Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
1996-10-16
pubmed:abstractText
The Western Australian (WA) Remote Area Dialysis Programme was developed in 1988 due to the cultural need to dialyze an increasing number of aboriginal patients in their own communities, rather than relocating them up to 3000 km away in Perth. The success of the program relies on remote area health services (RAHS), which have no prior experience in continuous ambulatory peritoneal dialysis (CAPD), providing consistent routine and emergency medical care to the patients. Our aim was to standardize the care of all CAPD patients in remote WA by providing the RAHS with an easy-to-follow manual. Although the RAHS received treatment protocols, and in-service education, consistent care was not always provided. We confirmed this by: (1) examining the existing quality assurance tools, peritonitis and hospital admission rates, (2) discussion with remote area staff regarding patients, and (3) informal assessment of remote area staff receptiveness to in-service education by a CAPD nurse. We identified the causes of the inconsistent care to be: (1) high remote area staff turnover (six months average for a registered nurse), (2) the protocols were difficult to follow, and (3) confusion for the RAHS as to the appropriate contact person at our hospital. In 1994, the situation was exacerbated by the dramatic increase in the number of patients and RAHS involved (14 new patients, bringing the total to 20 patients in 12 centers) plus the introduction of a second treating hospital (with differing protocols). A team of two CAPD nurses and two nephrologists was established, to collaborate with two remote area hospitals and the second treating hospital to produce the "Remote Area CAPD Manual." The manual is an easy-to-follow, step-by-step guide for the management of CAPD by non-dialysis personnel. It has led to improved management of CAPD, improvement in communication with RAHS, and the increased confidence of remote area staff in the management of CAPD patients. In conclusion, RAHS can give consistent care if provided with clear, concise guidelines.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0896-8608
pubmed:author
pubmed:issnType
Print
pubmed:volume
16 Suppl 1
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
S452-4
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:8728242-Adult, pubmed-meshheading:8728242-Aged, pubmed-meshheading:8728242-Aged, 80 and over, pubmed-meshheading:8728242-Aircraft, pubmed-meshheading:8728242-Emergency Medical Services, pubmed-meshheading:8728242-Female, pubmed-meshheading:8728242-Home Nursing, pubmed-meshheading:8728242-Humans, pubmed-meshheading:8728242-Kidney Failure, Chronic, pubmed-meshheading:8728242-Male, pubmed-meshheading:8728242-Manuals as Topic, pubmed-meshheading:8728242-Medically Underserved Area, pubmed-meshheading:8728242-Middle Aged, pubmed-meshheading:8728242-Oceanic Ancestry Group, pubmed-meshheading:8728242-Patient Admission, pubmed-meshheading:8728242-Patient Care Team, pubmed-meshheading:8728242-Patient Education as Topic, pubmed-meshheading:8728242-Peritoneal Dialysis, Continuous Ambulatory, pubmed-meshheading:8728242-Western Australia
pubmed:year
1996
pubmed:articleTitle
Planes, kangaroos, and the CAPD manual.
pubmed:affiliation
Department of Nephrology, Royal Perth Hospital, Australia.
pubmed:publicationType
Journal Article