactive resource for patients and care providers to help in the management of kidney disease with a focus on quality of life, symptom management, and living well without dialysis.

The CKM pathway will help provide chronic kidney disease patients appropriate care - in the right place, at the right time, irrespective of where they live in the province. It will enable patients and families to be cared for in their communities, where most wish to be.

Conservative Kidney Management (CKM) Patient Pathway

The pathway coordinates kidney care with relevant primary and palliative care services, and will incorporate new initiatives currently being developed and rolled out under the direction of Alberta Health Services.

It is anticipated that the CKM pathway will reduce the burden on acute care facilities as well as enable quality, efficient, cost-effective and standardized CKM care, irregardless of location. The  CKM pathway will also enable greater control for patients and their families to make decisions regarding dialysis or CKM consistent with their values and goals.

As kidney function declines, one of the biggest choices for a patient with chronic kidney disease is whether to get dialysis or conservative kidney management (CKM).

Information from the CKM pathway aided in the development and implementation of an interactive, web-based, patient decision aid (PDA) around the appropriate initiation of dialysis.

This tool is designed to help patients decide if CKM or dialysis is right for them based on their responses to nine key questions that explore their current health and preferences. The PDA provides a summary of treatment options, prognosis, and how each treatment aligns with the patient's stated preferences.

The patient decision aid is not intended as medical advice or to suggest treatment. However, it can be used to help facilitate treatment option discussions between patients, their family, and their healthcare team.

Conservative Kidney Management (CKM) Patient Pathway at a glance