PDI 2009 ISDP LAC
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Perit Dial Int 28(Supplement_3): 69-71 2008
© 2008 International Society for Peritoneal Dialysis
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Part 3: Education Programs in PD

PREPARING PATIENTS FOR PERITONEAL DIALYSIS

Wai Kei Lo1, Tze Hoi Kwan2, Yiu Wing Ho3, Maggie Lee2, Yuk Yee Cheng3, Suk Yi Ng1 and Wai Ling Chu1

1 Tung Wah Hospital,2 Tuen Mun Hospital,3 and United Christian Hospital, Hong Kong SAR, PR China

Correspondence to: Wai Kei Lo, Department of Medicine, Tung Wah Hospital, 12 Po Yan Street, Hong Kong SAR, PR China.
wkloc{at}hkucc.hku.hk

When told of their need for dialysis, patients often cannot accept it and are fearful toward dialysis. Pre-dialysis counseling programs help patients to face dialysis, to make the right choice of dialysis modality, and to prepare themselves for life on dialysis. Clear explanations of peritoneal dialysis (PD) help patients choosing PD. Patients should be referred to pre-dialysis programs at least 4 - 6 months before commencement of dialysis or when their glomerular filtration rate is around 15 mL/min/1.73 m2. The pre-dialysis program is best conducted by experienced staff such as renal nurses and multidisciplinary staff including nephrologists, dietitians, physiotherapists, psychologists, social workers, or even dialysis patient representatives depending on availability. The program should be designed according to the culture, settings, staff availability, and patient load in individual hospitals. Pre-dialysis home visits may be needed in some cases to assess suitability and prepare the home for PD.

KEY WORDS: Preparation; pre-dialysis program; counseling.






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