Use of a Peritoneal Dialysis Remote Monitoring System in India

Nayak, Aditi; Karopadi, Akash Nayak; Antony, Sinoj; Sreepada, Subhramanyam; Nayak, K.S.

doi:10.3747/pdi.2011.00124

Cited by 44 publications

(63 citation statements)

References 11 publications

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“…The success of a PD service programme depends on many factors that are interlinked and inseparable from one another (Moraes et al 2009;Nayak et al 2012). Nayak (2007) has defined a dozen key points for a successful programme including patient selection, personnel management, product selection, PD prescription and pharmacotherapy, protein calorie intake, patient on line support, peritonitis, exit-site infection and other complication, preservation or renal function, physiotherapy and rehabilitation, purse management of patients, post-graduation fellowship and academic activities.…”

Section: Quality Improvement In a Pd Unitmentioning

confidence: 99%

Improving the Quality of a Peritoneal Dialysis Service: Learning From Experience

Kazancıoğlu

2013

Journal of Renal Care

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SUMMARY Background Different trends in peritoneal dialysis (PD) utilisation are observed all over the world. The primary aim of all of these dialysis programmes is to provide a quality service to the patients, which depends in part in careful planning of the structure and organisation of the dialysis unit. Aim The aim of this paper is to review the available literature on the development and evaluation of PD programmes and to provide recommendations about how to start a new PD unit. Findings The essentials of a quality PD service are pre‐dialysis education and timely start on dialysis, adequate training for the physicians and nurses, full support from complementary disciplines, effective programme size and continuous quality improvement strategies. Those working in PD should make maximum use of limited resources to improve their dialysis programme penetration as well as clinical outcomes.

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Section: Quality Improvement In a Pd Unitmentioning

confidence: 99%

Improving the Quality of a Peritoneal Dialysis Service: Learning From Experience

Kazancıoğlu

2013

Journal of Renal Care

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“…Moreover, home dialysis patients today may have access to their own electronic personal health records (39) and, thus, potentially have more involvement in their own care. These newer technologies can be used for guidance and troubleshooting, allowing, for example, a PD patient who lives far away from the unit to attach a photo of a questionable PD catheter exit site or a suspiciously cloudy PD drain bag to an e-mail or text message so that these photos can be reviewed by the PD nurse and nephrologist and a plan for treatment made, avoiding unnecessary travel for the patient (40). Communication is vital for the safety and general wellbeing of PD patients.…”

Section: Safety and Communicationmentioning

confidence: 99%

A Syllabus for Teaching Peritoneal Dialysis to Patients and Caregivers

et al. 2016

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ISPD GUIDELINES/RECOMMENDATIONSBeing aware of controversies and lack of evidence in peritoneal dialysis (PD) training, the Nursing Liaison Committee of the International Society for Peritoneal Dialysis (ISPD) has undertaken a review of PD training programs around the world in order to develop a syllabus for PD training. This syllabus has been developed to help PD nurses train patients and caregivers based on a consensus of training program reviews, utilizing current theories and principles of adult education. It is designed as a 5-day program of about 3 hours per day, but both duration and content may be adjusted based on the learner. After completion of our proposed PD training syllabus, the PD nurse will have provided education to a patient and/or caregiver such that the patient/caregiver has the required knowledge, skills and abilities to perform PD at home safely and effectively. The course may also be modified to move some topics to additional training times in the early weeks after the initial sessions. Extra time may be needed to introduce other concepts, such as the renal diet or healthy lifestyle, or to arrange meetings with other healthcare professionals. The syllabus includes a checklist for PD patient assessment and another for PD training. Further research will be needed to evaluate the effect of training using this syllabus, based on patient and nurse satisfaction as well as on infection rates and longevity of PD as a treatment. . Based on the principles of adult learning, these guidelines established a broad description of a course and a set of proposals to aid the teacher/nurse (hereafter called the PD nurse). The committee currently believes that, while the recommendations are still relevant and agree with current teaching practices in PD clinics, there is a need for a more comprehensive course to guide PD nurses.The 2006 Guidelines tried to answer some questions that arise when talking about PD training: Who should be the trainer? Who is the learner? What should be taught? Where should the training occur? What should be the duration of training? How should the patient be taught? However, many of these questions remain unanswered. A search in PubMed using the words "training," "patient education," "peritoneal dialysis," and "peritonitis" found only 17 articles published in the last 5 years, and most of these were about infection prevention. Only 4 were published in the last 12 months. Of these 1 article was a narrative review of the literature of educational interventions in PD which concluded that the topic remained an under-studied aspect of PD (2); another looked at the impact of training hours on infection and suggested a minimum of 15 hours training, to be done before catheter implantation or more than 10 days after (3), and the remaining 2 looked at preventing PD infections (4,5). One further observational study, by Firanek et al., analyzing best practices for nurse-led PD training programs for patients on automated peritoneal dialysis (APD) in the United States, stated that best practices...

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“…Their data supports the utility of these systems, especially for the elderly and handicapped patients due to the ability to reduce visits to the outpatient clinic. Nayak et al [7] have also developed a cellular phone-based system that was useful in caring for PD patients with excellent results in patients in very remote locations.…”

Section: Discussionmentioning

confidence: 99%

“…For instance, there have been remote software systems developed by Baxter® and Fresenius® for automated PD patients but the application to continuous ambulatory PD and the use of real-time monitoring are lacking [4,5]. There have also been platforms that involve remote monitoring via cellular phone data uploads along with vital sign remote monitoring [6,7]. However, there is no currently available telemedicine platform that allows for monitoring of exchanges, vital signs, medications, and laboratory values, as well as real-time monitoring.…”

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confidence: 99%

The Use of a Tablet Computer Platform to Optimize the Care of Patients Receiving Peritoneal Dialysis: A Pilot Study

et al. 2014

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Background: Peritoneal dialysis (PD) affords patients increased independence and improved quality of life. However, the lack of more frequent monitoring may compromise outcomes and decrease wider uptake of this modality. This study uses a novel tablet computer-based interface to allow real-time monitoring and two-way communication to better link PD patients with a dialysis center and care providers. Methods: A tablet computer with an application that allows enhanced monitoring of all aspects of PD was given to patients to assess their usage in a pilot trial. The interface allows patients to review sterility techniques, enter vital signs and exchange data, upload media such as photos and video clips, synchronize data to be viewed by medical staff, and allow real-time adjustments to the PD prescription. Satisfaction with the interface and comments for enhancement were analyzed using a simple self-administered questionnaire. Results: Six continuous ambulatory PD patients were enrolled in this pilot study. A total number of 1,172 exchanges were recorded over a period of 251 days. Compliance with the applications ranged from 51 to 92%. No major adverse events were recorded. The overall impression of the interface was 5.2 out of 10. The major criticism was that the application needs to be adjusted depending upon the experience level of the patient and that data entry needs to be simplified and automated. Conclusion: A tablet computer platform is a feasible concept for continuous ambulatory PD. The major components include flexibility, advanced infrastructure, two-way communication, and real-time interaction. This may encourage more patients to take up PD as their preferred modality of therapy for end-stage renal disease. Modifications to enhance use will be incorporated in subsequent versions.

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Use of a Peritoneal Dialysis Remote Monitoring System in India

Cited by 44 publications

References 11 publications

Improving the Quality of a Peritoneal Dialysis Service: Learning From Experience

Improving the Quality of a Peritoneal Dialysis Service: Learning From Experience

A Syllabus for Teaching Peritoneal Dialysis to Patients and Caregivers

The Use of a Tablet Computer Platform to Optimize the Care of Patients Receiving Peritoneal Dialysis: A Pilot Study

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