| Theme | Integration of Nursing Task on the Times of High Technology | |
|---|---|---|
| Title | Improvement of CAPD exchange system and nursing -- utilization of APD and QOL | |
| Publish Date | 1999/10 | |
| Author | Yukiko Watanabe | Department of Nursing, Okayama Saiseikai General Hospital |
| Author | Hiroko Mikami | Department of Nursing, Okayama Saiseikai General Hospital |
| Author | Makoto Hiramatsu | Department of Nephrology, Okayama Saiseikai General Hospital |
| [ Summary ] | The number of CAPD patients requiring nursing care from their families, because they could not take care of themselves, due to complications associated with aging, has increased recently. We examined one case in which an APD system was used, along with CAPD, to reduce the burden on the nursing family and considered the efficacy of this treatment. The patient was a seventy one-year-old male, using CAPD for treatment of diabetes mellitus. The decrease of appendicular myodynamia and the reduction of visual acuity, caused by diabetic complications, made it impossible for him to change bags. Moreover, the loss of ultrafiltration made it necessary for his wife to change bags six times per day. The utilization of the APD system, along with CAPD, could reduce the burden on the nursing provider, not only from a psychological standpoint, but also in terms of time required for patient care for ultrafiltration and uremic solute clearance. There are two major purpose for utilization of an APD system. The first is the lifestyle benefits. The second is the prevention of problems associated with dialysis, such as inadequate ultrafiltration or uremic solute clearance, inadequate control of calcium or phosphorus, back pain, peritonitis, etc. From the observations made in this case we concluded that the utilization of APD systems may reduce stress related nursing and improve overall QOL. |
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