Donna's renal dietitian experience in hemodialysis clinics revealed the need for more innovative educational tools. Over the years she developed and field tested a variety of activities to help educate and motivate her dialysis patients to adhere to their strict regimen. Success was measured by improved lab values, patient acceptance and improved morale within the clinic.

She was encouraged to make her creative educational tools available to all renal professionals. This resulted in the publication of two books and a variety of useful visuals and games.