Preparation of the patient for dialysis : an improvement in quality care and a benefit to the health.

Abstract

When patients are confronted with the diagnosis of irreversible kidney damage, and the need of subsequent dialysis, they are faced with other problems besides those due to their disease.

Success in treatment depends on the attitude and determination of the patient and on how well the patient has been prepared regarding both his condition and what to expect. Hence, the need for patient education and preparation.

This study investigates whether any pre-dialysis preparation programmes were being held at St. Luke's Hospital or at any private clinics in Malta. Another issue also included which procedures and treatment should be part of the preparation programme and whether such a programme would be beneficial to the Maltese Health Budget. All respondents were very eager to share their own experience and responded generously to all questions.

Analysis of interview data revealed that no preparation programmes existed and that patients were not being adequately prepared for dialysis. The survey also supported the view that such programmes would greatly improve the patient's quality of life, which in tum would lead to more participation and co-operation. Analysis of costs produced most interesting results. Indeed, the study revealed that the Health Budget would profit by Thousands of Liri through the introduction of such preparation programmes.

In conclusion, pre-dialysis programmes are a must to the Health Service and should be introduced without delay if quality care is to be ensured.