Long Nocturnal Dialysis - 30 years experience
The Sydney Dialysis Centre (SDC) supports 150 patients who dialyze in the home environment. Since its inception in 1970, SDC has been assisting patients to modify their dialysis regime according to individual needs. In 2003-2004 a postal survey was sent to all SDC patients who had changed their dialysis regime in order to ascertain the effect of this change on their lifestyle. The survey comprised: demographic data; questions requiring a yes/no response; and open ended questions. This presentation will discuss the results of the survey with regard to patients who reported dialyzing for long hours nocturnally (LND). The patients experience will be presented in relation to their reason for modifying treatment, resultant changes in diet and medication prescription and their subjective experience of wellbeing. It will also raise issues of safety and need for remote monitoring and/or safety devices. Findings indicate that patients who practice LND experience improved sense of wellbeing, diet control and increased energy levels. While nocturnal dialysis does not suit all patients, the respondents in this survey reported benefits such as: increased opportunity for employment; less restrictions on free time; improved blood results and better lifestyle. The outcomes are greater levels of rehabilitation, particularly in the areas of work force participation and patient survival.