Peritoneal dialysis is an alternative to hemodialysis that allows patients with kidney disease to be flexible and maintain a high quality of life during dialysis. Continuous ambulatory peritoneal dialysis (CAPD), intermittent peritoneal dialysis (IPD), and continuous cycling peritoneal dialysis (CCPD) are some of the options available for these patients, and while they are all different, they operate on the same premise. An indwelling catheter will be inserted into the peritoneum, and using aseptic technique, the indwelling catheter will be connected to a large dialysate bag. The fluid is then infused into the peritoneal cavity by machine or gravity. Through diffusion and osmosis, excess fluid and waste products enter the dialysate fluid and are removed from the body when the fluid is drained. The process involves a specific filling, residence and unloading time which overall is equivalent to an exchange. The choice of fluid type, treatment, and exchange time is based on the specific needs of the patient (Lippincott, Williams, & Wilkins, 2014). To be able to use this type of dialysis, the patient must not have extensive abdominal adhesions or multiple abdominal surgeries and must not have a cognitive deficit that would compromise his ability to perform the procedures necessary to carry out the treatment safely (Mendelssohn et al., 2009 ). The benefits of this dialysis method are numerous, but it also carries several serious risks, such as peritonitis, severe protein loss, fluid volume overload, catheter site infections, and abdominal hernias. A patient may not be able to completely avoid complications, but can significantly reduce the risk with proper training and use... half of paper ......13). Best available evidence for peritoneal dialysis catheter exit site care. Nephrology Nursing Journal, 63-68. Lippincott, Williams and Wilkins. (2013). Professional guide to diseases. Ambler, PA: Wolters Kluwer Health. Lippincott, Williams and Wilkins. (2014). Lippincott manual of nursing practice. Ambler, PA: Wolters Kluwer Health.Mendelssohn, D.C., Mujais, S.K., Soroka, S.D., Brouillette, J., Takano, T., Barre, P.E., . . . Finkelstein, F. O. (2009, August 28). A prospective evaluation of the eligibility of renal replacement therapy modality. Nephrological dialysis transplant, 555-561. doi:10.1093/ndt/gfn484Savas, O., Yucel, L., Guvenc, S., Ekiz, S., & Kazancioglu, R. (2009, September). Assessing and training patients about peritoneal dialysis in their own home can influence better practice. Journal of Renal Care, 35(3), 141-146. doi: http://splashurl.com/peeoxey
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