Debra Castner has worked in nephrology nursing for 45 years as an RN and NP with a focus on chronic kidney disease, dialysis, transplant, including palliative/end of life care, and disease management. She has numerous peer-reviewed journal articles and book contributions and is recognized as a local and national speaker. Debra has served as a volunteer for ANNA as a board member and on numerous committees. She has developed staff and patient educational programs for the acute care, insurance provider, and office setting.