6 Month Experience with 1 Nurse Training 2 Patients Together for Nightly Home Hemodialysis
Identifieur interne : 001450 ( Istex/Corpus ); précédent : 001449; suivant : 0014516 Month Experience with 1 Nurse Training 2 Patients Together for Nightly Home Hemodialysis
Auteurs : M. F. Pipkin ; R. S. Lockridge ; M. O. Spencer ; V. W. Craft ; D. L. CampbellSource :
- Hemodialysis International [ 1492-7535 ] ; 2004-01.
Abstract
Objective: To have 1 nurse successfully train 2 patients at a time for nightly home hemodialysis (NHHD) within a 7–10 week time period. Methods: Over the past 6 years, Lynchburg Nephrology Dialysis Inc. has evolved its NHHD program from 1 nurse training 1 patient during an average 6 week period to training 2 patients in a 7–10 week period. Patients came either from our in‐center population or directly from internal medicine. Our pre‐evaluation procedures and manual were revised. Patients were pre‐evaluated for literacy, manual dexterity, strength, hearing and visual deficits, substance abuse, psychiatric disorders, and compliance before being accepted into the program. A home visit was made to evaluate their environment, family interactions, and water source. Our training manual was rewritten to fifth grade level. Every patient was given index cards printed in 20 size font with step‐by‐step procedures for machine setup, put‐on and takeoff, re‐circulation, and power failure. Patients were dialyzed 4 days/week to improve cognitive function and ‘dialyzed the bucket’ 1 day, thus training 5 days/week. One nurse trained 2 patients, staggering their start dates 2 weeks apart to allow for both individual and group teaching. Fistula or IJ catheter was used for access. Patients were trained alone or with a partner. In the last week of training, patients were dialyzed for 7 h and were expected to complete all procedures independently. Results: From March 2003 to August 2003, 6 patients were trained for NHHD. 2 patients finished training in 7 weeks, 2 in 9 weeks, and 2 in 10 weeks. Conclusion: One nurse can successfully train 2 patients at a time for NHHD in a 7–10 week time period at a decreased cost to dialysis provider.
Url:
DOI: 10.1111/j.1492-7535.2004.0085bn.x
Links to Exploration step
ISTEX:004FA0E1DC165FB03F2D291749EF2AC8C931C761Le document en format XML
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Spencer</name><affiliation><mods:affiliation>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Craft, V W" sort="Craft, V W" uniqKey="Craft V" first="V. W." last="Craft">V. W. Craft</name><affiliation><mods:affiliation>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Campbell, D L" sort="Campbell, D L" uniqKey="Campbell D" first="D. L." last="Campbell">D. L. 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Pipkin</name><affiliation><mods:affiliation>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Lockridge, R S" sort="Lockridge, R S" uniqKey="Lockridge R" first="R. S." last="Lockridge">R. S. Lockridge</name><affiliation><mods:affiliation>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Spencer, M O" sort="Spencer, M O" uniqKey="Spencer M" first="M. O." last="Spencer">M. O. Spencer</name><affiliation><mods:affiliation>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Craft, V W" sort="Craft, V W" uniqKey="Craft V" first="V. W." last="Craft">V. W. Craft</name><affiliation><mods:affiliation>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Campbell, D L" sort="Campbell, D L" uniqKey="Campbell D" first="D. L." last="Campbell">D. L. Campbell</name><affiliation><mods:affiliation>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Hemodialysis International</title><title level="j" type="alt">HEMODIALYSIS INTERNATIONAL</title><idno type="ISSN">1492-7535</idno><idno type="eISSN">1542-4758</idno><imprint><biblScope unit="vol">8</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="103">103</biblScope><biblScope unit="page" to="103">103</biblScope><biblScope unit="page-count">100</biblScope><publisher>Blackwell Science Inc</publisher><pubPlace>Oxford, UK; Malden, USA</pubPlace><date type="published" when="2004-01">2004-01</date></imprint><idno type="ISSN">1492-7535</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1492-7535</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: To have 1 nurse successfully train 2 patients at a time for nightly home hemodialysis (NHHD) within a 7–10 week time period. Methods: Over the past 6 years, Lynchburg Nephrology Dialysis Inc. has evolved its NHHD program from 1 nurse training 1 patient during an average 6 week period to training 2 patients in a 7–10 week period. Patients came either from our in‐center population or directly from internal medicine. Our pre‐evaluation procedures and manual were revised. Patients were pre‐evaluated for literacy, manual dexterity, strength, hearing and visual deficits, substance abuse, psychiatric disorders, and compliance before being accepted into the program. A home visit was made to evaluate their environment, family interactions, and water source. Our training manual was rewritten to fifth grade level. Every patient was given index cards printed in 20 size font with step‐by‐step procedures for machine setup, put‐on and takeoff, re‐circulation, and power failure. Patients were dialyzed 4 days/week to improve cognitive function and ‘dialyzed the bucket’ 1 day, thus training 5 days/week. One nurse trained 2 patients, staggering their start dates 2 weeks apart to allow for both individual and group teaching. Fistula or IJ catheter was used for access. Patients were trained alone or with a partner. In the last week of training, patients were dialyzed for 7 h and were expected to complete all procedures independently. Results: From March 2003 to August 2003, 6 patients were trained for NHHD. 2 patients finished training in 7 weeks, 2 in 9 weeks, and 2 in 10 weeks. Conclusion: One nurse can successfully train 2 patients at a time for NHHD in a 7–10 week time period at a decreased cost to dialysis provider.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>hemodialysis</json:string><json:string>international society</json:string><json:string>annual dialysis conference</json:string><json:string>renal</json:string><json:string>nephrology</json:string><json:string>fistula</json:string><json:string>hemodialysis patient</json:string><json:string>dialyzer</json:string><json:string>heparin</json:string><json:string>dialysate</json:string><json:string>datum</json:string><json:string>urea</json:string><json:string>online</json:string><json:string>venous</json:string><json:string>esrd</json:string><json:string>creatinine</json:string><json:string>hemodialysis hemodialysis 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Pipkin</name><affiliations><json:string>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</json:string></affiliations></json:item><json:item><name>R.S. Lockridge</name><affiliations><json:string>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</json:string></affiliations></json:item><json:item><name>M.O. Spencer</name><affiliations><json:string>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</json:string></affiliations></json:item><json:item><name>V.W. Craft</name><affiliations><json:string>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</json:string></affiliations></json:item><json:item><name>D.L. Campbell</name><affiliations><json:string>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</json:string></affiliations></json:item></author><articleId><json:string>HDI085BN</json:string></articleId><arkIstex>ark:/67375/WNG-VK7L2V4M-W</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>abstract</json:string></originalGenre><abstract>Objective: To have 1 nurse successfully train 2 patients at a time for nightly home hemodialysis (NHHD) within a 7–10 week time period. Methods: Over the past 6 years, Lynchburg Nephrology Dialysis Inc. has evolved its NHHD program from 1 nurse training 1 patient during an average 6 week period to training 2 patients in a 7–10 week period. Patients came either from our in‐center population or directly from internal medicine. Our pre‐evaluation procedures and manual were revised. Patients were pre‐evaluated for literacy, manual dexterity, strength, hearing and visual deficits, substance abuse, psychiatric disorders, and compliance before being accepted into the program. A home visit was made to evaluate their environment, family interactions, and water source. Our training manual was rewritten to fifth grade level. Every patient was given index cards printed in 20 size font with step‐by‐step procedures for machine setup, put‐on and takeoff, re‐circulation, and power failure. Patients were dialyzed 4 days/week to improve cognitive function and ‘dialyzed the bucket’ 1 day, thus training 5 days/week. One nurse trained 2 patients, staggering their start dates 2 weeks apart to allow for both individual and group teaching. Fistula or IJ catheter was used for access. Patients were trained alone or with a partner. In the last week of training, patients were dialyzed for 7 h and were expected to complete all procedures independently. Results: From March 2003 to August 2003, 6 patients were trained for NHHD. 2 patients finished training in 7 weeks, 2 in 9 weeks, and 2 in 10 weeks. Conclusion: One nurse can successfully train 2 patients at a time for NHHD in a 7–10 week time period at a decreased cost to dialysis provider.</abstract><qualityIndicators><refBibsNative>false</refBibsNative><abstractWordCount>278</abstractWordCount><abstractCharCount>1744</abstractCharCount><keywordCount>0</keywordCount><score>10</score><pdfWordCount>24342</pdfWordCount><pdfCharCount>151874</pdfCharCount><pdfVersion>1.4</pdfVersion><pdfPageCount>33</pdfPageCount><pdfPageSize>595 x 782 pts</pdfPageSize><pdfWordsPerPage>738</pdfWordsPerPage><pdfText>true</pdfText></qualityIndicators><title>6 Month Experience with 1 Nurse Training 2 Patients Together for Nightly Home Hemodialysis</title><genre><json:string>abstract</json:string></genre><host><title>Hemodialysis International</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1542-4758</json:string></doi><issn><json:string>1492-7535</json:string></issn><eissn><json:string>1542-4758</json:string></eissn><publisherId><json:string>HDI</json:string></publisherId><volume>8</volume><issue>1</issue><pages><first>103</first><last>103</last><total>100</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>8/1/03</json:string><json:string>2/8/03</json:string><json:string>between May 2002 and September 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Chiang</json:string><json:string>Factor</json:string></persName><placeName><json:string>TX</json:string><json:string>U.S.</json:string><json:string>Menlo Park</json:string><json:string>Leiden</json:string><json:string>IL</json:string><json:string>MS</json:string><json:string>Utrecht</json:string><json:string>Terashima</json:string><json:string>Ankara</json:string><json:string>Columbia</json:string><json:string>Germany</json:string><json:string>Greece</json:string><json:string>Shreveport</json:string><json:string>Mineshima</json:string><json:string>Edmonton</json:string><json:string>NY</json:string><json:string>Dallas</json:string><json:string>Bangladesh</json:string><json:string>Korea</json:string><json:string>Seoul</json:string><json:string>Brazil</json:string><json:string>Spokane</json:string><json:string>Albany</json:string><json:string>Dhaka</json:string><json:string>Turkey</json:string><json:string>Richmond</json:string><json:string>Matsushima</json:string><json:string>Taiwan</json:string><json:string>Canada</json:string><json:string>LA</json:string><json:string>VA</json:string><json:string>Lynchburg</json:string><json:string>American</json:string><json:string>Madrid</json:string><json:string>HEL</json:string><json:string>Lincolnshire</json:string><json:string>U.S.</json:string><json:string>Kazakhstan</json:string><json:string>Seattle</json:string><json:string>MO</json:string><json:string>Jackson</json:string><json:string>China</json:string><json:string>Bulgaria</json:string><json:string>Toronto</json:string><json:string>Galveston</json:string><json:string>Japan</json:string><json:string>Strasbourg</json:string><json:string>America</json:string><json:string>Nigeria</json:string><json:string>Brussels</json:string><json:string>EPS</json:string><json:string>Tokyo</json:string><json:string>Chicago</json:string><json:string>CA</json:string><json:string>Palm Beach</json:string><json:string>U.S.</json:string><json:string>Saint Michael</json:string><json:string>France</json:string><json:string>Essen</json:string><json:string>WA</json:string><json:string>Cleveland</json:string><json:string>Spain</json:string><json:string>Lyon</json:string><json:string>Belgium</json:string><json:string>OH</json:string><json:string>Netherlands</json:string><json:string>Osaka</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>second session, 4390</json:string><json:string>April 2001</json:string><json:string>second session, 6167</json:string><json:string>third session, 4775</json:string><json:string>Devereaux et al.</json:string><json:string>first session, 4477</json:string><json:string>third session, 5178</json:string><json:string>second session, 4167</json:string><json:string>first session, 5443</json:string><json:string>first session, 4633</json:string><json:string>third session, 5078</json:string><json:string>March 2003</json:string><json:string>September 1997</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-VK7L2V4M-W</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - urology & nephrology</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - urology & nephrology</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Nephrology</json:string><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Hematology</json:string></scopus><inist><json:string>1 - sciences appliquees, technologies et medecines</json:string><json:string>2 - sciences biologiques et medicales</json:string><json:string>3 - sciences medicales</json:string></inist></categories><publicationDate>2004</publicationDate><copyrightDate>2004</copyrightDate><doi><json:string>10.1111/j.1492-7535.2004.0085bn.x</json:string></doi><id>004FA0E1DC165FB03F2D291749EF2AC8C931C761</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-VK7L2V4M-W/fulltext.pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-VK7L2V4M-W/bundle.zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/ark:/67375/WNG-VK7L2V4M-W/fulltext.tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">6 Month Experience with 1 Nurse Training 2 Patients Together for Nightly Home Hemodialysis</title><title level="a" type="short">Abstracts</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Science Inc</publisher><pubPlace>Oxford, UK; Malden, USA</pubPlace><date type="published" when="2004-01"></date></publicationStmt><notesStmt><note type="content-type" subtype="abstract" source="abstract" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-HPN7T1Q2-R">abstract</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="abstract"><analytic><title level="a" type="main">6 Month Experience with 1 Nurse Training 2 Patients Together for Nightly Home Hemodialysis</title><title level="a" type="short">Abstracts</title><author xml:id="author-0000"><persName><forename type="first">M.F.</forename><surname>Pipkin</surname></persName><affiliation><address><addrLine>Lynchburg Nephrology Dialysis Inc.</addrLine><addrLine>Lynchburg, VA, U.S.A.</addrLine></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">R.S.</forename><surname>Lockridge</surname></persName><affiliation><address><addrLine>Lynchburg Nephrology Dialysis Inc.</addrLine><addrLine>Lynchburg, VA, U.S.A.</addrLine></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">M.O.</forename><surname>Spencer</surname></persName><affiliation><address><addrLine>Lynchburg Nephrology Dialysis Inc.</addrLine><addrLine>Lynchburg, VA, U.S.A.</addrLine></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">V.W.</forename><surname>Craft</surname></persName><affiliation><address><addrLine>Lynchburg Nephrology Dialysis Inc.</addrLine><addrLine>Lynchburg, VA, U.S.A.</addrLine></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">D.L.</forename><surname>Campbell</surname></persName><affiliation><address><addrLine>Lynchburg Nephrology Dialysis Inc.</addrLine><addrLine>Lynchburg, VA, U.S.A.</addrLine></address></affiliation></author><idno type="istex">004FA0E1DC165FB03F2D291749EF2AC8C931C761</idno><idno type="ark">ark:/67375/WNG-VK7L2V4M-W</idno><idno type="DOI">10.1111/j.1492-7535.2004.0085bn.x</idno><idno type="unit">HDI085BN</idno><idno type="toTypesetVersion">file:HDI.HDI085BN.pdf</idno></analytic><monogr><title level="j" type="main">Hemodialysis International</title><title level="j" type="alt">HEMODIALYSIS INTERNATIONAL</title><idno type="pISSN">1492-7535</idno><idno type="eISSN">1542-4758</idno><idno type="book-DOI">10.1111/(ISSN)1542-4758</idno><idno type="book-part-DOI">10.1111/hdi.2004.8.issue-1</idno><idno type="product">HDI</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">8</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="103">103</biblScope><biblScope unit="page" to="103">103</biblScope><biblScope unit="page-count">100</biblScope><publisher>Blackwell Science Inc</publisher><pubPlace>Oxford, UK; 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Our training manual was rewritten to fifth grade level. Every patient was given index cards printed in 20 size font with step‐by‐step procedures for machine setup, put‐on and takeoff, re‐circulation, and power failure. Patients were dialyzed 4 days/week to improve cognitive function and ‘dialyzed the bucket’ 1 day, thus training 5 days/week. One nurse trained 2 patients, staggering their start dates 2 weeks apart to allow for both individual and group teaching. Fistula or IJ catheter was used for access. Patients were trained alone or with a partner. In the last week of training, patients were dialyzed for 7 h and were expected to complete all procedures independently.</p><p><hi rend="bold">Results: </hi> From March 2003 to August 2003, 6 patients were trained for NHHD. 2 patients finished training in 7 weeks, 2 in 9 weeks, and 2 in 10 weeks.</p><p><hi rend="bold">Conclusion: </hi> One nurse can successfully train 2 patients at a time for NHHD in a 7–10 week time period at a decreased cost to dialysis provider.</p></abstract><textClass><keywords rend="tocHeading1"><term>Hemodialysis Abstracts from the 24th Annual Dialysis Conference</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc><revisionDesc><change when="2019-12-20" who="#istex" xml:id="pub2tei">formatting</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-VK7L2V4M-W/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley component found"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Science Inc</publisherName><publisherLoc>Oxford, UK; 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Patients came either from our in‐center population or directly from internal medicine. Our pre‐evaluation procedures and manual were revised. Patients were pre‐evaluated for literacy, manual dexterity, strength, hearing and visual deficits, substance abuse, psychiatric disorders, and compliance before being accepted into the program. A home visit was made to evaluate their environment, family interactions, and water source. Our training manual was rewritten to fifth grade level. Every patient was given index cards printed in 20 size font with step‐by‐step procedures for machine setup, put‐on and takeoff, re‐circulation, and power failure. Patients were dialyzed 4 days/week to improve cognitive function and ‘dialyzed the bucket’ 1 day, thus training 5 days/week. One nurse trained 2 patients, staggering their start dates 2 weeks apart to allow for both individual and group teaching. Fistula or IJ catheter was used for access. Patients were trained alone or with a partner. In the last week of training, patients were dialyzed for 7 h and were expected to complete all procedures independently.</p><p><b>Results: </b> From March 2003 to August 2003, 6 patients were trained for NHHD. 2 patients finished training in 7 weeks, 2 in 9 weeks, and 2 in 10 weeks.</p><p><b>Conclusion: </b> One nurse can successfully train 2 patients at a time for NHHD in a 7–10 week time period at a decreased cost to dialysis provider.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>6 Month Experience with 1 Nurse Training 2 Patients Together for Nightly Home Hemodialysis</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Abstracts</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>6 Month Experience with 1 Nurse Training 2 Patients Together for Nightly Home Hemodialysis</title></titleInfo><name type="personal"><namePart type="given">M.F.</namePart><namePart type="family">Pipkin</namePart><affiliation>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">R.S.</namePart><namePart type="family">Lockridge</namePart><affiliation>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M.O.</namePart><namePart type="family">Spencer</namePart><affiliation>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">V.W.</namePart><namePart type="family">Craft</namePart><affiliation>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">D.L.</namePart><namePart type="family">Campbell</namePart><affiliation>Lynchburg Nephrology Dialysis Inc., Lynchburg, VA, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="abstract" displayLabel="abstract" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-HPN7T1Q2-R">abstract</genre><originInfo><publisher>Blackwell Science Inc</publisher><place><placeTerm type="text">Oxford, UK; Malden, USA</placeTerm></place><dateIssued encoding="w3cdtf">2004-01</dateIssued><copyrightDate encoding="w3cdtf">2004</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">0</extent><extent unit="formulas">0</extent><extent unit="references">0</extent><extent unit="linksCrossRef">0</extent><extent unit="words">0</extent></physicalDescription><abstract lang="en">Objective: To have 1 nurse successfully train 2 patients at a time for nightly home hemodialysis (NHHD) within a 7–10 week time period. Methods: Over the past 6 years, Lynchburg Nephrology Dialysis Inc. has evolved its NHHD program from 1 nurse training 1 patient during an average 6 week period to training 2 patients in a 7–10 week period. Patients came either from our in‐center population or directly from internal medicine. Our pre‐evaluation procedures and manual were revised. Patients were pre‐evaluated for literacy, manual dexterity, strength, hearing and visual deficits, substance abuse, psychiatric disorders, and compliance before being accepted into the program. A home visit was made to evaluate their environment, family interactions, and water source. Our training manual was rewritten to fifth grade level. Every patient was given index cards printed in 20 size font with step‐by‐step procedures for machine setup, put‐on and takeoff, re‐circulation, and power failure. Patients were dialyzed 4 days/week to improve cognitive function and ‘dialyzed the bucket’ 1 day, thus training 5 days/week. One nurse trained 2 patients, staggering their start dates 2 weeks apart to allow for both individual and group teaching. Fistula or IJ catheter was used for access. Patients were trained alone or with a partner. In the last week of training, patients were dialyzed for 7 h and were expected to complete all procedures independently. Results: From March 2003 to August 2003, 6 patients were trained for NHHD. 2 patients finished training in 7 weeks, 2 in 9 weeks, and 2 in 10 weeks. 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All rights reserved.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Converted from (version ) to MODS version 3.6.</recordOrigin><recordCreationDate encoding="w3cdtf">2019-11-14</recordCreationDate></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-VK7L2V4M-W/record.json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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