EM2406F Breaking Barriers: Pioneering Home Dialysis for Undocumented Immigrants 061424

Purpose and Overview

In this lecture we will review the impact of federal and local policies on dialysis care for undocumented immigrants. We will also cover basics of peritoneal dialysis (PD), patient selection considerations and ways to expand use of PD as an incident dialysis modality. Finally, we will discuss efforts by the Parkland PD program to improve access to care, reduce risks of peritonitis and future directions for growth, collaborations and quality improvement.

Target Audience

UT Southwestern faculty, fellows, residents and medical students, community physicians, nurse clinicians, physician assistants and nurses.

Learning Objectives

At the conclusion of this activity, the participant should be able to:

  • Understand that dialysis care in undocumented immigrants is an evolving practice which is heavily influenced by federal and state regulations and local policies
  • Identify the difference between absolute and relative barriers to peritoneal dialysis and the advantages versus disadvantages of peritoneal dialysis compared to hemodialysis.
  • Recognize that there is a multi-step evaluation process required for initiation of peritoneal dialysis involving proper pre-dialysis education, medical and surgical clearance and patient motivation.
Course summary
Available credit: 
  • 1.00 AMA
Course opens: 
Course expires: 

Photo: First Last, M.D.Pooja Koolwal, M.D.
Assistant Professor of Internal Medicine
Division of Nephrology
Ut Southwestern Medical Center

Available Credit

  • 1.00 AMA


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