Breaking Barriers: How Terry Litchfield is Fighting to Improve Care for CKD and PAD Patients

Individuals with Chronic Kidney Disease (CKD) have an increased risk of developing limb-threatening plaque build-up in their leg arteries that restricts blood flow, a disorder known as peripheral artery disease (PAD). That’s why Terry Litchfield, who fought alongside her husband Bill who was a dialysis dependent CKD patient for more than 50 years, is sinking her teeth into prevention efforts and advances in treatment for those with advanced disease that tends to settle in the calf and foot arteries, which are tougher to tackle. She joins hosts Kym McNicholas and Dr. John Phillips on this week’s Episode of The Heart of Innovation in talking about gaps in care for CKD and PAD patients and innovative ways in which sees care evolving to help patients live a longer, healthier life. Terry has dedicated her life to advocacy, turning her passion into her profession as President of Access
Solutions, which offers patient Advocacy consulting services related to the renal dialysis field. She’s also an author and expert in patient engagement and satisfaction.

Introduction to Chronic Kidney Disease (CKD)

Chronic Kidney Disease (CKD) is a condition characterized by the gradual loss of kidney function over time. It affects millions of people worldwide and is a major public health concern. The kidneys play a crucial role in filtering waste products from the blood and maintaining the body’s fluid balance. When the kidneys are damaged, waste products can build up in the blood, leading to various complications. CKD is often silent in its early stages, with symptoms becoming apparent only in later stages. Common symptoms include fatigue, swollen ankles, and changes in urination patterns.

Introduction to Peripheral Artery Disease (PAD)

Peripheral Artery Disease (PAD) is a common circulatory condition that affects the blood vessels outside the heart and brain. It occurs when fatty deposits, known as plaque, accumulate in the arteries, leading to reduced blood flow to the limbs. PAD primarily affects the legs and can cause pain, numbness, and difficulty walking. If left untreated, it can progress to critical limb ischemia, a condition characterized by severe pain and non-healing wounds.

The Link Between CKD and PAD

Numerous studies have shown a strong association between CKD and PAD. Both conditions share common risk factors, such as diabetes, high blood pressure, and smoking. In CKD, reduced kidney function can lead to a buildup of toxins in the blood, causing inflammation and damage to the blood vessels. This vascular damage, combined with the existing risk factors, increases the likelihood of developing PAD.

Risk Factors for CKD and PAD

Prevention and early detection are crucial in managing CKD and PAD. Understanding the risk factors can help individuals take proactive steps towards prevention. The primary risk factors for CKD include diabetes, high blood pressure, obesity, and a family history of kidney disease. On the other hand, risk factors for PAD include smoking, diabetes, high blood pressure, high cholesterol, and a sedentary lifestyle. It is important to address these risk factors through lifestyle modifications and regular medical check-ups.

Prevention Strategies for CKD and PAD

Preventing CKD and PAD involves adopting a healthy lifestyle and managing the underlying risk factors. A balanced diet low in sodium and saturated fats can help control blood pressure and manage weight. Regular exercise, such as walking or swimming, improves cardiovascular health and reduces the risk of both CKD and PAD. Avoiding tobacco and excessive alcohol consumption is also crucial in preventing these conditions.

Lifestyle Modifications for Managing CKD and PAD

For individuals already diagnosed with CKD or PAD, lifestyle modifications play a vital role in managing the conditions and preventing further complications. Following a kidney-friendly diet, which limits protein and phosphorus intake, can help slow the progression of CKD. Regular exercise, under the guidance of a healthcare professional, can improve blood flow and alleviate symptoms associated with PAD. Additionally, managing blood pressure, blood sugar, and cholesterol levels through medication and regular monitoring is essential.

Medical Treatments for CKD and PAD

Medical treatments for CKD and PAD are tailored to the individual’s specific needs and the severity of the conditions. Medications such as angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) are commonly prescribed to manage blood pressure and slow the progression of CKD. In PAD, medications like antiplatelet agents and cholesterol-lowering drugs may be prescribed to reduce the risk of blood clots and improve blood flow.

Surgical Interventions for CKD and PAD

In some cases, surgical interventions may be necessary to treat advanced CKD and PAD. Patients with end-stage kidney disease may require kidney transplantation or dialysis to replace the lost kidney function. In PAD, procedures like angioplasty and stenting can help restore blood flow to the affected limbs. In severe cases, bypass surgery may be performed to bypass the blocked arteries and improve blood supply.

Collaborative Care Approach for Patients with CKD and PAD

A collaborative care approach involving a multidisciplinary team of healthcare professionals is crucial in managing CKD and PAD effectively. This approach ensures that patients receive comprehensive care and support tailored to their specific needs. Nephrologists, vascular surgeons, dietitians, and physical therapists work together to provide holistic care, addressing both the kidney disease and peripheral artery disease aspects. Regular follow-ups and monitoring are important to track the progression of the conditions and make necessary adjustments to the treatment plan.

Importance of Early Detection and Management of CKD and PAD

Early detection and management of CKD and PAD are essential in preventing complications and improving patient outcomes. Understanding the link between these two conditions and addressing the shared risk factors can significantly reduce the burden of disease. By adopting a healthy lifestyle, managing underlying conditions, and seeking timely medical intervention, individuals can take control of their health and minimize the impact of CKD and PAD. Remember, prevention is always better than cure.

Learn More and Get Help

Listen to this episode of The Heart of Innovation to learn more about Terry Litchfield’s road to becoming a National Advocate for CKD and PAD, the impact she is having on policies to improve care, and what innovative treatment options she’s most excited about. To get help from advocates like Terry, go to www.thewaytomyheart.org.