Core Curriculum Peritoneal Dialysis

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Marketta Filipovich

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Aug 5, 2024, 3:50:18 AM8/5/24

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As the global prevalence of peritoneal dialysis (PD) continues to grow, practitioners must be equipped with prescribing strategies that focus on the needs and preferences of patients. PD is an effective form of kidney replacement therapy that offers numerous benefits to patients, including more flexibility in schedules compared with in-center hemodialysis (HD). Additional benefits of PD include salt and water removal without significant changes in patient hemodynamics. This continuous yet gentle removal of solutes and fluid is associated with better-preserved residual kidney function. Unfortunately, sometimes these advantages are overlooked at the expense of an emphasis on achieving small solute clearance targets. A more patient-centered approach emphasizes the importance of individualized treatment, particularly when considering incremental PD and other prescriptions that align with lifestyle preferences. In shifting the focus from small solute clearance targets to patient needs and clinical goals, PD remains an attractive, patient-centered form of kidney replacement therapy.

To create a world without kidney diseases, the ASN Alliance for Kidney Health elevates care by educating and informing, driving breakthroughs and innovation, and advocating for policies that create transformative changes in kidney medicine throughout the world.

Over 850 million people worldwide are affected by kidney diseases. Recognizing the importance and centrality of dialysis therapy to training and patient care, ASN has updated the Dialysis Core Curriculum to close the knowledge and/or performance-in-practice gaps of nephrology professionals regarding quality, patient-centered healthcare. This curriculum consists of PowerPoint slides that cover the breadth of dialysis, including basic principles to treatment options to complications to administration considerations, and more.

This electronic resource provides both an orientation overview for the acute care nurse new to nephrology or the veteran nephrology nurse who is mentoring a nurse new to the specialty. This edition includes an updated module on Hemodialysis and three new modules on Continuous Renal Replacement Therapy, Peritoneal Dialysis, and Therapeutic Apheresis, which further reflect the diversity of acute nephrology practice. Each module includes an overview of the topic as well as a list of skills that relate to that topic. (338 pages)

This electronic resource provides both an orientation overview for the acute care nurse new to nephrology or the veteran nephrology nurses who is mentoring a nurse new to the specialty. The module includes an overview and a list of skills that relate to hemodialysis. (117 pages, ISBN 978-1-940325-43-9)

The 2022 edition of Contemporary Nephrology Nursing serves as a guide to promote excellent patient outcomes using evidence-based nephrology nursing care and is a valuable resource for all nurses caring for patients with kidney disease. This edition includes 60 chapters, featuring new chapters covering the span of nephrology nursing practice, including antibiotic stewardship, active medical management without dialysis, oral health, genetics, quality assurance, telehealth, social determinants of health, and complementary therapies. Each chapter displays Nursing Alerts that present the latest evidence related to chapter topics. Each chapter also offers self-assessment questions and nursing continuing professional development (NCPD) credit opportunities. Over 95 contact hours and 14.25 pharmacology credits are available. (1,498 pages, ISBN 978-1-940325-72-9)

Note: Individuals may apply for contact hours by reading a chapter and completing the evaluation form for that chapter (processing fees apply). Click here to complete the evaluation process the ANNA Online Library.

This comprehensive, peer-reviewed resource sets the standard for nephrology nursing clinical practice. Written by experts in the field, the 2020 edition presents the newest information regarding kidney disease, its treatment, and the nursing care involved. New and updated content reflects current policy and terminology, including health information technology, collaboration with ESRD Networks, economics of ESRD reimbursement, nutritional needs of patients undergoing bariatric surgery, nutritional needs of pregnant patients, advance care planning, palliative care, and end-of-life care. The seventh edition contains almost 1,800 pages divided into two hardcover volumes, includes self-assessment questions, and provides more than 60 nursing continuing professional development contact hours. (1,792 pages, ISBN 978-1-940325-61-3)

The Nephrology Nursing Journal is designed to meet the education and information needs of nephrology nurses in a variety of roles at all levels of practice. Its content expands the knowledge base for nephrology nurses, stimulates professional growth, guides research-based practice, presents new technological developments, and provides a forum for review of critical issues promoting the advancement of nephrology nursing practice.

This publication contains two sections reprinted from the Nephrology Nursing Scope and Standards of Practice book (7th Edition). The contents deal with the nephrology nursing process for continuous renal replacement therapy and apheresis and therapeutic plasma exchange. The book is published by the American Nephrology Nurses Association and is endorsed by the American Association of Critical-Care Nurses. (39 pages)

It is the policy of ANNA that text from individual chapters contained within ANNA's educational resources (textbooks, standards, etc.) may not be reprinted in whole or in part for any reason. ANNA will not grant permission for such requests. However, ANNA will consider requests for the use of figures and tables that appear in ANNA's educational resources. To request permission for the use of figures and/or tables only, please contact Carol Ford, Managing Editor, at carol...@ajj.com.

ANNA will consider requests for the use of articles, figures, and tables published in Nephrology Nursing Journal. To request permission for any published material from Nephrology Nursing Journal, please contact Ellen Green, Editorial Coordinator, at ellen...@ajj.com.

ANNA will consider requests for the use of articles, figures, and tables published in the ANNA E-News or its Fact Sheets. To request permission for any published material from Nephrology Nursing Journal, please contact Aynsley Meshanic, Editorial Coordinator, at aynsley....@ajj.com.

ASN and Home Dialysis University (HDU) have partnered to provide an innovative, educational experience for nephrology fellows. This approach begins with a multi-day, in-person, immersive, didactic, and small-group learning experience at HDU, followed by an 11-month, virtual, case-based educational series.

Drs. Graham Abra, Christopher Chan, Janice Lea, and Anjali Saxena developed and will moderate the virtual series. The curriculum for the virtual series follows that of the HDU course and includes key topics specific to peritoneal and home hemodialysis, such as setting a home dialysis prescription, volume management, and the prevention and management of non-infectious and infectious complications.

ASN awarded scholarships to 30 nephrology fellows to participate in the innovative educational program. All scholarship participants began the program by attending an HDU course in the fall of 2023. The virtual series launched in August, following the HDU course, and will conclude in June 2024. Each virtual session features one moderator and one faculty member presenting cases and facilitating case-based discussion with 15 fellows. Faculty for the virtual series include Drs. Joanne Bargman, Joel Glickman, Thomas Golper, Frank Liu, Rajnish Mehrotra, Brent Miller, Jeffrey Perl, Matthew Rivara, Rebecca Seshasai, Isaac Teitelbaum, and Eric Wallace.

A secure website houses educational materials and content for the longitudinal learning program. Drs. Yuvaram Reddy and Wendy Ye are leading development of an evaluation of the in-person session and virtual educational series.

The workgroup continues to refine the list and language included in each intervention. Once the draft list of PD core interventions is finalized, the HDP will reach out to stakeholders with a request for comment. The workgroup is interested in creating more detailed documents to support the list of core interventions in the future.

With the increasing incidence of chronic kidney disease in Indonesia, an effective, sustainable and widely available kidney replacement therapy (KRT) is needed. PD is one of the available modalities that can meet those criteria. To date, out of the two existing types of PD, only continuous ambulatory peritoneal dialysis (CAPD) is available in our country. Studies showed that residual kidney function is preserved better in CAPD patients compared to HD patients. With the use of CAPD as KRT, patients can do dialysis independently. Hence, it can be solution to the limitations and the difficulty of reaching HD units especially in remote areas. However, due to lack of knowledge or experience of clinicians regarding CAPD, the use of CAPD is scarce in Indonesia. Clinicians can increase their role in kidney services by increasing CAPD utilization. The key to improve CAPD utilization is a good understanding and optimal education about CAPD to patients and their families. This review aims to introduce and remind clinicians of the availability of CAPD besides HD and kidney transplant as one of the available modalities of KRT for patients with ESKD in Indonesia.