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Effectiveness of home visits to pediatric peritoneal dialysis patients

Eileen N Ellis1, Christine Blaszak, Sherida Wright

  • 1Department of Pediatrics, University of Arkansas for Medical Sciences, 1 Children's Way, Little Rock, AR 72205, USA. elliseileenn@uams.edu

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|October 4, 2011
PubMed

Insights

Home visits by nurses improve clinical care for pediatric patients on continuous cycling peritoneal dialysis (PD). These visits identify key findings and may reduce peritonitis rates, offering a cost-effective approach to home dialysis support.

Area of Science:

  • Nephrology
  • Pediatric Care
  • Home Healthcare

Background:

  • Home visits are crucial for patients on home dialysis but their effectiveness is under-reported.
  • Continuous cycling peritoneal dialysis (PD) requires ongoing patient support and monitoring.
  • Pediatric patients on home PD present unique challenges in care management.

Purpose of the Study:

  • To evaluate the effectiveness and clinical impact of home visits by trained nurses for pediatric patients undergoing continuous cycling PD.
  • To assess the types of findings identified during home visits and their impact on patient care.
  • To determine the cost-effectiveness of home visits compared to potential complications like peritonitis.

Main Methods:

  • Retrospective review of home visits conducted by a dialysis nurse for 22 pediatric PD patients.
  • Analysis of dialysis and medication findings identified during home visits.
  • Review of interdisciplinary team recommendations and impact on patient care and training.

Main Results:

  • An average of 1.5 dialysis and 1 medication finding per visit was documented.
  • Peritonitis rates showed a declining trend in the 6 months post-initiation of the home visit program (though not statistically significant).
  • The cost of a home visit was found to be less than the cost of treating one episode of peritonitis.

Conclusions:

  • Home visits by trained dialysis nurses are valuable for enhancing clinical care in pediatric patients on home PD.
  • The program identified significant clinical and medication-related findings, informing patient management.
  • Home visits represent a cost-effective strategy for improving outcomes in home dialysis care.

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