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Teaching CAPD to the visually impaired

M Boyer1, L Lepage-Sabourin, F Poirier

  • 1Ottawa General Hospital, Regional Home Dialysis Unit, Ontario.

Le Journal CANNT = CANNT Journal : the Journal of the Canadian Association of Nephrology Nurses and Technicians
|May 16, 1998
PubMed
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Visually impaired patients can successfully perform continuous ambulatory peritoneal dialysis (CAPD) exchanges independently. This nursing practice change improved patient outcomes and quality of life for home dialysis patients.

Area of Science:

  • Nephrology
  • Nursing Practice
  • Assistive Technology

Background:

  • Continuous ambulatory peritoneal dialysis (CAPD) is increasingly common, presenting unique challenges for home dialysis units.
  • Training visually impaired patients for CAPD requires specialized approaches to ensure safety and efficacy.
  • Existing protocols may not adequately address the needs of visually impaired individuals undergoing home dialysis.

Purpose of the Study:

  • To describe a novel nursing practice for training visually impaired patients in CAPD.
  • To evaluate the feasibility and outcomes of independent CAPD exchanges for visually impaired individuals.
  • To assess the impact of this training on patient safety, dialysis adequacy, and lifestyle.

Main Methods:

  • Implemented a modified nursing training protocol for visually impaired CAPD patients.

Related Experiment Videos

  • Utilized a disconnect system to facilitate safe and independent CAPD exchanges.
  • Trained five visually impaired patients without the need for a caregiver.
  • Monitored peritonitis rates, dialysis adequacy, and patient-reported lifestyle factors.

    • Main Results:

    • Successfully trained five visually impaired patients to perform CAPD independently.
    • Achieved positive patient outcomes regarding peritonitis rates and dialysis adequacy.
    • Observed improvements in lifestyle considerations for the visually impaired CAPD population.
    • Demonstrated the efficacy of specialized training and assistive devices.

    Conclusions:

    • Visually impaired patients can be effectively trained to perform CAPD exchanges independently.
    • This adapted nursing practice enhances self-care capabilities and quality of life for home dialysis patients.
    • The use of disconnect systems and tailored training is crucial for successful visually impaired CAPD management.