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The Importance of Patient Training in Home Hemodialysis

C. R. BLAGG, M.D., M.R.C.P.; S. M. DALY, R.N.; B. J. ROSENQUIST, R.N.; W. M. JENSEN; and J. W. ESCHBACH, M.D., F.A.C.P.
Ann Intern Med. 1970;73(5):841-847. doi:10.7326/0003-4819-73-5-841
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Important factors in the successful training of home hemodialysis patients, based on experience in training more than 80 patients, are discussed. A competent, confident, and thorough approach to patient training by the staff is required to instill self-confidence and independence in the patient. This is best achieved if the home training unit is physically separate from an acute or in-center chronic dialysis facility. Monitored equipment that can be understood and easily maintained by the patient and the means to manipulate his own cannulas are important in achieving self-dialysis. Treatment should begin before disability develops from uremic complications. Home training can then be started and the patient returned to his occupation with a minimum of time lost from his job. The role of nurse, technician, and physician in patient training and the organization of a training program are discussed.

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