Preparing Patients for Peritoneal Dialysis

Autor: Wai Ling Chu, Tze Hoi Kwan, Yiu Wing Ho, M.K.F. Lee, Suk Yi Ng, Yuk Yee Cheng, Wai Kei Lo
Rok vydání: 2008
Předmět:
Zdroj: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis. 28:69-71
ISSN: 1718-4304
0896-8608
DOI: 10.1177/089686080802803s14
Popis: When told of their need for dialysis, patients often cannot accept it and are fearful toward dialysis. Pre-dialysis counseling programs help patients to face dialysis, to make the right choice of dialysis modality, and to prepare themselves for life on dialysis. Clear explanations of peritoneal dialysis (PD) help patients choosing PD. Patients should be referred to pre-dialysis programs at least 4 – 6 months before commencement of dialysis or when their glomerular filtration rate is around 15 mL/min/1.73 m2. The pre-dialysis program is best conducted by experienced staff such as renal nurses and multidisciplinary staff including nephrologists, dietitians, physiotherapists, psychologists, social workers, or even dialysis patient representatives depending on availability. The program should be designed according to the culture, settings, staff availability, and patient load in individual hospitals. Pre-dialysis home visits may be needed in some cases to assess suitability and prepare the home for PD.
Databáze: OpenAIRE