Name of the Procedure:

Dialysis Training, Patient (including Helper where applicable), Any Mode, Course Not Completed, Per Training Session

Summary

Dialysis training is an educational session designed to teach patients and their helpers (if applicable) how to perform dialysis treatments. This training can cover various modes of dialysis, such as hemodialysis and peritoneal dialysis. Each session is designed to build the patient's confidence and ability to manage their dialysis independently.

Purpose

Dialysis training aims to prepare patients and their helpers to safely and effectively perform dialysis at home or in another non-clinical setting. This training is crucial for patients with chronic kidney disease who need regular dialysis treatments to remove waste products and excess fluids from their blood.

Indications

• Patients diagnosed with end-stage renal disease (ESRD) or chronic kidney disease (CKD) who require dialysis.
• Patients opting for home dialysis rather than in-center dialysis.
• Patients with a reliable support system or helper willing to assist with the dialysis process.

Preparation

• Obtain medical clearance from the patient's nephrologist.
• Ensure the patient and helper (if applicable) have completed initial assessments to determine suitability for home dialysis.
• Schedule sessions in advance, often requiring a series of multiple training sessions.

Procedure Description

1. Introduction: Review of dialysis basics and importance of treatment.
2. Equipment Familiarization: Detailed overview of dialysis machine components and supplies.
3. Preparation: Step-by-step instructions to prepare the dialysis machine, solution, and site for treatment.
4. Connection: Guidance on how to connect tubing and needles/catheters properly.
5. Monitoring: Training on how to monitor vitals and machine readings during dialysis.
6. Disconnection and Clean-up: Instructions on safely disconnecting and cleaning all equipment post-dialysis.
7. Emergency Protocols: Education on how to handle possible emergencies or complications.

Tools and Equipment:

• Dialysis machine (hemodialysis or peritoneal dialysis devices)
• Dialysis supplies (tubing, needles, catheters)
• Safety and hygiene materials (gloves, disinfectants)

Anesthesia or Sedation:

• Generally not required for training sessions.

Duration

Each training session typically lasts 2-4 hours, depending on the mode of dialysis and the patient's learning pace. Multiple sessions are usually required.

Setting

• Hospital-based dialysis training centers.
• Outpatient clinics.

Personnel

• Nephrologist
• Dialysis Nurse or Trainer
• Patient and Helper (if applicable)

Risks and Complications

• Infection at the dialysis access site.
• Incorrect machine setup leading to treatment inefficacy.
• Emergency situations like clotting or air embolism during dialysis.

Benefits

• Empowering patients to manage their dialysis independently.
• Potential for a more flexible lifestyle compared to in-center dialysis.
• Reduced frequency of hospital visits.

Recovery

• Ongoing learning and practice at home post-training.
• Regular follow-up appointments to monitor proficiency and health status.
• Continuous support from healthcare providers.

Alternatives

• In-center hemodialysis, conducted in a clinical setting.
• Assisted home dialysis with regular professional supervision.
• Kidney transplant, if eligible and available.

Pros and Cons:

• Pros of Home Dialysis Training: Greater flexibility, control over treatment schedule, and potential improvement in quality of life.
• Cons: Initial learning curve, risk of complications, and requirement for a reliable support system.

Patient Experience

During the training, patients might feel overwhelmed initially due to the complexity of the process. However, thorough guidance and repetition are provided to alleviate anxiety. Pain management includes addressing potential discomfort from needle insertion or catheter use. Ongoing support and reinforcement are critical for ensuring patient confidence and competence in performing self-dialysis.