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: This lesson on Peritoneal Dialysis includes a complete training packet. Each in-service packet takes approximately one hour to complete and fully meets the Medicare in-service training requirements. As aides need training, you can make as many copies as you want - there s no restriction when used with aides assigned from your office location. Remember that Home Health Aides must have 12 hours of in-service training every year. LESSON OBJECTIVES Upon completion of this program, the home health aide will be able to: Name the two major causes of kidney failure requiring dialysis Identify three signs and symptoms that may indicate peritonitis, and Note that peritoneal dialysis is not a cure for renal disease. OVERVIEW The incident rate of end stage renal disease (ESRD) in the United States has begun to stabilize. However, in absolute numbers, the number of ESRD patients continues to grow, primarily due to "baby boomers" reaching middle age. While the patients aged 45-64 make up the largest portion of the incident population, patients age 75 and older have the highest incident rates of ESRD. Although the majority of ESRD patients receive hemodialysis, approximately 6% of them are treated with peritoneal dialysis. Many of these patients receive homecare services and many of them have co-morbidities that reduce their ability to manage activities of daily living (ADLs). Therefore home health aides are often assigned to these patients. While not assigned to provide care directly related to the dialysis, it is nonetheless important for home health aides to understand the process and to learn their roles in providing care to these patients.