Peritoneal dialysis in the nursing home

Tao Wang, Sharron Izatt, Chris Dalglish, Sarbjit Vanita Jassal, Joanne Bargman, Stephen Vas, Effie Tziviskou, Dimitrios Oreopoulos

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: During the past few decades, the demographics of end stage renal disease have been changed significantly with the emerging predominance of elderly patients. Elderly dialysis patients are usually more dependent and may need long-term placement in a long-term care facility. Failure to meet the needs of these patients may have a significant impact on the peritoneal dialysis program. We report our experience of starting peritoneal dialysis program in a community-based Long Term Care Facility (LTCF). Methods: During the period of 2000-2001, after appropriate training of nursing home personnel, we admitted 8 peritoneal dialysis patients to one community-based nursing home. All information presented here has been collected through chart review. Results: At the time of admission the average age of the 8 patients was 77.3 ± 7.2 years (range 69 to 91 years). All patients had several comorbid diseases and six of the eight were bed-ridden. The patients stayed in the facility for a total of 29.57 patient months. One patient had three episodes of peritonitis within three months (all culture negative) and has been excluded from the analysis of the overall peritonitis rate. The peritonitis rate for the other seven patients was 1 per 7.54 patient month. Six patients were readmitted to hospital because of peritonitis [4], severe malnutrition [1] and hip fracture [1]. Four of them died in the hospital. One died in the nursing home. One patient remains in the nursing home at the present time. Conclusions: Our experience suggests that peritoneal dialysis can be achieved in a community-based nursing home. This requires a systematic training program for the LTCF personnel and the availability of a "dedicated" nephrology dialysis staff. This is crucial to the success of the program. It is important that patients, their families and ESRD care professionals are informed of the limited survival expectation particularly for very old and severely impaired patients.

Original languageEnglish
Pages (from-to)405-408
Number of pages4
JournalInternational Urology and Nephrology
Volume34
Issue number3
DOIs
Publication statusPublished - 2002

Fingerprint

Peritoneal Dialysis
Nursing Homes
Peritonitis
Long-Term Care
Chronic Kidney Failure
Dialysis
Nephrology
Hip Fractures
Malnutrition

Keywords

  • Nursing home
  • Peritoneal dialysis
  • Peritonitis

ASJC Scopus subject areas

  • Nephrology
  • Urology
  • Geriatrics and Gerontology

Cite this

Wang, T., Izatt, S., Dalglish, C., Jassal, S. V., Bargman, J., Vas, S., ... Oreopoulos, D. (2002). Peritoneal dialysis in the nursing home. International Urology and Nephrology, 34(3), 405-408. https://doi.org/10.1023/A:1024478523252

Peritoneal dialysis in the nursing home. / Wang, Tao; Izatt, Sharron; Dalglish, Chris; Jassal, Sarbjit Vanita; Bargman, Joanne; Vas, Stephen; Tziviskou, Effie; Oreopoulos, Dimitrios.

In: International Urology and Nephrology, Vol. 34, No. 3, 2002, p. 405-408.

Research output: Contribution to journalArticle

Wang, T, Izatt, S, Dalglish, C, Jassal, SV, Bargman, J, Vas, S, Tziviskou, E & Oreopoulos, D 2002, 'Peritoneal dialysis in the nursing home', International Urology and Nephrology, vol. 34, no. 3, pp. 405-408. https://doi.org/10.1023/A:1024478523252
Wang T, Izatt S, Dalglish C, Jassal SV, Bargman J, Vas S et al. Peritoneal dialysis in the nursing home. International Urology and Nephrology. 2002;34(3):405-408. https://doi.org/10.1023/A:1024478523252
Wang, Tao ; Izatt, Sharron ; Dalglish, Chris ; Jassal, Sarbjit Vanita ; Bargman, Joanne ; Vas, Stephen ; Tziviskou, Effie ; Oreopoulos, Dimitrios. / Peritoneal dialysis in the nursing home. In: International Urology and Nephrology. 2002 ; Vol. 34, No. 3. pp. 405-408.
@article{7140e26606d140718500a98fcb61889b,
title = "Peritoneal dialysis in the nursing home",
abstract = "Background: During the past few decades, the demographics of end stage renal disease have been changed significantly with the emerging predominance of elderly patients. Elderly dialysis patients are usually more dependent and may need long-term placement in a long-term care facility. Failure to meet the needs of these patients may have a significant impact on the peritoneal dialysis program. We report our experience of starting peritoneal dialysis program in a community-based Long Term Care Facility (LTCF). Methods: During the period of 2000-2001, after appropriate training of nursing home personnel, we admitted 8 peritoneal dialysis patients to one community-based nursing home. All information presented here has been collected through chart review. Results: At the time of admission the average age of the 8 patients was 77.3 ± 7.2 years (range 69 to 91 years). All patients had several comorbid diseases and six of the eight were bed-ridden. The patients stayed in the facility for a total of 29.57 patient months. One patient had three episodes of peritonitis within three months (all culture negative) and has been excluded from the analysis of the overall peritonitis rate. The peritonitis rate for the other seven patients was 1 per 7.54 patient month. Six patients were readmitted to hospital because of peritonitis [4], severe malnutrition [1] and hip fracture [1]. Four of them died in the hospital. One died in the nursing home. One patient remains in the nursing home at the present time. Conclusions: Our experience suggests that peritoneal dialysis can be achieved in a community-based nursing home. This requires a systematic training program for the LTCF personnel and the availability of a {"}dedicated{"} nephrology dialysis staff. This is crucial to the success of the program. It is important that patients, their families and ESRD care professionals are informed of the limited survival expectation particularly for very old and severely impaired patients.",
keywords = "Nursing home, Peritoneal dialysis, Peritonitis",
author = "Tao Wang and Sharron Izatt and Chris Dalglish and Jassal, {Sarbjit Vanita} and Joanne Bargman and Stephen Vas and Effie Tziviskou and Dimitrios Oreopoulos",
year = "2002",
doi = "10.1023/A:1024478523252",
language = "English",
volume = "34",
pages = "405--408",
journal = "International Urology and Nephrology",
issn = "0301-1623",
publisher = "Springer Netherlands",
number = "3",

}

TY - JOUR

T1 - Peritoneal dialysis in the nursing home

AU - Wang, Tao

AU - Izatt, Sharron

AU - Dalglish, Chris

AU - Jassal, Sarbjit Vanita

AU - Bargman, Joanne

AU - Vas, Stephen

AU - Tziviskou, Effie

AU - Oreopoulos, Dimitrios

PY - 2002

Y1 - 2002

N2 - Background: During the past few decades, the demographics of end stage renal disease have been changed significantly with the emerging predominance of elderly patients. Elderly dialysis patients are usually more dependent and may need long-term placement in a long-term care facility. Failure to meet the needs of these patients may have a significant impact on the peritoneal dialysis program. We report our experience of starting peritoneal dialysis program in a community-based Long Term Care Facility (LTCF). Methods: During the period of 2000-2001, after appropriate training of nursing home personnel, we admitted 8 peritoneal dialysis patients to one community-based nursing home. All information presented here has been collected through chart review. Results: At the time of admission the average age of the 8 patients was 77.3 ± 7.2 years (range 69 to 91 years). All patients had several comorbid diseases and six of the eight were bed-ridden. The patients stayed in the facility for a total of 29.57 patient months. One patient had three episodes of peritonitis within three months (all culture negative) and has been excluded from the analysis of the overall peritonitis rate. The peritonitis rate for the other seven patients was 1 per 7.54 patient month. Six patients were readmitted to hospital because of peritonitis [4], severe malnutrition [1] and hip fracture [1]. Four of them died in the hospital. One died in the nursing home. One patient remains in the nursing home at the present time. Conclusions: Our experience suggests that peritoneal dialysis can be achieved in a community-based nursing home. This requires a systematic training program for the LTCF personnel and the availability of a "dedicated" nephrology dialysis staff. This is crucial to the success of the program. It is important that patients, their families and ESRD care professionals are informed of the limited survival expectation particularly for very old and severely impaired patients.

AB - Background: During the past few decades, the demographics of end stage renal disease have been changed significantly with the emerging predominance of elderly patients. Elderly dialysis patients are usually more dependent and may need long-term placement in a long-term care facility. Failure to meet the needs of these patients may have a significant impact on the peritoneal dialysis program. We report our experience of starting peritoneal dialysis program in a community-based Long Term Care Facility (LTCF). Methods: During the period of 2000-2001, after appropriate training of nursing home personnel, we admitted 8 peritoneal dialysis patients to one community-based nursing home. All information presented here has been collected through chart review. Results: At the time of admission the average age of the 8 patients was 77.3 ± 7.2 years (range 69 to 91 years). All patients had several comorbid diseases and six of the eight were bed-ridden. The patients stayed in the facility for a total of 29.57 patient months. One patient had three episodes of peritonitis within three months (all culture negative) and has been excluded from the analysis of the overall peritonitis rate. The peritonitis rate for the other seven patients was 1 per 7.54 patient month. Six patients were readmitted to hospital because of peritonitis [4], severe malnutrition [1] and hip fracture [1]. Four of them died in the hospital. One died in the nursing home. One patient remains in the nursing home at the present time. Conclusions: Our experience suggests that peritoneal dialysis can be achieved in a community-based nursing home. This requires a systematic training program for the LTCF personnel and the availability of a "dedicated" nephrology dialysis staff. This is crucial to the success of the program. It is important that patients, their families and ESRD care professionals are informed of the limited survival expectation particularly for very old and severely impaired patients.

KW - Nursing home

KW - Peritoneal dialysis

KW - Peritonitis

UR - http://www.scopus.com/inward/record.url?scp=0042313947&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0042313947&partnerID=8YFLogxK

U2 - 10.1023/A:1024478523252

DO - 10.1023/A:1024478523252

M3 - Article

VL - 34

SP - 405

EP - 408

JO - International Urology and Nephrology

JF - International Urology and Nephrology

SN - 0301-1623

IS - 3

ER -