Archive | November 2011

Tenckhoff catheter

In peritoneal dialysis:

Any of several types commonly used in peritoneal dialysis, having end and side holes and consisting of a flexible silicone rubber tube with end and side holes and 1 or 2 extraperitoneal Dacron felt cuffs that help provide a bacteria-tight seal.

Palliative application:

To avoid multiple paracenteses, a Tenckhoff catheter maybe used successfully to drain the ascitic
fluid in a patient with peritoneal mesothelioma.

Reassessment guidelines for palliative care

  • Expect things to change and constantly look for them
  • Anticipate specific problems – they don’t just arise unawares
  • Prevent what is possible to prevent
  • Act quickly as problems arise, since they have thus been anticipated and are in the forefront of one’s thinking
  • Know that what worked at one  point may not work all of the time
  • Not become frustrated. Do not see changes as failures, but as challenges of expected changes requiring a new set of skills and energy in the caregiver.
Downing, G. M., & Wainwright, W. (2006). Medical care of the dying. (4th ed.). Victoria, BC: Victoria Hospice Society, Learning Center for Palliative Care.