Patient centred care – beyond the selection criteria for home haemodialysis patients

Ms Ya-ling Tu1, Ms Yasko Takatori1

1RNSH – Sydney Dialysis Centre, St Leonards, Australia


Patient selection can be considered one of the most essential foundations of building a successful and sustainable home haemodialysis program. Patients who need to overcome barriers for home haemodialysis are usually excluded. Contemporary nursing is closely connected to patient-centred care which provides healthcare with dignity and respect to all patients and their decisions about their own health. Recently, SDC has trained a number of patients with barriers to home haemodialysis successfully and we would like to share our experiences in this poster.


Patients who successfully trained in home haemodialysis had barriers that included advanced age, learning difficulties, non-English speaking backgrounds, physical disabilities and palliatives. These were reviewed to identify the strategies of successful training.


The successful training strategies needed to overcome these barriers included: health professionals’ encouragement, increasing the length of training when necessary, modifying the practices to suit different individuals, simplifying and modifying training manuals to meet patients’ abilities, encouraging family involvement, obtaining essential medical resources, providing extra equipment support and more frequent nursing home visits in the first a few months after training.


If a patient has the motivation to consider home therapies, their wishes should be respected. If they do not meet the selection criteria for home haemodialysis, new training strategies should be considered. By providing successful training strategies to help patients with barriers to home haemodialysis commence their treatment at home; we can increase their happiness, independence, mental health and confidence.


Ya-Ling Tu is a clinical nurse specialist in Sydney dialysis Centre and also an acting clinical nurse educator in Acute Dialysis Unit at Royal North Shore Hospital. She received a bachelor’s degree in Nursing from University of Technology Sydney and a postgraduate certificate from University of Tasmania. She received the 2017 exceptional people award in patient-centred care in Northern Sydney Local Health District. Ya-Ling is interested in nurse and patient education and patient self-management.


Yasko Takatori is a home haemodialysis nurse working in Sydney dialysis centre. Yasko completed  a diploma of nursing and trained in Japan. After migrating to Australia, Yasko completed a Bachelar of Nursing at Sydney University.  Yasko has been working in renal for last 20 years including 11 years as a home therapy nurse. Yasko’s major area of interest is encouraging suitable patients to undertake home training and educating those patients to manage dialysis and their health by themselves. She has witnessed patients gain confident taking control in their self-care when they start home therapy. She enjoys observing patients dialysing in their familiar environment surrounded by their loved family.


The ASM is hosted by Australian and New Zealand Society of Nephrology.

The aims of the Society are to promote and support the study of the kidney and urinary tract in health and disease, and to ensure the highest professional standards for the practice of nephrology in Australia and New Zealand.

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