Home-visit nursing support for home-based end-of-life care in a patient continuing peritoneal dialysis

Publication

Affiliations

Nana-r Home-Visit Nursing Station
Nana-r Home-Vsit Nursing Develpoment Center

Journal

Nursing Care Connect Journal

Year / Volume / Issue / Pages

2025 / 2 / 1 / 1-7

DOI

10.69215/nccj.2.1_1

Publisher page

Open publisher page

Repository file

Manuscript type

Author Accepted Manuscript

Repository publication date

2026-08-20

License

Creative Commons Attribution 4.0 International

PDF

View PDF

Abstract

Objective: To examine how home-visit nursing contributed to the continuation of home-based care for a patient undergoing peritoneal dialysis (PD) with declining cognitive and physical function. Patient presentation / Case presentation: An elderly man in his 80s with progressive cognitive impairment and decreased activities of daily living (ADLs) experienced significant challenges in both self-care and family support. Despite these limitations, he continued PD at home until the end of life with support from home-visit nursing services. Nursing practice / Intervention: Home-visit nurses took full responsibility for PD-related procedures while also providing daily assistance with meals and personal hygiene. Care was flexibly adapted to the patient's changing condition, helping ensure safe and stable home treatment. Discussion: The continuation of PD at home requires coordinated efforts across healthcare and caregiving services. Under the current insurance system, home-visit nurses are often expected to provide caregiving support in addition to medical care, particularly when formal caregiving services are limited. Conclusion: This case demonstrates that comprehensive home-visit nursing, encompassing both clinical procedures and daily life support, can enable patients with impaired self-care capacity to continue PD at home until the end of life. Enhancing interprofessional collaboration and system-level coordination is essential to support such home-based care.

Keywords

peritoneal dialysis · home-visit nursing · end-of-life care · home death · care coordination