| Theme | Innovation of Renal Replacement Therapy (RRT) -- What points should be changed ? | |
|---|---|---|
| Title | Home PD treatment | |
| Publish Date | 2008/06 | |
| Author | Mari Ishida | Kitasaito Hospital |
| [ Summary ] | Peritoneal dialysis (PD) makes it possible for elderly patients to live with dignity and to maintain their QOL with home medical treatment. Not only for younger patients who have jobs but also for the elderly who need care-givers to carry out their PD treatment, PD has many advantages. However, the number of patients receiving PD treatment is still low compared with the number of hemodialysis patients in Japan. To support home PD treatment for elderly patients, medical staffs must choose PD modalities. The use of double bag systems or APD (automated peritoneal dialysis) and low dose and low frequency dwell times, may help prevent exhaustion in patients and care-givers. The purpose of PD treatment is not only to maintain adequate QOL but to improve it. This is especially true for elderly patients. To provide patients with home PD treatment, integrated nursing care and, social care systems are required. The public health care insurance system for elderly PD patients continues to provide satisfactory help for home PD treatment. The proper social care environment for home PD treatment, as well as social welfare resources, including the public-care insurance system for patients and care-givers must be maintained. |
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