Abstract
In this paper, we present an elderly bedridden inpatient whose treatment included one peritoneal dialysis-free day (PD holiday) each week for approximately 3.5 years. The patient, a 71-year-old male, had been bedridden in a local hospital due to chronic renal failure. He came to our hospital in September 2000, and hemodialysis (HD) was performed. As the internal shunt did not work well, the treatment was switched to continuous ambulatory peritoneal dialysis (CAPD) in December. Even though the volume of urine was low (100mL/day), CAPD was effective. In January 2001, after explaining the dialysis dose and prognosis and obtaining consent, we switched the treatment to IAPD (six days a week). The treatment was then switched to APDi in February 2001. Although the dialysis dose was not adequate, there was no change in symptoms and regular dialysis could be continued. Although his food intake had decreased since admission, and hypokalemia and exacerbation of edema were observed during the treatment, appropriate therapies improved these conditions. Currently, the patient's treatment still includes one PD holiday per week.
If the patient is informed and consent is obtained, including a “PD holiday” in dialytic treatment is considered an option for patients with a low activity level in daily life.
