| Theme | From the point of view of individualization and standardization -- New role of nursing and diversification of renal replacement therapy | |
|---|---|---|
| Title | Individualized nursing for renal replacement therapy | |
| Publish Date | 2014/03 | |
| Author | Taeko Itaya | Department of Nursing, Kita-asaka Station Clinic |
| Author | Daisuke Takada | Department of Nephrology, Kita-asaka Station Clinic |
| [ Summary ] | Choosing renal replacement therapy or renal transplantation, hemodialysis (HD)， or peritoneal dialysis (PD) patients important issues concerning predialysis chronic kidney disease patients. Recently, nurse-provided renal replacement therapy has become an option for outpatients. Nurses in charge of predialysis chronic kidney disease patients are required to help patients make decisions about selecting optimal forms of renal replacement therapy. Choices must be made to provide guidance related to prevention of complications and inhibiting disease progression. However, there is a significant difference in the number of HD and PD patients in Japan. It is necessary to fully describe both the advantages and disadvantages of renal replacement therapy to patients. In facilities not providing PD, introducing other facilities which provide PD for patients is required to help them make optimal decisions. |
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