How to identify good candidates for Peritoneal Dialysis

Most patients are medically suitable for Peritoneal Dialysis (PD).1 In the absence of health factors that would rule it out (including but not limited to hernias, adhesions and morbid obesity), certain personality traits are important factors. Good prospects for choosing and succeeding with PD are people who are:

  • Optimistic and resourceful, with good problem-solving skills 2
  • Driven by concepts of freedom, lifestyle and/or control, whether these are connected with issues of work, travel, diet, or convenience and independence in general 3

 

While some patients might be perceived as unsophisticated, and therefore unable to handle dialysis at home, demographics are not the key to a successful PD experience. Instead, provided that the therapy is clinically appropriate, it’s really about each patient’s own engagement and confidence level.
 

Education and awareness help start the conversation

Kidney Disease Education sessions about modality choices are likely to result in some patients expressing interest in PD.

Those already on dialysis might be more likely to become interested in PD during a PD Awareness Day. When you schedule one of these events, a Baxter representative will conduct an in-service ahead of time that will help identify patients who are likely candidates for switching from In-center Hemodialysis to PD because of vascular access issues, lifestyle issues and non-adherence due to various circumstances, such as transportation problems.

Talking to patients is key. When you don’t have time to talk at length, you can refer patients and their families to the Live Now website to learn more about home choices. You might find that patients are coming to you with questions after finding the Live Now site on their own. Patients who do more research on health issues are more likely to be interested in doing dialysis at home.2

1 Mendelssohn D, Mujais S, Soroka S, et al. A Prospective evaluation of renal replacement therapy modality eligibility. Nephrol Dial Transplant. 2008;0:1-7.
2 GfK Healthcare. US Dialysis Patient Segmentation; 2010.
3 McLaughlin, K, Jones H, VanderStraeten C, et al. Why do patients choose self-care dialysis? Nephrol Dial Transplant. 2008;23:3972-3976.

It's really about each patient's own engagement and confidence level.