About 400,000 patients in the United States have chronic kidney disease (CKD), requiring
either ongoing dialysis treatments or a kidney transplant to sustain life. Many patients who enter the Medicare End-Stage
Renal Disease Program are apprehensive or even frightened about the prospect of living the rest of their life with a
chronic disease. The good news is that the therapies used to treat CKD have improved dramatically, and many patients live
long, productive, and extremely rewarding lives.
weKAN strongly believes that patients need to be knowledgeable about both CKD and the life-saving treatments that
they are receiving. A knowledgeable patient is able to actively participate in the decisions that affect their own care,
which often leads to more independence and a happier and healthier quality of life.
The challenge that faces many patients is how to find educational information that is developed by patients for patients.
Some dialysis facilities have “patient-to-patient” programs in which experienced patients share their knowledge and
experience with new patients.
Such programs can
help to decrease the fears and anxieties that most new patients experience, while also providing them with knowledge
from the most valuable perspective—a fellow patient! If a “patient-to-patient” program is not available, speak with the
health care professionals at your facility and volunteer to discuss CKD with new patients. Free and experienced assistance
with patient education is generally welcomed!
In addition to helping fellow patients adjust to CKD, patients can also educate lawmakers, the media, and the
public about dialysis and kidney transplantation. The best way for others to learn about CKD is from us—the patients
who are affected! You can help shape how others view CKD, and potentially have a positive influence on the individuals
who make decisions about the care that patients receive. The following are 14 ways your efforts can help fellow patients
who have chronic kidney disease.
1. Educate Lawmakers
State and national legislative bills can have a profound effect on the quality of care that is provided for patients
on dialysis, thereby positively (or negatively) affecting their quality of life. Like the general public, many lawmakers
at the local, state and national levels know little about the dialysis process. A knowledgeable patient can be very
influential in helping these elected officials learn about CKD and the impact that their votes have on the care and quality
of life experienced by patients with CKD.
There are many ways that you can help to educate your elected officials. Letters and e-mails that provide lawmakers
with an overview of important issues that affect patients with CKD—and you in particular—can be very influential. In-person
meetings are also very effective. One good way to meet elected officials face-to-face is to attend Town Hall meetings,
which are often held locally to allow constituents the opportunity to talk with their elected officials.
You can also call the local office of your elected officials and arrange an appointment to discuss important issues
that affect the lives and health of kidney patients who are constituents in that lawmaker’s district. (Many members of
Congress set aside regular times to meet with their constituents.) Remember—lawmakers are elected officials who represent
you, and they need to know what issues you feel are important! Contact information for your congressional representatives
along with samples of letters you can write is available at
www.RSNhope.org.
2. Educate the Media
Patients and family members can act as “local CKD media representatives” to make sure the local media provides
information to the public about dialysis and kidney transplantation. The following are some tips on how to educate the
media:
Use a variety of methods to get the word out about dialysis and transplantation (TV, radio, print).
Let your passion and concern about improving the lives of kidney patients guide you.
Obtain a current media directory from the library or Internet.
Make phone calls to discover the names of health, feature, city or assignment editors of local newspapers and journals.
After getting a reporter on the phone, introduce yourself and explain that your objective is to make sure the
public understands dialysis and kidney transplantation.
Ask the person if he or she has time to talk now, or if you should call back later (set a date and time).
Let the person know you are aware of his or her time limitations. Ask how you can help get a story written and printed.
Let reporters and assignment editors know that CKD is a major health epidemic in the United States, especially
among African-Americans and other minorities.
To catch their attention, offer accurate statistics about the number of patients with CKD in the United States,
and how many individuals die each year because of an inability to get a kidney transplant.
Offer data (press releases, articles, websites, etc.) that you believe would be helpful to educate the reporter.
Build a good relationship with reporters and editors. Become known as a reliable source of timely and important
information about CKD.
If you are interviewed, call or write a letter to the journalist within 24 hours to express your appreciation and
ask them to contact you if there are further questions.
3. Educate the Public
It is important for the general public to know about the risks of kidney disease, including the importance of early
detection of diabetes and high blood pressure (the two leading causes of kidney disease), and how to keep these conditions
under control. There are many ways that you can get involved in helping to educate the public about kidney disease. Many
public service organizations such as the Kiwanis Club or hospitals welcome guest speakers (like you!) that provide education
about important public health issues such as CKD.
You can also write letters to the editor of your local newspaper, particularly if you are responding to an article,
film, or television show that mentioned kidney disease. In the letter you can either confirm or correct the information
that was presented, relate your own experiences about CKD, and provide advice for others (especially those who are at high
risk for CKD). Remember that you are writing about yourself—patients are the best role models for letting others know about
CKD.
4. Get Involved in Professional Organizations so the Voice of Patients with Kidney Disease is Heard.
There are many local and national organizations that welcome patient participation, including the American Association of Kidney Patients
(AAKP), local ESRD Networks, and the National Kidney Foundation (NKF) to name only a few. Please visit our web site at
RSNhope.org for a more complete listing of professional organizations.
5. Organize “Meet and Greet” Coffee Meetings or a Support Group
A restaurant or coffee shop is often an ideal place to organize “meet and greet” coffee or patient support group
meetings. Other no-cost places where you could hold a meeting include a patient’s home or a local community center. These
informal gatherings can be especially valuable for new patients, who are eager to hear useful tips on everything from
caring for a vascular access to diet and exercise.
6. Attend and Participate in Educational Meetings for Patients
Some professional groups partner with patients to organize patient-focused educational meetings. These meetings
typically offer an opportunity for patients, family members, and other interested individuals to come together for a full
day, share a meal, and hear expert speakers on a variety of topics. Patients are often welcomed as speakers who can share
their firsthand experiences with dialysis and transplantation.
7. Realize that “One Friend Can Make a Difference”
Sometimes just being a friend to one or two fellow patients and sharing with them what you know about dialysis and/or
kidney transplantation is enough to make them feel more comfortable about becoming a patient with CKD. New patients in
particular often benefit just by knowing that they are not alone and that others share their same worries and concerns.
Take the initiative and introduce yourself to a new “patient friend.” Remember, “One friend can make a difference.”
8. Encourage Organ Donation
There are more than 90,000 individuals on the nation’s waiting list for life-saving
organs, and 17 people die each day before they can be transplanted. The need to educate the public on the importance of
organ donation and its benefits is greater than ever, and you can be a role model and educator to friends, family,
lawmakers, the media, and the public.
9. Participate in Fund Raising
Find creative ways to raise funds for educational programs and services that improve the quality of life for patients
with kidney disease, many of whom are unable to participate due to income constraints. If you can help offset the costs of
educational materials, patient meetings, and other opportunities through local fund raising activities, more patients
can benefit from these services.
10. Determine if a Clinical Trial is Right for You
A clinical trial is a research study that is used to test new therapies. A clinical trial can be the safest and
fastest way to discover treatments that will improve the health of patients with CKD—now and in the future. A typical
medical center is often participating in several clinical trials, and some of these trials involve patients with CKD.
Your health care team will be able to tell you about any clinical trials at your facility. However, before you agree to
become involved in a clinical trial, understand what the trial is trying to accomplish, the potential benefits of the new
therapy, and the potential side effects. Make sure that the clinical trial is right for you!
11. Become an Author
Many kidney-related trade journals, Internet sites and newsletters are willing and even eager to print articles that
are written by patients. Kidney-oriented publications are especially receptive to articles that contain helpful tips that
will help improve the quality of life of other patients. Renal Support Network welcomes patient-writers for our newsletter,
weKAN Live & Give, and for our health information website, KidneyTimes.com. See
RSN’s writer’s guidelines at www.RSNhope.org.
12. Become a Speaker
Sharing your story and point of view can have a dramatic effect on how others view CKD, and many organizations welcome
hearing a presentation given by a patient. If you have limited experience speaking to a group, it is normal to feel a bit
anxious. However, you can overcome anxiety and learn how to be a more effective speaker by joining an organization such as
Toastmasters (www.toastmasters.org), where you can receive great tips and practice
public speaking in a friendly, non-threatening environment.
13. Remember to Always Vote
We see our elected leaders on television, read about them in the newspapers, and occasionally encounter them in person.
Most of the time our elected officials are doing the talking: They tell us about themselves, their plans, their policies,
and their problems. Election season turns things around. Now it’s our turn to speak, and our leaders need to listen.
They know that to get our votes they need to understand and respond to our interests and concerns. Make sure that your voice
is heard at the ballot box!
14. Take Care of Yourself
Becoming involved in your own care and improving your own health often inspires others to do the same. Learn all you
can about kidney disease and be an active participant in your day-to-day health decisions. Long-term patients know that
knowledge is power. Remember that although we are individuals who happen to have a chronic disease, our lives are not
defined by disease, but by hope.