Kuala Lumpur– Malaysians have a silent killer lurking among them. On average, it is estimated to strike nine out of every 100 Malaysians. Needless to say, this is a truly serious issue of alarming concern for the government and health professionals alike.
This silent killer is Chronic Kidney Disease (CKD), also called chronic kidney failure.
The number of patients suffering from the disease is truly frightening, to say the least.
According to Dr. Thiruventhiran Thilaganathan, Vice Chairman of National Kidney Foundation (NKF) Malaysia, a total of 35,000 patients were on regular dialysis treatment for CKD by the end of 2016. The graver concern is the fact that this number rises by an average of 15% every year, putting Malaysia in third place of the world’s highest kidney related diseases – and the numbers are not showing any signs of reduction.
What is even more horrendous is that experts suggest that the actual number of people suffering from CKD in Malaysia may actually be higher. This is due to the fact that a person suffering from Kidney Disease goes through five stages of the disease and the signs of the disease only manifest itself in the latter stages.
“This is why kidney disease is often referred to as a silent killer. By the time a patient is diagnosed, they are more often than not already in the latter stages of the disease,” says Dr. Thiru.
“By this time, treatment options are limited. The best way to help someone with CKD currently is by putting them on regular dialysis treatment. The other option is doing a kidney transplant, but that too brings with it its own set of issues, not the least being the limited amount of donor kidneys available compared to the sheer number of kidney patients. So for most kidney patients, dialysis is the only available option.”
However, Dr. Thiru explains that due to the increase in the number of patients with CKD, there is a need for more dialysis facilities as well as qualified personnel to conduct dialysis treatment for patients. To address this need, NKF began the Post Basic Haemodialysis (PBHD) Nursing Programme in its training centre in 2005 to create more qualified nurses to work with dialysis units and patients.
“This programme began as an internal programme in NKF as an in-house training programme to train internal nurses as we were expanding and opening more centres. These trained nurses would then be stationed at these various centres run by NKF to conduct professional dialysis treatment,” said Dr. Thiru.
“However, around 2009, with the boom of dialysis centres being set up around the country, we were getting requests from the Ministry of Health as well as various private organizations and companies to train qualified and professional nurses for dialysis. It was then that the decision was made to take the PBHD programme external,” he explains.
Last year, NKF received full accreditation for the PBHD programme by the Malaysian Qualifications Agency (MQA) as well as full recognition by the Malaysian government. The six-month-long PBHD programme is open to nurses who have completed their three-year basic nursing programme and two years working experience as a staff nurse, out of which three months have to be in a dialysis unit.
Student nurses will get to receive practical training as well as receive attachments in various government hospitals and dialysis centres in the Klang Valley to gain hands-on real-world experience. Towards the end of the programme, student nurses will be given an exam which is conducted by in-house tutors and external examiners, following which they will be issued a certificate if successful.
NKF has invested to provide a wide range of facilities for the students of the PBHD Nursing Programme so that they will get the most out of their learning experience. These facilities that support teaching-learning activities include a computer lab, a mock ward and skill lab, online nursing journals, additional renal-focused books for the library and an additional lecture hall fully equipped with audiovisual equipment. NKF Training Centre has also completed a curriculum review which incorporates Core Sciences such as Basic Medical Sciences, Behavioural Sciences, and Nursing Sciences.
This year, NKF hopes to conduct two intakes for the PBHD programme, taking in about 20 nurses per intake. However, Dr. Thiru explains that plans are already underway to increase both the number of intakes per year, as well as the number of nurses per intake.
“We see this as a necessity because the PBHD programme is an effective way to meet the urgent requirement for professional, effective and most importantly, available treatment for the rising number of kidney patients. The numbers aren’t going down and while demand is high. At NKF, we do all we can – the PBHD programme is just one of many – to cope with the rising demand.”
“The Ministry of Health too also does its part by providing subsidies for organizations that carry out dialysis, such as NKF. They also have a special programme for the hardcore poor who can’t afford treatment. In this regard, NKF works together with the MOH by subsidizing RM100 for each treatment. The cost of dialysis treatment at NKF is around RM150 per treatment,” said Dr. Thiru.
However, he stresses that the most effective way to ultimately combat the issue of the rising numbers of patients with CKD is by increasing public awareness and education.
“While the government and authorities such as NKF do all we can. This issue needs to be nipped in the bud. As they say, prevention is better than cure – and this could not be truer here. A healthy and balanced diet, combined with regular exercise is the best way to keep kidney disease at bay. Diabetics, especially need to be extra cautious, as diabetes has been found to be the most common cause of kidney disease in Malaysia,” advises Dr. Thiru.
-Malaysia World News