There are two ways of replacing diseased kidneys: dialysis (haemodialysis, peritoneal dialysis) and kidney transplantation. They complement each other and may be carried out one after the other. In most cases, dialysis treatment will be proposed. In France, haemodialysis is the technique most frequently used.
Two ministerial circulars published in the Journal Officiel in September 2002 and applicable in 2005 provide for five types of dialysis facility.
Our establishment is located close to a public or private health care facility, allowing hospitalisation if necessary. Haemodialysis centres receive haemodialysis patients whose state of health requires the permanent presence of a nephrologist during the session. At the centre, patients are cared for by a specialised medical and paramedical team during their dialysis session.
This is reserved for independent patients who have been trained in haemodialysis. The medicalised dialysis unit ensures that each patient is visited by a nephrologist one to three times a week, during the session, depending on their medical needs, and receives a consultation with a full medical examination in a consultation room at least once a month. A specialised medical and paramedical team is in charge of the dialysis session.
This unit is intended for patients who have been trained in haemodialysis and are partially autonomous, but who may require the assistance of a nurse. The unit provides each patient with a visit from a nephrologist during a session at least once a month, and a consultation with a full medical examination outside a haemodialysis session once a quarter.
Other nephrology consultations are possible depending on the patient's medical needs.
This unit only cares for patients who have been trained in haemodialysis and who are able to carry out all the procedures required for their treatment themselves (weighing, monitoring blood pressure, preparing the dialysis machine, connecting and disconnecting the extracorporeal circuit and starting the automated machine disinfection process at the end of the session).The unit provides each patient with a visit from a nephrologist during a session at least once a quarter, and a consultation with a full medical examination outside a haemodialysis session once a quarter. Other nephrology consultations may be arranged depending on medical needs.
Home haemodialysis is used to treat patients who have been trained in haemodialysis and who could otherwise be treated in a simple haemodialysis unit. It is carried out in the presence of a third party (often a family member or a private nurse) under the responsibility of the nephrological medical team. The accommodation must allow the patient to be treated in sufficient conditions of safety, hygiene and comfort. The nephrologist will carry out a consultation once every three months, and your care team can be contacted by telephone 24 hours a day, 7 days a week.
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