End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face visits by a physician or o
CPT4 code
Name of the Procedure:
End-stage Renal Disease (ESRD) Related Services Monthly for Patients 12-19 Years of Age
Summary
This procedure involves comprehensive care services for adolescents between the ages of 12 and 19 who are suffering from End-stage Renal Disease (ESRD). It includes monitoring nutritional adequacy, assessing growth and development, and counseling parents, with 2-3 face-to-face visits each month by a physician or qualified healthcare provider.
Purpose
The purpose of these monthly services is to manage ESRD in adolescents effectively. The goals include ensuring they receive proper nutrition, monitoring their growth and development, and providing support and education to their parents. These measures aim to improve the patient's quality of life and health outcomes.
Indications
These services are indicated for adolescents aged 12-19 years who have been diagnosed with End-stage Renal Disease. Factors that make this procedure appropriate include:
- A confirmed diagnosis of ESRD
- Need for ongoing nutritional and developmental monitoring
- Requirement for professional counseling and parental guidance
Preparation
No specific pre-procedure instructions are typically required for ongoing monthly monitoring. However, patients may need:
- Regular blood and urine tests
- A detailed health history review
- Medication adjustments based on individual needs
Procedure Description
- Initial Assessment: A comprehensive evaluation of the patient's current health status, including nutrition, growth, and development.
- Nutritional Monitoring: Regular checks to ensure the patient receives adequate nutrition tailored to their specific needs.
- Growth and Development Assessment: Measuring physical growth parameters and developmental milestones to ensure the patient is on track.
- Counseling Sessions: Providing guidance and education to the patient's parents to support home care practices and coping strategies.
- Face-to-Face Visits: Conducting 2-3 in-person visits each month with a physician or qualified healthcare provider to monitor progress and adjust care plans as needed.
Duration
Each face-to-face visit typically takes about 30-60 minutes, with the entire monthly management spread across 2-3 sessions.
Setting
These services are usually performed in an outpatient clinic or a specialized nephrology center.
Personnel
The care team typically includes:
- Physicians (Pediatric Nephrologists)
- Nurses specialized in nephrology
- Dietitians
- Social workers and counselors
Risks and Complications
Common risks include:
- Potential for missed growth or developmental milestones
- Nutritional deficiencies if diet is not appropriately managed Rare complications may involve:
- Adverse reactions to medications
- Psychological stress for both patient and parents
Benefits
The primary benefits include:
- Improved management of ESRD symptoms
- Enhanced growth and development tracking
- Better nutritional status
- Increased parental knowledge and support
- Patients and parents can begin to see improvements in health and well-being within a few months of consistent monitoring.
Recovery
As this is an ongoing monitoring process rather than a single procedure, there isn't a traditional recovery period. Patients will have continued follow-ups and consistent adjustments to their treatment plan to manage their condition effectively.
Alternatives
Other treatment options may include:
- Home-based monitoring with periodic clinic visits
- Dialysis-specific nutritional and growth monitoring programs
- Inpatient care for severe cases Alternatives might provide more flexibility or intensive management, but they may not offer the same level of comprehensive care and support.
Patient Experience
Patients might experience:
- Routine physical assessments during visits
- Discussions about their health and lifestyle with the healthcare team
- Emotional and psychological support from counselors Pain and discomfort are generally minimal and may arise mainly from blood tests. Comfort measures include:
- A supportive healthcare environment
- Counseling and emotional support
- Clear communication and education tailored to the patient and family.