Masakazu Mushiaki    Department   Kawasaki University of Medical Welfare  ,    Position   Assistant Professor
Article types	総説
Language	Japanese
Peer review	Peer reviewed
Title	Challenges and Prospects for the Widespread Use of Peritoneal Dialysis in the Elderly
Journal	Formal name：Kawasaki medical welfare journal ISSN code：09174605
Domestic / Foregin	Domestic
Publisher	Kawasaki Medical Welfare Society
Volume, Issue, Page	pp.13-19
Author and coauthor	OKA Aoi, MUSHIAKI Masakazu
Authorship	Last author
Publication date	2022/08
Summary	The number of dialysis patients in Japan continues to increase, and more than half of them are aged 65 years or older. In order to maintain the social security system in a super-aged society, there is a need to shift from the current hospital-based medical care to home-based medical care that can be completed in the community. Therefore, the use of assisted　peritoneal dialysis (assisted PD) has been attracting attention as a measure to promote home dialysis, and it is important to utilize social resources to spread assisted PD. Revision of the nursing care reimbursement system is necessary for the acceptance of patients in nursing care facilities. In addition, it is desirable for hospitals with specialist doctors and other knowledgeable staff to provide local clinics and facilities with educational training on how to respond to sudden changes and infection control measures, and to enhance support for stable dialysis management even after patients return to the community. Furthermore, it is necessary to establish a network that can be used mutually by medical institutions, nursing care facilities, and homes, utilizing ICT, to facilitate smooth information sharing when patients are transferred between facilities due to sudden changes or discharges, or when multiple professions treat elderly peritoneal dialysis patients.
Document No.	WB11240001<Pre 医中誌>