What's really important?
©1 998 Andrew Lundin, M.D. All rights
reserved. Reproduced with permission.
- Bill Peckham wrote:
- > In two months my dialysis provider is opening a new unit one bridge
- > closer to me in Seattle. I have the opportunity to influence
- > patient amenities will be because I serve on the BoD and Executive
- > Committee. I know that we have group fantasized about our ideal
- > the past but I thought this would be a great opportunity to create
- > model unit in reality. What has surprised me is that the few
- > I've been able to talk with about this are not that interested
- > telephones, pay TV, larger sets or computer access. The feeling
- > from these patients was that they would see those things as frivolous
- > and a waste of money.
- > My questions to all of you is - How much is too much? Should
- > units self-limit their amenities? Can Internet access be justified
- > the dialysis patients chair?
- > This is standard issue - One 13" TV per patient, 20+cable
- > available, dimmible ceiling light (controlled by staff), standard
- > dialysis chair and of course the ice machine. Medically speaking
- > deliver excellent quality dialysis but isn't that just the ante.
- > --
Interesting question. Who pays for the network accesss? I like the
individual TV's but in my experience they are frequently broken and
expensive to repair. patients fight over the stations with the working
TVs. We have a VCR attachment to the TVs but try to get all to agree
see the same thing. We had phone access and it was abused.
If I sound a bit jaded, its because over the past number of years I have
had to deal with similar issues and there always seem to be a group of
patients who one can never make happy. I have tried to stress the
quality of dialysis and being in control so that wherever one dialyzes
they will now how to take care of themselves. We still have patients
coming back from visits to other units extolling the amenities. When
ask them how the patients look, they will sometimes admit they don't
look too well and many of those they knew from previous visits are no
longer there. I always find it interesting that staff from other units
are amazed when our patients insist on putting in their own needles.
is the ultimate control.
All that being said, I think some level of amenities and comforts are
helpful, if not at the expense of quality of care. How do you get the
patients to see that?
- Peter Lundin
- May 27, 1998
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