Home peritoneal dialysis
There are now two units to assist patients located in south-east Melbourne and south-east Victoria including Gippsland:
1. 122 Thomas Street, Dandenong. Ground floor. In the building marked 'Monash Health Community'. Telephone 9792 7816; Fax 9792 7752.
2. Latrobe Regional Hospital, Traralgon. Princes Highway, Traralgon. Telephone 5173 8000.
In peritoneal dialysis, the dialysing fluid is inserted into the peritoneal (abdominal) cavity at regular intervals, and the waste products diffuse into it. The peritoneum is the membrane that lines the abdominal cavity and it is across this membrane that the chemical exchange between the blood capillaries and the dialysing fluid takes place. After a period of time, the dialysing fluid is drained from the cavity and replaced with clean fluid.
There are two forms of peritoneal dialysis:
1. Continuous Ambulatory Peritoneal Dialysis (CAPD)
CAPD takes place inside the body using the natural lining of the abdomen, the peritoneum. The peritoneum acts as the dialysis membrane. Patients dialyse at their own home, usually four times every day. It takes less than 30 minutes each time and is a very simple and painless procedure.
All the equipment required for dialysis is delivered to the patient’s home at no cost, including the dialysis bags which are delivered in boxes. As such, storage room is required at home to stack these goods. A dry garage, spare room or an outbuilding is ideal.
2. Automated Peritoneal Dialysis (APD)
A small machine regulates the movement of fluid into and out of the peritoneal cavity. The patient is attached to the machine at night before going to sleep, and while they sleep the machine performs six to eight exchanges. During the day, the fluid solution remains in the peritoneal cavity so that dialysis can still occur slowly. APD is designed to be simple - children have always been dialysed this way and the machines are simple and easy to use.
The peritoneal dialysis units in Dandenong and Traralgon (La Trobe Regional Hospital), Ward 34 and the renal registrars at Monash Medical Centre, Clayton, are always available for oncall assistance when patients dialyse at home.
The process to commence peritoneal dialysis at home
1. Ensure that dialysing at home will suit the patient, the patient’s home, family/carer and lifestyle.
Each patient is interviewed by a nurse from the peritoneal dialysis team. As there are now two locations (Clayton and Traralgon), you can choose the one closer to your home. The requirements for home dialysis and training will be explained and all questions answered. A hygienic area at the patient’s home is required, as well as storage space for dialysis supplies and the dialysis machine. All supplies are delivered monthly to the patient’s home at no cost.
Training is conducted according to each patient’s pace by expert renal nurses to enable patients to dialyse in the comfort and privacy of your own home. Training can occur at either Clayton or Traralgon, it is your choice. Most patients attend the training unit daily for 5 to 10 days, until they are competent and confident to dialyse at home themselves.
For patient information on the abovementioned that you can download, please refer to our main page here