Physicians are more likely to initiate the conversation regarding home therapies in an environment where access to Options classes and training are available.
Pre-dialysis education occurs primarily through Options classes. In this setting, with easy access to education and an infrastructure for convenient training in home therapies, it is not surprising that the majority of patients were informed about home therapies prior to starting dialysis, thus confirming the premise of this approach.
The majority of patients attend the Options classes at WellBound, but alternative classes in the community are available, indicating that pre-dialysis education is embraced as an effective means to provide comprehensive education.
This was achieved through a plan that included education sessions for hemodialysis nurses, 'options classes
' for the chronic renal insufficiency patients and a more formalized referral process to identify potential patients.
Beyond the foundation of talent for all, the options classes also aim for authentic learning opportunities, again advocated by Renzulli (2002).
The options classes met for 1 hour a week over 10 weeks at the school.
At present, the ISE offers options trading on the most actively traded options on the most actively traded options classes
. Trading on the new automated market provides members with several benefits, including significantly reduced costs, rapid and accurate order executions and a mechanism to protect customer orders from automatically trading at prices inferior to those available on other options markets.