title: A home visit program for CAPD.
abstract: In the U.K. in the last five years a reassessment of the central role of the hospital has taken place, with a fundamental shift in care for people with increased dependencies to community settings. For patients using peritoneal dialysis a need has been realized for a home-visiting service by specialist renal nurses who can manage and coordinate the program of care, thus reducing the strain on hospital resources. In addition, the provision of a community nurse to visit the patient at home means that ongoing education and training can be undertaken in a suitable learning environment. The home-visiting program creates an opportunity to develop an holistic care plan using strategies of general health promotion as well as practical nursing care. This paper highlights the experiences of a pioneering model of community continuous ambulatory peritoneal dialysis care in the South London. Auditing of this unusually funded post has shown significant reductions in peritonitis, exit-site infections, and hospital admissions in this growing patient population.
authors.affiliation: Wandsworth Community Health Trust, London, United Kingdom.
authors.forename: V
authors.initials: V
authors.lastname: Warmington
mesh_terms: D003152:Community Health Nursing; D006701:Home Nursing; D006801:Humans; D007676:Kidney Failure, Chronic / Q000451:nursing*; D010348:Patient Care Team; D010353:Patient Education as Topic; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000451:nursing*; D006113:United Kingdom