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Diabetes, Blood Pressure & Kidney Health Checks & Care in Indigenous Communities

Learn about kidney, diabetes, and blood pressure care in Indigenous communities, work to keep kidneys healthy, prevent dialysis, and create personalized health plans. Understand the importance of screening and follow-up care.

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Diabetes, Blood Pressure & Kidney Health Checks & Care in Indigenous Communities

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  1. Diabetes, Blood Pressure & Kidney Health Checks & Care in Indigenous Communities Presentation for Community Members

  2. Why Are We Here? • To work together to help improve health • Help keep kidneys healthy • Help prevent or delay dialysis & To help make a plan to keep kidneys healthy.

  3. Kidney Health in Canada • 1 in 10 Canadians has kidney problems • Almost 1 in 3 First Nations adults have kidney problems • 15% of First Nations children showed signs that kidney problems were starting • Diabetes & high blood pressure are the leading causes • There is increasing kidney failure and use of dialysis over the last 20 years

  4. Kidney Health in Manitoba 2012 2024 • 2015 report predicted rapid growth of dialysis and transplant patient populations • Between 2010 and 2017, Manitoba’s dialysis patient population grew by almost 35 per cent. 6

  5. Kidney Health in Manitoba • More impact on central & northern Manitoba • The Kidney Care team wants to bring more PREVENTION efforts to these areas 6

  6. Getting & Keeping Kidneys Healthy • How can we work together to help improve health • How do we help keep kidneys healthyso people don’t have to do dialysis • How do we prevent kidney problems

  7. Bringing kidney, diabetes and blood pressure testing to rural and remote Indigenous Communities in Canada • Mobile health-care teams do the testing that provideson-the-spot results • Test results provided right away • A kidney health plan is created • Follow up care is arranged, if needed

  8. Why is this important today? You or your family member may not know you have kidney problems. We can check your kidney health and provide care.

  9. Why Kidney Health Screening? • Results in under 1 hour • Find kidney problems early • Find & provide care for risk factors • Plan health care to keepkidneys working • PREVENTor delay dialysis

  10. Who Should be Screened? • Kids ages 10 - 18 • Health problems that can lead to kidney damage can start at younger ages • All adults • Unless already being treated by a kidney doctor

  11. What’s Involved? • Meeting with Community leadership • Community talk about kidneys and diabetes, blood pressure • Kidney, diabetes & blood pressure checks • Kidney health plan/follow up care • Report back to community

  12. Indigenous Leadership & Partners • Using First Nations model of care • Indigenous patients as partners • Communities as partners

  13. Manitoba Partners • Participating Communities • CanSOLVE CKD & Indigenous Patient Engagement Research Council Members • Diabetes Integration Project – First Nations Health & Social Secretariat of Manitoba • Chronic Disease Innovation Centre – SOGH • Manitoba Renal Program • Kidney Foundation of Canada Manitoba Branch • Research Manitoba • Children's Hospital Research Institute of Manitoba • Four Arrows Regional Health Authority

  14. Testing Process

  15. Consent to be Tested • Voluntary • Confidential (unique number) • You may stop at anytime • Very low risk of harm

  16. Registration for Testing • Date of Birth • Address (PO box number or phone number) • Personal Health Information Number • Height & Weight

  17. Point of Care Testing • On site results using portable equipment & custom-built app

  18. How long will this take? Less than one hour: • 15 min registration and consent • 15 minutes screening & testing • 15 minutes reviewing results and follow-up with nurse (if needed)

  19. Check Results:Show Your Chance of Kidney Failure so we Know How to Best Treat Your Kidneys and/or Keep them Healthy

  20. Follow Up: Team Approach • High Risk Patients • Team:Multidisciplinary Kidney Health Clinic • Primary care provider* • Kidney specialist • Kidney Nurse • Kidney Dietitian • Kidney Pharmacist • Kidney Social worker • Focus: • Healthy Lifestyle • Reduction of blood pressure • Reduction of protein leak in the urine • Treat consequences of low kidney function • Treat related heart and diabetic diseases • Low Risk Patients • Team: • Primary care provider • Focus: • Lifestyle • blood pressure • Medium Risk Patients • Team: • Primary Care providers • Kidney specialist • Focus: • Diagnosis • Lifestyle • Blood pressure • Protein leak reduction

  21. Possible Ways to Help Kidney Problems: • Lifestyle • Healthy foods, physical activity • Traditional Diets/Medicines? • Getting a healthy blood pressure • Medications • Treating and managing diabetes • Other care/treatment as needed

  22. Kidney Health Plan to Change YourChance of Kidney Failure(Click to animate) Intermediate High No Current Risk Low

  23. Diagnosis & Treatment = Preventing/Delaying Dialysis

  24. What Do I Need To Do? • Do not pee before the appointment • Bring your Manitoba Health Card • Avoid smoking before appointment • Bring your questions!

  25. What Do I Need to Know Dates: Times: Place: ??? Driver: ??? Remember that screening is for everyone over the age of 10.

  26. Kids and Youth • Age 10-18 • Parental or Guardian consent including agreement from child/youth

  27. What we need to know: • What is the best way to promote the screening in the community? • What are reasons people may not want to get tested? • Questions

  28. Testing kidneys and treating kidney damage early is important. Questions?

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