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    PD Program Was Successful in Hong Kong

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    NavinYatti
    Mr. Wong, a 46-year old man, was admitted with fatigue, shortness of breath, and dyspnea on exertion after defaulting on his continuous ambulatory peritoneal dialysis treatment for two days. His vital signs and physical exam were recorded. This literature review examines the demographics of the end-stage renal disease population and discusses the success of Hong Kong's peritoneal dialysis first program as a cost-effective treatment model that has been considered by other countries. The overall survival rates of peritoneal dialysis patients in Hong Kong are very good, with high 2-year survival rates for both elderly and non-elderly patients, demonstrating the success of the peritoneal dialysis program.

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    PD Program Was Successful in Hong Kong

    Uploaded by

    NavinYatti
    33 views2 pages
    Mr. Wong, a 46-year old man, was admitted with fatigue, shortness of breath, and dyspnea on exertion after defaulting on his continuous ambulatory peritoneal dialysis treatment for two days. His vital signs and physical exam were recorded. This literature review examines the demographics of the end-stage renal disease population and discusses the success of Hong Kong's peritoneal dialysis first program as a cost-effective treatment model that has been considered by other countries. The overall survival rates of peritoneal dialysis patients in Hong Kong are very good, with high 2-year survival rates for both elderly and non-elderly patients, demonstrating the success of the peritoneal dialysis program.

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    Mr. Wong, a 46-year old man, was admitted with fatigue, shortness of breath, and dyspnea on exertion after defaulting on his continuous ambulatory peritoneal dialysis treatment for two days. His vital signs and physical exam were recorded. This literature review examines the demographics of the end-stage renal disease population and discusses the success of Hong Kong's peritoneal dialysis first program as a cost-effective treatment model that has been considered by other countries. The overall survival rates of peritoneal dialysis patients in Hong Kong are very good, with high 2-year survival rates for both elderly and non-elderly patients, demonstrating the success of the peritoneal dialysis program.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    33 views2 pages

    PD Program Was Successful in Hong Kong

    Uploaded by

    NavinYatti
    Mr. Wong, a 46-year old man, was admitted with fatigue, shortness of breath, and dyspnea on exertion after defaulting on his continuous ambulatory peritoneal dialysis treatment for two days. His vital signs and physical exam were recorded. This literature review examines the demographics of the end-stage renal disease population and discusses the success of Hong Kong's peritoneal dialysis first program as a cost-effective treatment model that has been considered by other countries. The overall survival rates of peritoneal dialysis patients in Hong Kong are very good, with high 2-year survival rates for both elderly and non-elderly patients, demonstrating the success of the peritoneal dialysis program.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    PD program was successful in Hong

    Kong
    Introduction
    History of present illness
    Mr. Wong was a 46-year old man. He defaulted current follow up and 2 days continuous ambulatory
    peritoneal dialysis (CAPD). On admission, his blood pressure (BP) was 197/106mmHg, pulse was
    108/min, oxygen saturation was 94% in room air, body temperature was 36.5 degree Celsius, body
    height was 1.78 m, and body weight was 82.3 kg (body mass index was 26.0kg/m2). Glasgow Coma
    Scale (GCS) was E4; V5; M6 (E4: Open eyes spontaneously; V5: Oriented, converses normally; M6:
    Obey commands). His chief complaints were fatigue, shortness of breath, dyspnea on exertion at
    this admission.
    From this preliminary data, the following literature review and nursing assessment was trying to
    understand anemia in CAPD client.
    Literature review
    Demographics of the end-stage renal disease
    population
    The World Health Organization (WHO) had already recognized that renal disease was a public
    health issue. In 2000, there were about 1.5 million patients globally on dialysis; in 2010, this number
    was projected to increase to 2.5 million, a 7% increase year on year. A similar trend was being
    observed in Hong Kong. The incidence of end-stage renal failure (ESRF) requiring replacement
    therapy had increased significantly around the world. Data from the United States Renal Data
    System (USRDS) for the year 2005 showed that Taiwan had an annual incidence of 404 new cases
    per million population (pmp), the highest in the world. In Hong Kong, the annual incidence was 173
    new cases pmp in 2005, taking the 13th place in the USRDS data. The prevalence was 965 uremic
    patients pmp requiring treatment in Hong Kong in 2005. For the age group of 2044, Hong Kong
    ranked number 4 with 88 new cases pmp. For the age group of 4564, Hong Kong ranked number 5
    with 289 new cases pmp (USRDS, 2007). This signified that renal disease was common in our
    relatively younger population. Prevalence and incidence in 2007 were respectively 1026 and 164
    pmp according to the Hong Kong Renal
    Registry
    . Prevailing causes of chronic kidney disease (CKD) in Hong Kong were diabetes (23%),
    glomerulonephritis (GN, 34%) and hypertension (7%) for existing renal replacement therapy
    (RRT) patients surveyed in 2007 (Lam, 2009). This had prompted the development of strategies
    aimed at preventing the development and progression of asymptomatic CKD. Rising demand for
    dialysis therapy and its associated costs were placing an unsustainable financial burden on public
    sector health care budgets in countries all over the world, which carried profound implications
    for health care financing in the near future. The predicted dialysis cost globally would increase to
    about US$1.1 trillion for the decade of 20012010, compared with about US$500 billion spent
    for the last decade worldwide. An ideal renal replacement therapy should have optimal survival,
    lowest possible risk for comorbidity, highest level of quality of life and, equally important,
    acceptable cost for society. Viable solutions were urgently needed in managing the treatment of
    end-stage renal disease (ESRD) and controlling spending on ESRD without compromising the
    quality of patient care. The policy model used in Hong Kong was using CAPD first, was also
    being considered by other countries as an appealing cost-effective modality. The overall survival
    of peritoneal dialysis (PD) patients in PWH was very respectable, with a 2-year patient survival
    of 91% and technique survival of 82%. With an increasing number of elderly ESRD patients, the
    2-year and 5- year patient survival rates for the elderly group in PD program were 89.3% and
    54.8%, respectively, which were comparable to the rate of survival in the non-elderly group.
    There were good reasons for why the PD program was successful in Hong Kong (Li, 2008).

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