50 av du Docteur Aurientis
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There are two ways of making up for ill kidneys: dialysis (hemodialysis and peritoneal dialysis) and kidney transplant. The two methods are complementary and may be performed in rotation. In most cases, a dialysis therapy will be proposed. In France, hemodialysis is the most commonly used technique.
Two ministerial circulars published in the Journal Officiel in September 2002 (applicable as from 2005) anticipate on five types of dialysis structures.
Located close to a public or private care institution with hospital facilities, it receives hemodialyzed patients with a health status that requires the permanent presence of a nephrologist during the session which is managed by a specialized medical and paramedical team.
Medical dialysis unit
Reserved to autonomous patients who have received hemodialysis training, this unit ensures that each patient sees a nephrologist upon the dialysis session once to three times a week according to specific medical requirements, and also provides a full medical check-up in a consultation room, at least once a month. A specialized medical and paramedical team takes charge of the dialysis session.
Assisted auto-dialysis unit
The auto-dialysis unit is dedicated to trained patients with partial autonomy who may require the help of a nurse. It ensures that each patient gets visited by a nephrologist upon a dialysis session at least once a month and also gets a full check-up in addition to a quarterly hemodialysis session. Supplementary nephrology consultations can be planned according to medical needs.
Simple auto-dialysis unit
The simple auto-dialysis unit only takes charge of hemodialysis trained patients who are able to carry out the gestures related to their treatment (weighing, blood pressure monitoring, preparing the dialysis machine, connecting and disconnecting the cardiopulmonary bypass equipment, as well as setting up the generator’s automated disinfection at the end of the session.)
Each treated patient receives at least one quarterly visit held during the session by a nephrologist, as well as a full medical check-up outside the hemodialysis session on a quarterly basis. Supplementary nephrology consultations can be planned according to medical needs.
Hemodialysis at home
Patients who have been trained to hemodialysis and could be treated in a simple auto-dialysis unit are being taken in charge at their home. The hemodialysis session is performed in presence of a third party (in many cases a member of the family or a liberal state-registered nurse) under the responsibility of the nephrology team.
The patient’s home must naturally comply with security, hygiene and comfort requirements.
If necessary, a home visit by a nurse is available by medical prescription. A consultation by a nephrologist will be given on a quarterly basis.
The medical team can be reached by phone 24/7.