Peritoneal dialysis Unit

Description:

Peritoneal dialysis section is more like a foot clinic. There are no beds for patients in dialysis center. Medical and nursing measures for patients is performed as outpatient and short-term stop patients (depending on the type of work one hour maximum). Unlike a few hours of hem dialysis patients that the device is connected.

In peritoneal dialysis treatment of patients are continuous, therefore problems of this method is less. If a problem in peritoneal dialysis for patients occurs, the patient will be admitted according to physicians in nephrology. Peritoneal dialysis clinic Dr. Sheikh hospital has a room that is divided into two: the first part of the works and consultation with parents file cases, parents familiar with the method of peritoneal dialysis patients through educational booklet and educational CD (audio visual ). Part II is a medium room for practical training to parents of peritoneal dialysis patients, exchange connector, KTV and Checkup test catheter function and status of Exit Site and any action treatment and care for patients are taught in this section. Please note that the special characteristics of this method of treatment compliance of these conditions and social and occupational activities of patients, relatives of patients will have less visits with health centers and can do this at home, so it is a method has been considered desirable.

Activities:

Peritoneal dialysis clinic activities is done in stages based on priorities.

Step One: Nephrologists physicians refer patients to the clinic for peritoneal dialysis, family counseling and evaluation for CAPD nurse for an indication of social and economic health.

Patients are evaluated through various face to face interviews by medical doctor and CAPD nurse and evaluation of health care power for their children.

Audiovisual training of treatment for patients and to ensure the understanding of treatment and evaluation of the patient or the patient's guardian. After consultation with the patient 24 hours will be given to make their final decision.

Step two: In this stage, after acceptance for peritoneal dialysis patients, patients with a letter of introduction from a nephrologists physician surgeon will be introduced. Date of surgery is determined. All candidates for the patients a peritoneal dialysis catheter spiritual readiness information for patients will start gradually to the extent that it can reduce his anxiety, is given about the method of surgery, anesthesia, surgery care before and after surgery should also be given information describing according to the patient understand that all these actions are done by trained CAPD nurses in the operation room. A patient is transferred to the nephrology section and rest up to 24 hours after surgery and radiography KUB control (Photo standing status of abdominal catheter) will be taken before the release order of the surgeon.

Step Three: The patient on the third day after catheter for peritoneal dialysis should be referred to the clinic. All measures after a catheter and catheter Check up performance starts. on the third day training starts to parents and families depending on the education level, takes a week and during this period, patients complete specifications and Address will be given to Samen Serum Company and they will send consuming equipment and required solutions for dialysis patient home. All measures of nursing performance Checkup catheter, changing the dressing and all actions before and after the catheter is done by a CAPD nurse only.

Step Four: To do the necessary planning started dialysis and peritoneal dialysis patients and placing on the CAPD cycle at home. In this stage, the necessary planning clinic (the patient can refer to the clinic at any time) and monthly tests, check status for the plan for the Site Exit drug tests three months, exchange connector, test KT / V - PET and home visit is done.

Diagnosis - treatment activity:

After the patient activities such as diagnostic ultrasound with the diagnosis of kidney dialysis needs, look to in terms of activity and treatment of a suitable replacement therapy in patients with advanced renal failure are the physiological nature of this method peritoneal screen as Trava membrane in half and remove waste for exchange of basic principle and method of peritoneal dialysis. In total CRF patients who lose kidney function and require dialysis select depending on the patient, dialysis or peritoneal dialysis method.

All nursing efforts for the method of peritoneal dialysis like consultation, patients checkups , monitoring CAPD dialysis patient maintained by a trained nurse. CAPD peritoneal dialysis nurse pass at least three full and comprehensive training course in Tehran CAPD. These courses will be held by the Department of Tehran and treatment of specific diseases work. It should be mentioned that the CAPD nurses are on call 24 hours a day to deal with patient' difficulties. The most important and the risk of complications in peritoneal dialysis is infection, the section is in cooperation with the Infection Control Committee.

Equipment:

Peritoneal dialysis has a hospital room which is divided into two sub rooms. in the room I, where patients are New, Office equipment, refrigerators and teaching aids (TV device _ CD White range, special file dresser and educational booklet is located.

Room II: It is a Work room which has medical equipment ( emergency trolley, pharmaceutical help, divider, examination beds, serum stand and computer.

Faculty:

• Dr. Esmaeili
• Mrs. Nasser
• Dr. Ghane