| Theme | Home Hemodialysis | |
|---|---|---|
| Title | Low care dialysis and home hemodialysis in France | |
| Publish Date | 1998/06 | |
| Author | Jacques Chanliau | Association of Lorraine pour le Treatment del'Insuffisance Renale Center, Nancy |
| [ Summary ] | Autonomous dialysis, which has been in use in France since the late 1960's and is continuing to be developed, more often through self-care than home hemodialysis, reducing treatment costs while improving quality of care. If the patient well informed of the advantages, they are more likely to be persuaded to choose this mode of treatment which has only a few counter-indications. In France, every autonomous patient has their own personal dialysis generator, even those in self-care. In addition, the person who assists the patient treated at home(spouse) is financially compensated by the social security system, which also compensates them for the water and electricity used during treatment. The nursing team should have enough technical and pedagogical formation to help the patient choose autonomous dialysis. Training such a nurse takes an estimated two years. A trained nurse can not help more than two patients at once. The patient is quickly taught to not fear the vascular puncture and when this difficult step is overcome, the rest of the training(generator, security measures, emergency procedures) becomes easier. Technical installation at home is handled by technicians from the home dialysis organization. Disposable materials for dialysis are delivered regularly by the organization to the patient's home. Nursing, medical and technical support is available by phone at all times. The patient has a medical consultation every two months or whenever necessary. Autonomous dialysis requires a specialized and well-trained facility whose cost is largely compensated for by the savings brought about by this mode of dialysis and its advantages to the patient. |
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