PD Travel Practical Arrangements — ESENeph MCQ
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Correct answer: D — Consider assisted home therapy despite functional limitations affecting independence
The best answer is “Consider assisted home therapy despite functional limitations affecting independence”. NICE emphasizes equitable information and support. Assisted peritoneal dialysis or home-haemodialysis support can broaden access when clinically and locally feasible. “Choose facility treatment when home support cannot meet safety requirements” is less appropriate because support needs can be addressed through carers or assisted services “Choose facility haemodialysis after shared comparison of suitable treatment options” is less appropriate because NICE requires informed shared choice among clinically suitable options “Start peritoneal dialysis after training, assessment and home support are arranged” is less appropriate because safe support, infection prevention and practical assessment remain essential “Offer conservative care when it best matches prognosis and informed patient goals” is less appropriate because frailty informs but does not dictate modality choice
Reference: NICE NG107: renal replacement therapy and conservative management: https://www.nice.org.uk/guidance/ng107/chapter/Recommendations