A Holistic Look at Healthcare for the Haemodialysis Patient

  • Yvonne King, Calundra private Hospital - Ramsay Health, Australia
  • As a remedial massage therapist as well as dialysis nurse, I was interested in the benefits that could be evidenced from other modalities besides those of conventional medicine for the patient undergoing haemodialysis. Whilst there have been a number of papers on massage there have not been any specific to how massage can benefit patients by relieving the signs and symptoms of uraemia. Eighteen months ago a foot and leg care programme was commenced at Caloundra Private Hospital Renal Unit. Most patients have been on this programme since its conception and the feedback received has been positive. I surveyed patients to find out how effective the programme is, with the view to developing it further. It would provide me with qualitative evidence to back my hypothesis, rather than just anecdotal feedback. I put forty questions to twelve patients based on areas that included: general health and well being, mobility, exercise, massage, skin care, foot care, physical pain and support received. From a therapist’s point of view I see many benefits to the programme, including improved skin care and increased mobility. The programme promotes preventative health care. Regular visits to the podiatrist are encouraged. Wounds and health issues are remedied before they cause concern. Patients are encouraged to voice any worries they may have. I can demonstrate how through using such a simple programme the basic quality of life of most patients can be improved both physically and emotionally.