How Poor Wound Healing is Directly Related to DaVita

DaVita is a leading provider of kidney care services in the U.S. and around the world. The company’s mission is to be the provider, partner, and employer of choice for people with kidney disease. DaVita offers various treatment options, including in-center hemodialysis, home hemodialysis, peritoneal dialysis, and integrated kidney care. However, DaVita also faces some challenges and risks, such as poor wound healing among its patients.

What is Poor Wound Healing?

Poor wound healing is a condition where a wound does not heal properly or takes longer than expected to heal. It can affect any type of wound, such as surgical incisions, ulcers, burns, cuts, or scrapes. Poor wound healing can lead to complications, such as infections, bleeding, scarring, pain, or loss of function.

What Causes Poor Wound Healing?

There are many factors that can cause or contribute to poor wound healing, such as:

  • Age: Older people tend to have slower wound healing due to reduced blood flow, lower collagen production, and weaker immune system.
  • Diabetes: People with diabetes have high blood sugar levels that can impair the function of white blood cells, which are essential for fighting infections and repairing tissues. Diabetes can also cause nerve damage and poor circulation, which can affect the sensation and blood supply to the wound site.
  • Kidney Disease: People with kidney disease have impaired kidney function that can affect the balance of fluids, electrolytes, and waste products in the body. Kidney disease can also cause anemia, which is a low level of red blood cells that carry oxygen to the tissues. These factors can impair the delivery of nutrients and oxygen to the wound site and slow down the healing process.
  • Medications: Some medications can interfere with wound healing by affecting blood clotting, inflammation, or immune response. For example, steroids can suppress the immune system and reduce inflammation, but they can also delay wound healing and increase the risk of infection.
  • Nutrition: Poor nutrition can affect wound healing by depriving the body of essential nutrients that are needed for tissue repair and regeneration. For example, protein is a key component of collagen, which is the main structural protein in the skin. A lack of protein can impair collagen synthesis and weaken the wound site.

DaVita provides dialysis services to people with kidney failure, which is a condition where the kidneys cannot filter enough waste products from the blood. Dialysis is a life-saving treatment that removes excess fluids and toxins from the body using a machine or a special fluid. However, dialysis also has some drawbacks and side effects that can affect wound healing.

One of the main challenges that DaVita faces is vascular access management. Vascular access is a way of connecting the patient’s bloodstream to the dialysis machine or fluid. There are three types of vascular access: arteriovenous (AV) fistula, AV graft, and central venous catheter (CVC).

An AV fistula is created by surgically connecting an artery and a vein in the arm or leg. An AV graft is similar to an AV fistula, but it uses a synthetic tube instead of a vein. A CVC is a thin tube that is inserted into a large vein in the neck, chest, or groin.

Each type of vascular access has its advantages and disadvantages. An AV fistula is considered the best option because it has lower infection rates and longer durability than other types. However, it also requires several weeks or months to mature before it can be used for dialysis. An AV graft has faster maturation time than an AV fistula, but it has higher infection rates and more frequent clotting problems than an AV fistula. A CVC has immediate availability for dialysis, but it has the highest infection rates and shortest durability among all types.

All types of vascular access require regular care and maintenance to prevent complications such as infection, bleeding, clotting, or stenosis (narrowing). These complications can impair blood flow to the dialysis machine or fluid and reduce the effectiveness of dialysis treatment. They can also cause poor wound healing at the vascular access site or elsewhere in the body due to reduced blood supply or increased inflammation.

Another challenge that DaVita faces is infection control. Infection is a major risk factor for poor wound healing because it can delay tissue repair and increase inflammation. Infection can also spread to other parts of the body and cause systemic complications such as sepsis (a life-threatening response to infection) or endocarditis (an infection of the heart valves).

DaVita patients are at higher risk of infection than the general population because of their compromised immune system, frequent exposure to medical devices and procedures, and coexisting conditions such as diabetes or vascular disease. DaVita has to follow strict protocols and guidelines to prevent and treat infections among its patients and staff. These include screening for infectious diseases, using sterile techniques and equipment, administering antibiotics and vaccines, and monitoring for signs and symptoms of infection.

How Can DaVita Improve Wound Healing Among Its Patients?

DaVita is committed to providing quality care and improving outcomes for its patients with kidney disease. DaVita has implemented several initiatives and programs to address the issue of poor wound healing among its patients, such as:

  • DaVita Vascular Access Management (DVAM): This is a comprehensive program that aims to optimize vascular access selection, placement, maturation, and maintenance for each patient. DVAM involves a multidisciplinary team of nephrologists, surgeons, nurses, technicians, and coordinators who work together to provide individualized care and education for each patient. DVAM also uses data-driven tools and metrics to monitor and improve vascular access performance and quality.
  • DaVita Infection Prevention (DIP): This is a program that focuses on preventing and reducing infections among DaVita patients and staff. DIP follows the recommendations of the Centers for Disease Control and Prevention (CDC) and other authorities to implement evidence-based practices and policies for infection control. DIP also conducts regular audits and feedback sessions to evaluate and improve infection prevention practices at each DaVita facility.
  • DaVita Wound Care Program (DWCP): This is a program that provides specialized wound care services to DaVita patients with chronic or complex wounds. DWCP involves a team of certified wound care specialists who assess, treat, and monitor each patient’s wound using advanced techniques and technologies. DWCP also educates patients and caregivers on wound care best practices and self-management strategies.


Poor wound healing is a serious problem that can affect the health and quality of life of people with kidney disease. DaVita is aware of this challenge and has taken steps to address it through its various programs and initiatives. By providing quality care and education to its patients, DaVita hopes to improve wound healing outcomes and reduce complications among its patients.

Doms Desk

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