Can elderly obese diabetic and children receive Peritoneal Dialysis?
Peritoneal Dialysis can be used successfully in the majority of patients with kidney disease requiring dialysis. PD has been shown to be effective for patients with large body size or obesity, polycystic kidney disease, advanced age, diabetes, or other comorbidities (e.g., liver failure, ascites), and in patients without clinically significant kidney function (called anuria ; see Question 8).
PD is also the preferred form of dialysis for most pediatric patients with ESKD, including neonates and infants. Benefits include no need for vascular access or venous puncture, association with good blood pressure control, fewer hospital visits for dialysis and associated care, facilitation of full-time school attendance, and better psychosocial adjustment for both patients and caregivers.
Assisted PD describes support of individuals unable to perform their own PD with assistance for all or part of their dialysis procedure. Assistance is provided by a health care technician, community nurse, family member, or a trained partner. Assisted PD is an option for elderly or disabled patients, allowing them to initiate or continue to use PD despite mental or physical limitations.