Evidence-Based Practice of Peritoneal Dialysis

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Evidence-BasedPractice of Peritoneal Dialysis

Therewere periods when total kidney failure meant the loss of life to thevictims. However, as time went by, peritoneal dialysis (PD) wasintroduced to solve the problem by treating the patients with suchcomplications. This paper will put an emphasis on the peritonealdialysis by explaining the reasons why I chose it, shed light on thecurrent research and its outcome, and how it has impacted the nursingand the medical practice in general.


Peritonealdialysis is concerned with the cleaning of blood in circumstanceswhere the kidneys have failed to function properly. It eliminates thebody wastes, water, and the extra salt as well playing a role incontrolling the blood pressure of the patient. The method applieddepends on the choice of an individual and his medical condition. Ihave chosen this EBP peritoneal dialysis because kidney diseases haveadded stress to the functioning of the heart and blood vessels. Thistechnique plays a significant role in eliminating extra fluids can beeliminated from the body. It can be applied either in the hospital orat the homes depending on where the patient is comfortable.

Thecurrent research on the use of this method shows that patients havebeen trained on how it should be applied to prevent the peritonitis.The training makes use of the exhibition and return demonstration inteaching them the best practices that should be adopted to curb thekidney disorders. What the learner should to know is of crucialimportance than the teachings of the nurse. When the need arises, therenal nurses repeat the whole process to ensure that the patientshave grasped all the points. Positive results are evident from thosewho follow the instructions as directed by the nurse because theyhave applied them in their homes to reduce the peritonealdialysis-related infections that compromise the working of theirkidneys. However, the nurses make the follow-ups to the homes toassess the performance of the patients especially within the firstmonth of the post training to ensure that they do not develop any bagexchange procedure shortcuts (Kuk, 2013).

Theuse of peritoneal dialysis will impact the nursing and medicalpractice in several ways. It will help in treating the chronic kidneydiseases that had previously posed a threat to the health of peopleespecially the adults. The wastes existing will now be safely ejectedfrom the body without removing the blood itself. Different healthprofessionals will partner to offer the required patient care byfostering the dialysis as one of the excellent therapies to be used.The nurses and other responsible parties will be needed to enlightenthe patients, and other interested members on the importance ofmaintaining hand hygiene as the only way infections can be prevented(UK Renal Association, 2012). If this is observed to the expectation,the work of the caregivers will be simplified because of minimalthreats concerning cleanliness. This will later minimize the numberof deaths that occurs regarding peritonitis resulting from the use ofpoor techniques during the exchange process (Schreiber, 2016).


Theuse PD has promoted the independence that exists between the healthcare attendants and the patients. This is through the teachings thatare offered to the target audience to ensure that the healing processis necessitated thus improving the quality of life. The education isnot only essential for the victims but the attendants as well to beupdated on the best practices that can be used.


Kuk,L.S. (2013). AnEvidence-Based Patient Education Program for Reduction of PeritonealDialysis-Related Infection.Retrieved fromhttp://hub.hku.hk/bitstream/10722/193026/1/FullText.pdf?accept=1on October 14, 2016.

Schreiber,M. L. (2016). Evidence-Based Practice. Peritoneal Dialysis:Understanding, Educating, and Adhering to Standards. MEDSURGNursing,25(4),270-274.

UKRenal Association. (2010). ClinicalPractice Guidelines Peritoneal Dialysis.Retrieved fromhttp://www.renal.org/docs/default-source/guidelines-resources/Peritoneal_Dialysis_FINAL_DRAFT_-_09_May_2010.pdf?sfvrsn=0on October 14, 2016.

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