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Related Concept Videos

Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

55
Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
55
Peritoneal Dialysis III: Nursing Management01:25

Peritoneal Dialysis III: Nursing Management

45
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
45
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

41
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
41
Dialysis01:27

Dialysis

357
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...
357
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

54
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...
54
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

49
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...
49

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Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
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Delivering Person-Centered Peritoneal Dialysis.

Richard W Corbett1, Hannah Beckwith2, Gaetano Lucisano1

  • 1Renal and Transplant Centre, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom.

Clinical Journal of the American Society of Nephrology : CJASN
|August 23, 2023
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Summary

Peritoneal dialysis (PD) offers home-based therapy and greater patient autonomy. Addressing the treatment burden through person-centered care and shared decision-making is crucial for enhancing patient well-being and life participation.

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Area of Science:

  • Nephrology
  • Patient Care

Background:

  • Peritoneal dialysis (PD) provides home-based therapy, increasing patient autonomy and satisfaction compared to in-center dialysis.
  • Despite benefits, PD treatment burden necessitates a shift towards person-centered care, respecting patients' needs and preferences beyond medical aspects.

Conclusions:

  • Delivering person-centered care in PD requires treating patients as individuals and equal partners.
  • Integrating patient-related outcomes and shared decision-making is vital for optimizing PD therapy and patient life participation.