Taking the first step together

When 45-year-old Mr Thomas Tan was first diagnosed with kidney failure last year, he was at a loss as to what his next step should be. He wanted to research his treatment options and choose one that would not affect his job. However, delaying treatment could worsen his condition. Now, thanks to NKF’s education counselling programme “Know Right, Start Right”, Mr Tan was able to make a decision quickly. He chose peritoneal dialysis (PD) where he carries out self-treatment at home instead of going to a dialysis centre and is able to keep to his full-time job. Mr Tan is one of 79 patients who have benefited from the programme since it was introduced last year.

Previously, I wasn’t sure which dialysis treatment wouldn’t disrupt my full-time job. After hearing my concern at the pre-dialysis talk, I was introduced to home-based peritoneal dialysis treatment which I can do overnight.

Mr Thomas Tan who benefited from the programme


The programme, launched at NKF’s Kidney Care Conference on 25 May 2019, is a collaboration between NKF and Khoo Teck Puat Hospital. It involves pre-dialysis talks in the hospital, home visits and peer support groups. It aimed to equip patients with adequate knowledge of the disease, treatment process and dialysis management, and address psychosocial anxiety as early as possible so that patients do not delay treatment. Patients often do not want to decide their treatment plan due to factors such as social influences, limited health literacy, socio-demographics and the need for autonomy.