Louise Dyjur
Doctor
Mary Medical Center, Walla Walla WA 99362, USA
USA
Biography
Dr. Dyjur completed her PhD in 2015 from the University of Calgary in Alberta, Canada. She is the director of Inpatient Services at Providence St. Mary Medical Center in Walla Walla, and Director of the hemodialysis program. She completed her doctoral research in the area of Nursing Work with medications using the methodology of Institutional Ethnography.
Research Interest
The distribution of health care services in the United States varies substantially across regions. Patients face many barriers and challenges in accessing hemodialysis in hospital, related to geophraphic variation in availability. Optimal management of end stage renal disease (ESRD) requires specialized, time sensitive care. Sparse services in rural communities and the inability to provide inpatient renal care in a timely manner can lead to increased costs, more rapid disease progression and higher mortality rates. Historically, hemodialysis services were delivered within Providence St. Mary Medical Center (PSMMC) by a contracted service provider. When contracted services were disrupted and/or unavailable, it became necessary to tranfer patients out of their home community to larger centers where critical dialysis services could be reliably provided. As disruptions began to occur on a frequent basis, a core team at PSMMC began to explore how the NxStage system could be utilized to provide hemodialysis, renal replacement and ultrafiltration therapies to inpatients.