Related Experiment Video
Updated: Aug 15, 2026
08:50
Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
A pre-training assessment tool for home dialysis (JPAT)
1Renal Unit, Liverpool Health service, Australia. Josephine.chow@swsahs.nsw.gov.au
EDTNA/ERCA Journal (English Ed.)
|August 9, 2005
Summary
A new tool, the Jo-Pre-training Assessment Tool (JPAT) version 2.1, reliably screens end-stage renal disease patients for home dialysis suitability. It identifies individuals best equipped to manage home dialysis programs.
Area of Science:
- Nephrology
- Medical Assessment Tools
Background:
- Home dialysis offers benefits for end-stage renal disease (ESRD) patients.
- Accurate patient selection is crucial for successful home dialysis program outcomes.
Purpose of the Study:
- To develop and validate the Jo-Pre-training Assessment Tool (JPAT) version 2.1.
- To assess JPAT's reliability in identifying suitable candidates for home dialysis.
Main Methods:
- JPAT version 2.1, a 38-item interview questionnaire, was developed and tested in Sydney hospitals.
- The tool assesses six domains: physical stability, nutrition, communication, self-care, psychological state, and social support.
- Patient interviews incorporated the Medical Outcomes Study Short-Form 36-Item Health Survey (SF-36).
Main Results:
- JPAT version 2.1 demonstrated sufficient reliability as a screening instrument.
- The tool effectively distinguishes candidates with a higher likelihood of succeeding in home dialysis.
Conclusions:
- JPAT version 2.1 is a reliable tool for assessing end-stage renal disease patients.
- The assessment tool aids in selecting patients most likely to thrive in a home dialysis setting.
Related Concept Videos
01:25Assessment of apical radial pulse
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
01:15Dialysis
Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
01:27Dialysis
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
01:25Hemodialysis I: Introduction
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
01:24Hemodialysis II: Procedure and Complications
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
01:25Hemodialysis III: Nursing Management
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...