Nursing Care for Peritoneal Dialysis Singapore
Besides hemodialysis, peritoneal dialysis is another method in which the patient’s inside lining of the abdomen called peritoneum, is used to filter the wastes. Then a cleansing fluid called dialysate is used to wash off the filtered waste inside the abdomen. It is used among patients with kidney or renal failure as well.
In patients undergoing peritoneal dialysis, a tube is placed inside the abdomen. The dialysate is infused inside the abdomen specifically at peritoneum. After the therapy, the waste content will also drain through the tube.
Types of Peritoneal DialysisSeveral services, support and resources are available for a patient with kidney disease. Specifically, under the main category of peritoneal dialysis are two types which can improve the health of the patient. The first one is Continuous Ambulatory Peritoneal dialysis (CAPD) while the other one is Automated Peritoneal dialysis (APD). In CAPD, there is no machine. The patient will put the dialysate into the tube and drain it in the drainage bag. The patient can do it everywhere whether at home or at work. There is no need to go to the hospital to register or place a medical appointment. The next type is APD in which the difference is only a machine does the infusion and draining of the dialysate. Both types of peritoneal dialysis have several advantages such as lesser medicine plus less load in the heart and kidneys.
Nursing Care PlanA patient for peritoneal dialysis requires for a close look-up from nurses most especially when being done for the first time. To start with, a prospective patient must be prepared for a surgery for the insertion of tubing into the peritoneum. Once done, the nursing staff can contact and connect link with the HD unit for the initial management of the peritoneal dialysis. Depending on the clinical assessment of the Nephrologist, he will order the type of peritoneal dialysis for the patient. The HD nurse must assess the readiness sign of the patient for learning. So if the patient is ready, the nurse can teach the DO’s and DON’T’s of peritoneal dialysis until the patient can do it on full blast or independently.
ConclusionCaring for a patient with peritoneal dialysis requires full knowledge about the process itself. The service of the nurse can also be asked for home care until the patient is ready to do it by his or her own account. Interested parties can search for this service across online data, news or archive.
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