Which patient would be considered a good candidate for peritoneal dialysis?

Selecting a patient who maintains dexterity and fine motor skills as a good candidate for peritoneal dialysis is appropriate because this form of dialysis involves a manual process that requires the patient to perform exchanges a few times a day, or utilize a machine for automated exchanges during the night.

Patients must be able to handle and connect tubing, manage sterile techniques, and administer the dialysis solution to their peritoneal cavity without compromising sterility. Those with good dexterity and fine motor skills are more likely to successfully perform these tasks, ensuring both the effectiveness of the treatment and a reduced risk of infection.

In contrast, candidates with a history of abdominal adhesions might face complications during peritoneal dialysis due to potential irritation or obstruction. Severe respiratory illness poses a risk because administering peritoneal dialysis can increase abdominal pressure, which may interfere with breathing. Patients with severe liver disease may have compromised overall health and are often not ideal candidates for peritoneal dialysis due to fluid management challenges and related complications.