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Patient’s fear of adverse events: treatment complexity, vascular access needle injection, fear of failing, machine complication. |
Educational pathway flexible, early referral, involving family members, addressed to all home treatments, risk-benefit clear knowledge, providing remote monitoring options |
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Patient’s psychosocial problems: lack of awareness, anxiety, interference with daily activities, financial problems, sleep disturbances, social isolation, and social considerations. |
Providing appropriate resources aimed toward resolving psychological stress, interdisciplinary patient assessment, counseling, meetings with other home patients and families, addressing issues relating to the patient’s expected quality of life |
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Healthcare system/providers: patient position-based accessibility, the distance between patient and dialysis center, shortage of facilities, poor knowledge of the benefits and drawbacks of home dialysis |
Properly emphasize the benefits of home dialysis in all educational programs, provide home training programs, providing adequate education to multidisciplinary teams about the benefits of home dialysis |
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Government agency: inadequate funding of home dialysis therapy |
Enhancing funding and/or reimbursement for home dialysis, Improving reimbursement for training |
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Caregiver’s burden of responsibility: patient perceived as a burden, caregiver burnout |
Early identification of supportive facilities, short-term relief care, flexibility in prescription |
