Renal Replacement Therapy Questionnaire 2021/22 PART 1
1.
Below are some statements. Please tick those that you feel apply to you. Your answers should be what is true for you and not just what you think the health care professional wants you to say.
I understand my current treatment for kidney failure.
I acknowledge that there are things I can do to improve my health and stay as healthy as possible.
I have been given sufficient information to keep myself healthy.
I have been given sufficient support to keep myself as healthy as possible.
Please give any comments on how we can develop our services in supporting you to improve your health and stay healthy.
2.
Kidney Transplantation
(Over 50% of people are not suitable for this).
If you were told that this treatment was not medically suitable for you, you can skip this question and move on to question 3.
How do you rate the quality of information available for Transplantation?
Poor
Fair
Average
Good
Excellent
Any further comments (positive or negative)?
3.
Continuous Ambulatory Peritoneal Dialysis (CAPD)
This is having the tube put in the tummy and draining/filling up with fluid 4 times a day.
If you were told that this treatment was not medically suitable for you, you can skip this question and go straight to question 5.
How do you rate the quality of information available for CAPD?
Poor
Fair
Average
Good
Excellent
Any further comments (positive or negative)?
4.
Automated Peritoneal Dialysis (APD)
This is having the overnight machine by your bed that pumps the fluid in/out of your tummy during the night whilst you sleep, instead of draining/filling 4 times a day.
If you were told that this treatment was not medically suitable for you, you can skip this question and move on.
How do you rate the quality of information available for APD?
Poor
Fair
Average
Good
Excellent
Any further comments (positive or negative)?
5.
Haemodialysis at Home
You need a room at home and somebody to help you do this; usually a partner so it’s usually not suitable for those who live alone.
If you were told that this treatment was not medically or otherwise suitable for you, you can skip this question and move on.
How do you rate the quality of information available for Haemodialysis at Home?
Poor
Fair
Average
Good
Excellent
Any further comments (positive or negative)?
6.
Haemodialysis in Hospital
This is the option that most are suitable for and could have if they wanted to, and the usual option to fall back on if the other options are not suitable or no longer work.
If you were told that this treatment was not medically suitable for you, you can skip this question and move on.
How do you rate the quality of information available for Haemodialysis in Hospital?
Poor
Fair
Average
Good
Excellent
Any further comments (positive or negative)?
7.
Conservative Management of kidney failure
(choosing never to do dialysis)
Please only answer this question if you are seriously considering or have opted for conservative management instead of dialysis. Otherwise you can go straight to question 8.
How do you rate the quality of information available for Conservative Management?
Poor
Fair
Average
Good
Excellent
Any further comments (positive or negative)?