Publications by authors named "Shien Wen Sheryl Gan"
Introduction: In managing end-stage kidney disease (ESKD), older adults face a decision regarding whether to undergo dialysis or manage symptoms through kidney supportive care (KSC). This article describes the development of a patient decision aid (PDA) that is designed specifically for older adults with ESKD.
Methods: The decision context of the PDA was to choose a treatment between hemodialysis, peritoneal dialysis, and KSC.
Background: The optimal vascular access strategy in elderly patients receiving haemodialysis (HD) remains controversial. We aim to report the outcomes of arteriovenous fistula (AVF) in elderly patients initiated on maintenance HD in our centre.
Methods: Medical records of 688 incident patients initiated on HD from 2010 to 2012 in a tertiary centre were retrospectively reviewed.
Article Synopsis
- The study compares traditional apprenticeship model (AM) and simulation-based learning (SBL) for teaching invasive procedures like temporary haemodialysis catheter (THDC) insertion.
- SBL showed similar success rates to AM but resulted in significantly fewer peri-procedure and mechanical complications.
- The findings suggest that SBL should be integrated into Nephrology training to enhance safety and skill in procedural practices.