11_2_4
Volume 11, Number 2, pages 32 - 34
Keep it simple! A touch technique peritoneal dialysis procedure for the blind and visually impaired
Mary Lou Bentley, RN, BRE, CNeph(C)
Abstract
Diabetes is the main cause of blindness in patients with end stage renal disease (ESRD). The number of diabetic patients who require dialysis has increased from 16% in 1981 to 30% in 1999 (CIHI, 1999). Therefore, it is important for blind individuals to find a peritoneal dialysis (PD) technique that will ensure their independence and prevent peritonitis.
In July 2000, the home peritoneal dialysis unit (HPDU), Toronto Western Hospital (TWH), University Health Network, successfully developed and implemented a "touch technique" connection procedure for the blind and visually impaired. The procedure involved is a touch technique connection utilizing the Fresenius Premier Plus Double Bag system. Three blind patients on the UV Flash peritoneal dialysis system were retrained in the touch technique on a one-to-one basis for an average of four days. Additionally, they were each given a procedural audiotape or CD for reference at home. This simple touch technique has enabled these three patients the freedom of a relatively independent lifestyle. They have been peritonitis-free since implementation, for 19, 15 and four months respectively. This technique allows blind and visually-impaired ESRD patients to perform peritoneal dialysis in their homes and, thus, maintain independence.
Author Affiliation(s): Home peritoneal dialysis unit at Toronto Western Hospital, University Health Network, Toronto, Ontario.
Acknowledgement: The author wishes to thank the staff of the home peritoneal dialysis unit at the Toronto Western Hospital, University Health Network, Toronto, Ontario for their valuable contributions to this project.