CONTINUOUS AMBULATORY PERITONEAL
DIALYSIS TRAINING PROGRAM
Continuous ambulatory peritoneal dialysis (CAPD) training programs have become fundamental patient education programs in renal centers providing peritoneal dialysis (PD) services. Health care and organizational issues
Multidisciplinary team approach
Pre-training patient assessment
Identify key learning objectives for patient training.
The essential elements of CAPD training are the training content and Schedule
Program set-up also includes establishing a back-up system and follow-up protocols, which are essential for continuity of care in renal patients. Outcomes such as rates of peritonitis and exit- site infection, unplanned readmission, and patient satisfaction are all important indicators when the results of CAPD training programs are reviewed. The development and successful implementation of a cost-effective CAPD training program has a significant impact on patient out- comes in the renal specialty.
Health Care and Organizational Issues:
The administrators should establish detailed;
Monitoring mechanisms to support the development plan.
Potential benefits of developing and implementing the CAPD training program Direct costs - refer to teaching, equipment, and materials directly associated with the actual education program. Indirect costs - include staff training, coordination of the program, administrative overhead, and program evaluation. Training can be conducted at a satellite dialysis or a training venue attached to a renal unit. Multidisciplinary Team Approach:
The multidisciplinary team approach in delivering care to CAPD patients is most desirable. The team includes renal physicians; Surgeons,
The team has a rehabilitative role and assists patients in maintaining optimal health. Renal physicians focus on treatment. Dietitians provide dietary advice to patients. Social workers assist patients with financial and social problems. Physiotherapists can design exercise programs for CAPD patients, and occupational therapists help patients in employment matters.
Patient education and psychosocial care are essential elements in the CAPD training program. Supportive counseling can be provided to patients and their families to facilitate adjustment to chronic illness, and to enhance acceptance of, and compliance with, CAPD treatment. Guidelines Recommended for a CAPD training program
Assess patients (needs, benefits, and feasibility of treatment) before admittance into the program.
• Train patient one-to-one. A designated nurse Should be responsible for the whole training pro- gram for an individual patient. Evaluate the patient before training to determine which system is appropriate for the patient. Ensure that all training equipment is on hand for patient training. Establish what to teach the patient, and communicate learning objectives to the patient. Develop a systematic CAPD training protocol.
Encourage all health care providers to use consistent terminology and procedures in patient
teaching. Teach for short periods of time, and ensure acceptance of new information. Set achievable goals. Achievable goals, together
with positive reinforcement for tasks well done, will
raise patient confidence. Keep a training checklist to ensure consistent
training. Be aware of obstacles that can reduce learning—
for example, the patient’s educational level, physical ability, emotional stability, social circumstances, and uremic condition. When appropriate, involve family members in CAPD training.
Implement a predialysis orientation program (desirable).
The CAPD Training Program: Patient training has five important elements:...
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