Mindful Activities for Holidays - Enhance Wellbeing Through Mindfulness
Engage in mindful activities during the holidays to de-stress and improve overall well-being. Explore mindfulness exercises like walking meditation, reading, listening to audiobooks, and arts and crafts. Discover the art of being present and create lasting memories with your family through activities like sewing and making memory quilts. Embrace the holiday season with mindfulness and relaxation techniques.
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West Midlands Renal Peer Review Data Overview www.england.nhs.uk
CKD/ ESKD interface www.england.nhs.uk
1. CKD population as of Dec 16 under care of unit. Defined by attendance at low clearance or other renal unit clinic within previous 6 months. Also include transplants in appropriate category 700 CKD 5 600 CKD4 500 eGFR<20 400 300 200 100 0 HEFT UHB UHCW SATH UHNS RWT DGH www.england.nhs.uk 3
2. KNOWN FOR MORE THAN 90 DAYS Modality on commencement of RRT, HD/PD/Transplant 200 starting 180 HD incentre 160 Home HD 140 PD 120 transplant 100 80 60 40 20 0 HEFT UHB UHCW SATH UHNS RWT DGH www.england.nhs.uk 4
Known >90 days at 3 months Chart Title 1.2 1 0.8 0.6 0.4 0.2 0 HEFT 0 HEFT 3 UHB 0 UHB 3 UHCW UHCW 3 UHNS 0 UHNS 3 SATH 0 SATH 3 RWT 0 RWT 3 DGH 0 DGH 3 0 HD incentre Home HD PD Tx Died Recover withdrawn Other www.england.nhs.uk 5
3. KNOWN FOR > 90 DAYS Access at commencement dialysis 180 starting dialysis line 160 AVF 140 AVG 120 PD catheter 100 Wolverhampton 80 60 40 20 0 HEFT UHB UHCW SATH UHNS RWT DGH www.england.nhs.uk 6
Known >90 days: access at 3 months 1.2 1 0.8 0.6 0.4 0.2 0 HEFT 0 HEFT 3 UHB 0 UHB 3 UHCW UHCW 3 UHNS 0 UHNS 3 SATH 0 SATH 3 RWT 0 RWT 3 DGH 0 DGH 3 0 Line AVF AVG PD Died Recover withdrawn Tx Other www.england.nhs.uk 7
5. CKD Stage 5 who have opted for conservative management: spot audit Dec 2016 450 400 CKD 5 not on RRT Conservative Care eGFR <10 350 300 250 200 150 100 50 0 HEFT UHB UHCW SATH UHNS RWT DGH www.england.nhs.uk 8
6. Patients starting onto ESKD in an unplanned manner; breakdown of patients 70 Number <90 days AKI to ESKD 60 True late-presenter Unplanned Known 50 Unplanned Unknown Care Elsewhere 40 30 20 10 0 HEFT UHB UHCW SATH UHNS RWT DGH www.england.nhs.uk 9
7. Anaemia management in patients with CKD; spot audit Dec 2016, Patient Numbers 600 Number CKD 5 Number CKD 4 500 Number eGFR<20mls/min not on dialysis 400 300 200 100 0 HEFT UHB UHCW SATH UHNS RWT DGH www.england.nhs.uk 10
7. Anaemia management in patients with CKD; spot audit Dec 2016, CKD 4 1.2 % in range 1 % ESA % Iron for each unit 0.8 0.6 0.4 0.2 0 HEFT UHB UHCW SATH UHNS RWT DGH www.england.nhs.uk 11
7. Anaemia management in patients with CKD; spot audit Dec 2016, CKD 5 1.2 % in range 1 % ESA % Iron for each unit 0.8 0.6 0.4 0.2 0 HEFT UHB UHCW SATH UHNS RWT DGH www.england.nhs.uk 12
7. Anaemia management in patients with CKD; spot audit Dec 2016, eGFR <20 1.2 % in range 1 % ESA % Iron for each unit 0.8 0.6 0.4 0.2 0 HEFT UHB UHCW SATH UHNS RWT DGH www.england.nhs.uk 13
9. Hepatitis B Vaccination 1.2 Number of patients starting dialysis in 2016 known to unit for >90 days 1 0.8 Number of patients who have undergone full course of Hepatitis B vaccination prior to commencement of dialysis or who are naturally immune 0.6 0.4 0.2 0 HEFT UHB UHCW SATH UHNS RWT DGH www.england.nhs.uk 14
