Systems to cultivate suitable patients for home dialysis.
The key to developing, initiating, and maintaining a strong home dialysis program is a fundamental commitment by the entire team to identify and cultivate patients who are suitable candidates to perform home dialysis. This process must start as early as possible in the disease trajectory, and must include a passionate and daily focus by physicians, nurses, social workers, and other members of the multidisciplinary team. This effort must be constant and sustained over months, with active promotion of home dialysis for suitable patients at every opportunity. Cultivation of suitable patients must become a defining and overarching mission for the entire program. This article reviews some of the components involved in this worthwhile effort and provides practical tips and links to resources.
Renal Department, Hawke's Bay District Health Board, Hastings, New Zealand; School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
Rachael C
RC
Walker
Christopher R
CR
Blagg
David C
DC
Mendelssohn
D003695:Delivery of Health Care / Q000379:methods / Q000458:organization & administration / Q000592:standards; D006437:Hemodialysis, Home / Q000379:methods / Q000592:standards / Q000639:trends; D006801:Humans
Dialysis; home dialysis; patients; renal replacement therapies