The Japanese Journal of Clinical Dialysis Vol.30 No.14(4-1)

Theme Home dialysis 2014 -- HHD and PD
Title Training methods for home hemodialysis patients
Publish Date 2014/12
Author Yoshiko Miyashita Department of Nursing, Shinseikai Dai-ichi Hsopital
Author Yoshimi Sawamura HHD and CAPD Center, Shinseikai Dai-ichi Hsopital
[ Summary ] Medical treatment for individuals involved in home hemodialysis (HHD) include HHD training, which starts with interviews to determine acceptable patients. Educational guidance concerning the values of individuals is devised. Patients and their families must aim for technological skills acquisition while maintaining their motivation. With the sense of crisis having been eliminated because of safe HHD implementation, treatment methods must be guided by empirical models. HHD must be started by clarifying the technical problems experienced by patients and their families and repeatedly devising measures to ease those problems. Insufficient technology may be supplemented with continuing education and training. It is possible to shift to HHD by providing devices matched to individual patients and their families even when technological acquisition is not achieved.
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