Treating chronic kidney disease, which can result from diabetes, high blood pressure and other causes, can involve dialysis and take over the life of a patient and his or her family. That is why at-risk people should be screened, says registered nurse Deb Polmanteer, chronic kidney disease coordinator for the Reach Kidney Care program in Central New York. She describes how this free program -- "Reach" stands for Real Engagement Achieving Complete Health -- helps patients get support and education to cope with the disease and avoid dialysis if possible.