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Puncturing your own fistula
Author(s) -
Krutzen L.
Publication year - 2005
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/j.1492-7535.2005.1121ci.x
Subject(s) - medicine , puncturing , feeling , fistula , surgery , general surgery , psychology , social psychology , statistics , mathematics
When you are working with home HD education you often meet patients who are very afraid of the moment when they are going to puncture the fistula themselves. Our experience is that the patient sometimes can’t concentrate on anything but this moment. For this reason we let the patient try to puncture as soon as possible. We also get many questions from colleges, doctors, and nurses on how to do it. Most of the patients are very successful and prefer to puncture themselves after having tried it. They say that it is less painful if you puncture yourself and we also have a feeling that it is very rare that they are unsuccessful. To get proof for these feelings we made a small inquiry among our patients, asking about how it is to puncture yourself. We sent the inquiry to 30 patients. We also decided to make a film showing how to puncture yourself. We asked some of our home HD patients if they wanted to contribute. The result of this is a video, which is 9 min long, showing how to puncture in different types of fistulas, underarm, overarm, and grafts.