The team approach to the management of children on chronic peritoneal dialysis.
The diagnosis of chronic renal failure has a profound and lasting impact on a child and family, with the potential for impairment of the child's physical, mental, and social development. To achieve an ideal outcome, the peritoneal dialysis (PD) team must focus on preparing the child and family to perform home dialysis, prescribe the dialysis regimen most compatible with the patient's lifestyle and clearance requirements, ensure optimal nutrition, and facilitate psychosocial adaptation to PD. Close follow-up is essential for early detection, prevention, and treatment of potential complications of dialysis. A multidisciplinary team approach encompassing nursing, medicine, nutrition, and social work best suits the needs of the child and family.
Harvey
E
E
Division of Nephrology, Hospital for Sick Children, University of Toronto, Canada.
Secker
D
D
Braj
B
B
Picone
G
G
Balfe
J W
JW
D002648:Child; D002664:Child Nutritional Physiological Phenomena; D015510:Clinical Medicine; D006701:Home Nursing; D006801:Humans; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects / Q000451:nursing* / Q000523:psychology; D012947:Social Work