Teaching CAPD to the visually impaired.

The increasing number of patients on CAPD (continuous ambulatory peritoneal dialysis) offers multiple challenges to the home dialysis unit. During the last year we have changed our nursing practice and have successfully trained five visually impaired clients to perform CAPD exchanges utilizing a disconnect system without a helper or caregiver. In this article we will discuss the methods we used, the assist devices and the patient outcomes in our population. We measured our success in terms of peritonitis rate, adequacy of dialysis and lifestyle considerations for this population.