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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 1 مورد
نسخه الکترونیک
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Weekly education and training for home hemodialysis

Weekly education and training for home hemodialysis
Week of training Learning objectives Training content
Week 1
  • Understand concepts regarding HD
  • Perform self-examination
  • Learn basics of infection control
  • Learn about nutrition on home dialysis
  • Basics of HD concepts, physiology, and circuit
  • General operations of the dialysis unit
  • How to check one's own blood pressure and weight
  • Basics of dialysis access anatomy, examination, and care
  • Introduction to the dialysis manual and staff (whom and when to contact)
  • Dialysis dietary review
Week 2
  • Set up the HD machine for dialysis with and without the help of the dialysis manual
  • Interactive teaching with the trainer on setting up the dialysis machine
  • Supervised set up of the dialysis machine by the patient
  • Interpretation of vital signs
Week 3
  • Set up HD (including other aspects such as self-cannulation) and learn to troubleshoot alarms
  • Equipment preparation using aseptic technique
  • Self-cannulation basics
  • Disconnect procedure
  • Alarms management
Week 4
  • Become proficient in self-cannulation
  • Learn to manage complications
  • Learn about water management
  • Proficiency training in self-cannulation (patient-paced, may need additional time)
  • Recirculation procedure
  • Reinforcement of alarms management
  • Description of potential complications with an outlined action plan
  • Basics of water management
Week 5
  • Perform the entire home HD procedure with and without supervision
  • Performance of dialysis in the presence of the nurse
  • Once deemed ready by the nurse, performance of dialysis independently (in the absence of the nurse)
Week 6 to 8
  • Confirm patient independence and ensure safety
  • Formally begin home HD
  • Independent performance of dialysis in the dialysis unit (until ready for home HD)
  • Simulated scenarios to challenge patient's understanding of alarm management and complications
  • Medication self-administration
  • Collection of one's own labs
HD: hemodialysis.
Adapted from: Rioux J-P, Faratro R, Chan CT. Nocturnal home hemodialysis: Implementation, quality assurance and future challenges. Minerva Urol Nefrol 2010; 62:103.
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