Targeted Education ApproaCH to improve Peritoneal Dialysis Outcomes (TEACH-PD): A feasibility study

Chow, Josephine; Adams, Kelly M.; Cho, Yeoungjee; Choi, P.; Equinox, Keri Lu; Figueiredo, Ana Elizabeth; Hawley, Carmel M.; Howard, Kirsten; Johnson, David W.; Jose, Matthew; Lee, Anna; Longergan, Maureen; Manera, Karine; Moodie, Jo Anne; Paul-Brent, Peta Anne; Pascoe, Elaine M.; Reidlinger, Donna; Steiner, Genevieve Z.; Tomlins, Melinda; Tong, Allison; Boudville, Neil

doi:10.1177/0896860819887283

Cited by 10 publications

(10 citation statements)

References 27 publications

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“…This strengthens the importance of methods of exit site care as well as proper teaching and PD training. Recent study of a standardized education training programme for both PD trainers and PD patients has demonstrated feasibility of implementation in a renal clinical setting [ 5 ]. Also, the catheter should be tightly anchored and immobilized.…”

Section: Discussionmentioning

confidence: 99%

Repeat exit site infection in peritoneal dialysis patient with polycythemia vera – a case report

Gołembiewska

Ciechanowski

2021

BMC Infect Dis

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Background Infectious complications of peritoneal dialysis (PD) remain a common cause of catheter loss and discontinuation of PD. Exit site infection (ESI) constitutes a significant risk factor for PD-related peritonitis and determination of predisposing states is relevant. We here present a case of repeat ESI due to Pseudomonas aeruginosa in a PD patient with skin changes in the course of polycythemia vera (PV). Case presentation A 73-year-old PD patient with chronic kidney disease secondary to renal amyloidosis and ankylosing spondylitis, presented to the nephrology unit with signs of ESI. In 2006 he was diagnosed with PV and since then has was successfully treated with hydroxyurea; however, he reported recurrent episodes of developing skin nodules in the course of the disease. Exit site swab yielded Pseudomonas aeruginosa and the infection developed in the ulcerated PV nodule that appeared in exit site 2 weeks earlier. Patient was treated with intraperitoneal amikacin and oral ciprofloxacin, however, due to neurological complications, the treatment had to be interrupted and finally catheter was removed. Similar episode of ESI with Pseudomonas aeruginosa developed in the patient two years earlier and also required catheter removal. Conclusion This is the first case report demonstrating the development of ESI on the polycythemia vera skin lesion in this area. Skin manifestations of PV might be a predisposing factor to ESI in PD patients.

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Section: Discussionmentioning

confidence: 99%

Repeat exit site infection in peritoneal dialysis patient with polycythemia vera – a case report

Gołembiewska

Ciechanowski

2021

BMC Infect Dis

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“…The training curriculum is advised to incorporate general theories of adult learning principles as a lower rate of exit site infection has been observed in association with this practice in a prospective observational study. 41 Currently, research is underway to identify how to best deliver training 42 incorporating an adult learning theory-based curriculum. Until further evidence is available, a dedicated nurse to support individual patient's training focusing on adherence to guideline recommendations and antiseptic procedures is currently recommended.…”

Section: Training Programmesmentioning

confidence: 99%

ISPD Catheter-related Infection Recommendations: 2023 Update

Chow

Cho

et al. 2023

Perit Dial Int

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Peritoneal dialysis (PD) catheter-related infections are important risk factors for catheter loss and peritonitis. The 2023 updated recommendations have revised and clarified definitions and classifications of exit site infection and tunnel infection. A new target for the overall exit site infection rate should be no more than 0.40 episodes per year at risk. The recommendation about topical antibiotic cream or ointment to catheter exit site has been downgraded. New recommendations include clarified suggestion of exit site dressing cover and updated antibiotic treatment duration with emphasis on early clinical monitoring to ascertain duration of therapy. In addition to catheter removal and reinsertion, other catheter interventions including external cuff removal or shaving, and exit site relocation are suggested.

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“…4,5,6 The nurse has a leading role in training patients to carry out their treatment at home through education and close follow-up to achieve good outcomes and prevent complications. 7,8,9,10 Training tools such as Targeted Education ApproaCH to Improve Peritoneal Dialysis Outcomes provide an education program for PD trainers and their patients. 8 An essential step in the early phase of PD therapy is selecting the proper patient, including evaluating his/her health status and functional capacity.…”

Section: Introductionmentioning

confidence: 99%

“…7,8,9,10 Training tools such as Targeted Education ApproaCH to Improve Peritoneal Dialysis Outcomes provide an education program for PD trainers and their patients. 8 An essential step in the early phase of PD therapy is selecting the proper patient, including evaluating his/her health status and functional capacity. Besides, the recommendations of the International Society for Peritoneal Dialysis standardise teaching practices for nursing staff (trainers) and the patient or caregiver 2,7,9,11,12 ; however, one weakness of this guide is that it does not include a specific inventory of patient's abilities to perform PD treatment at home.…”

Section: Introductionmentioning

confidence: 99%

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Development of an instrument to assess self-management capacity of patients receiving peritoneal dialysis: CAPABLE

Devia¹,

Vesga

Sánchez

et al. 2021

Perit Dial Int

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Background: Treatment of kidney failure with peritoneal dialysis (PD) at home implies that the patient and/or their caregiver develop a series of skills and basic knowledge about this therapy. There is not a specific inventory of the patient’s abilities to safely perform the PD procedure at home. The objective of this study was to describe the development of an instrument that allows measuring the self-management capacity of patients receiving PD, locating the performance areas that justify the need for intervention by a caregiver. Methods: This is a qualitative study developed in three phases: The first phase was the identification of performance areas through bibliographic search and validation of the results with focus groups of experts in PD. The second phase was the design of a system to measure self-management capacities. The third phase was a pilot test of the preliminary version of the instrument applied in 20 incident PD patients. Results: Three domains were identified to evaluate the fundamental components of self-management capacity: cognitive and sensory, each one evaluated with four items and motor domain evaluated with eight items. After applying the instrument, we found that 15 patients (75%) did not require support from the caregiver in any of the items. PD patients and nurses found the tool valuable, easy to understand and applicable in the early evaluation of a PD patient. Conclusions: We developed an easy-to-administer instrument to measure the self-management capacity of patients receiving PD. This inventory could locate areas that require specific support from a caregiver. Planning an individualised and focused education and training process could result in better health outcomes.

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Targeted Education ApproaCH to improve Peritoneal Dialysis Outcomes (TEACH-PD): A feasibility study

Cited by 10 publications

References 27 publications

Repeat exit site infection in peritoneal dialysis patient with polycythemia vera – a case report

Repeat exit site infection in peritoneal dialysis patient with polycythemia vera – a case report

ISPD Catheter-related Infection Recommendations: 2023 Update

Development of an instrument to assess self-management capacity of patients receiving peritoneal dialysis: CAPABLE

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