Related Experiment Videos
Daily hemodialysis: a nursing perspective.
M Ouwendyk1, R Leitch, T Freitas
1Fresenius Medical Care, London, Ontario, Canada. michaelene@sympatico.ca
Advances in Renal Replacement Therapy
|October 11, 2001
Summary
Daily hemodialysis (DHD), including short daily (SDHD) and nocturnal (NHD) options, offers flexible treatment schedules for patients. This approach can be readily integrated into existing home hemodialysis programs with minimal adjustments.
Area of Science:
- Nephrology and Dialysis Therapy
- Renal Replacement Therapy Management
Background:
- Daily hemodialysis (DHD) encompasses short daily hemodialysis (SDHD) and nocturnal hemodialysis (NHD), varying in duration and frequency.
- Patient selection for DHD considers communication ability and comorbid conditions.
- Vascular access options include central venous catheters (CVCs), arteriovenous fistulas, and synthetic grafts, with limited data on graft use.
Purpose of the Study:
- To discuss nursing issues related to daily hemodialysis therapies.
- To provide information for incorporating DHD into existing programs.
Main Methods:
- Review of existing literature and practices for daily hemodialysis.
- Analysis of patient selection criteria and vascular access methods.
- Examination of adaptations for in-center and home-based DHD.
Main Results:
- Few modifications are needed to implement DHD in an in-center setting.
- Home-based DHD requires adaptable training and scheduling strategies.
- DHD can be easily integrated into current home hemodialysis programs.
Conclusions:
- Daily hemodialysis is a feasible and adaptable treatment modality.
- Nursing considerations for DHD are important for successful implementation.
- Integration of DHD into home programs is straightforward and efficient.