Historical aspects of peritoneal dialysis in Australia: useful lessons for current and future nursing practice

Abstract

Increasing numbers of people require renal replacement therapy for end stage renal disease (ESRD) in Australia. However, despite more than 25 years experience with peritoneal dialysis, the number of people using this modality as their primary treatment source is not increasing. This paper traces the historical development of peritoneal dialysis in Australia and in particular focuses on the evolution of the connect and disconnect systems. The role of the peritoneal dialysis nurse throughout the rapid changes that have occurred in this form of renal replacement therapy is explored together with the current challenges they face in order to educate people to safely self manage peritoneal dialysis in their homes.