Hemodialysis Home Training Manual for Experiment in End-Stage Renal Disease

摘要

The hemodialysis training manual was prepared by System Sciences, Inc., under contract to the Health Care Financing Administration. The manual was compiled from the combined resources of the 15 dialysis facilities participaing in the Paid Aide Demonstration to establish minimum training requirements. The curriculum is designed to be taught as a four-week (five day per week) program. Three major categories are addressed in the curriculum: patient and self-care information, vascular access and care, and the machine and related procedures. Protocols for home training and home supervision are included. The objectives and philosophy of self-care dialysis are stressed and include increasing the patient's rehabilitation potential and responsibility for his/her own dialysis. Sample dialysis procedures are included which are divided into components of initiation, monitoring, and termination activities. Sample examinations, flow sheets, teaching checklists, safety checklists, and home visit forms are included as an appendix.