Therapy management system and method for peritoneal dialysis

• US 9,251,310 B2
• Filed: 02/10/2011
• Issued: 02/02/2016
• Est. Priority Date: 12/09/2002
• Status: Expired due to Fees

• Current Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Original Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Inventors: McNally, Larry, Vecsey, Andy, DeLaCruz, Rich, Mujais, Salim, Coman, Like, Marritt, Richard, Firanek, Catherine
• Primary Examiner(s): Le, Michelle L
• Application Number:
  US13/024,990
• Publication Number:
  US 20110131058A1
• Time in Patent Office: 1,818 Days
• US Class Current: 1/1
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

A method for organizing care for a patient undergoing a peritoneal dialysis therapy under a system including at least one display device, at least one memory device, at least one processor and at least one peritoneal dialysis instrument for performing the peritoneal dialysis therapy, the method comprising: organizing information for presentation in a plurality of screens using the at least one display device, the at least one memory device, and the at least one processor, wherein each screen presents information pertinent to a particular aspect of the peritoneal dialysis therapy; and displaying in the plurality of screens information about the patient'"'"'s prescription for the peritoneal dialysis therapy, information about medication the patient is taking in connection with the peritoneal dialysis therapy, and information about the patient'"'"'s compliance with the peritoneal dialysis therapy.

Claims

1. A method for monitoring patient compliance with a prescribed treatment for a patient undergoing a peritoneal dialysis therapy using a system including at least one display device, at least one memory device, at least one processor and at least one peritoneal dialysis instrument, the method comprising:

a peritoneal dialysis module organizing information for presentation at a first location in a plurality of screens using the at least one display device, the at least one memory device, and the at least one processor, wherein each screen presents information pertinent to a particular aspect of the peritoneal dialysis therapy;

the peritoneal dialysis module displaying in the plurality of screens at the first location (i) a peritoneal dialysis prescription screen for prescribing a treatment for the patient using the dialysis instrument and (ii) information about access to the peritoneal cavity of the patient;

prescribing a treatment for the patient using the peritoneal dialysis prescription screen, the dialysis instrument configured to remove ultrafiltration from the patient and deliver a volume of fluid to the patient based upon the prescribed treatment, the prescribed treatment including at least one of;

(i) ultrafiltration to be removed by the dialysis instrument, (ii) total volume to be delivered by the dialysis instrument, or (iii) time of treatment to be performed by the dialysis instrument;

the at least one dialysis instrument performing at a first time the prescribed treatment on the patient at a second, different location;

recording results of performing the treatment at the second, different location, including results about at least one of;

(a) ultrafiltration removed by the dialysis instrument, (b) total volume delivered by the dialysis instrument, (c) time of treatment performed by the dialysis instrument, (d) patient dry weight, (e) skipped treatments, or (f) a change in the prescribed treatment;

the peritoneal dialysis module displaying a compliance screen at the first location, wherein the compliance screen displays the recorded results, including at least one of (a) ultrafiltration removed by the dialysis instrument, (b) total volume delivered by the dialysis instrument, (c) time of treatment performed by the dialysis instrument, (d) patient dry weight, (e) skipped treatments, or (f) a change in the prescribed treatment, of performing the treatment at the second, different location; and

the peritoneal dialysis module causing the at least one processor to compare the recorded results with an acceptable range for at least one of (a) to (f) and generate an alert at a second time after performing the prescribed treatment if the recorded results are outside the acceptable range.

2. The method of claim 1, which includes displaying the information about access to the peritoneal cavity of the patient at the prescription screen.

3. The method of claim 1, which includes displaying the information about access to the peritoneal cavity of the patient on an access implant detail screen at the first location.

4. The method of claim 3, which includes displaying at least one item of information selected from the group consisting of:

physician, date, location, facility, facility type, first use, graft type and graft configuration on the access implant detail screen.

5. The method of claim 3, wherein if an implant has been removed, displaying at least one item of information selected from the group consisting of:

a physician that removed the implant, a date the implant was removed, a location the implant was removed and a reason the implant was removed on the access implant detail screen.

6. The method of claim 1, which includes displaying the information about access to the peritoneal cavity of the patient on an access summary screen at the first location.

7. The method of claim 6, which includes displaying at least one item of information selected from the group consisting of:

an implant date, an implant method, an implant location, an implant physician and a summary of patient problems sorted by infection problems and non-infection problems on the access summary screen.

21. The method of claim 1, which includes causing the at least one processor to generate the alert after displaying the compliance screen.

22. The method of claim 1, which includes causing the at least one processor to generate the alert in response to a query.

8. A method for monitoring patient compliance with a prescription for a patient undergoing a peritoneal dialysis therapy under a system including at least one display device, at least one memory device, at least one processor and at least one peritoneal dialysis instrument for performing the peritoneal dialysis therapy, the method comprising:

organizing, via a peritoneal dialysis module, information for presentation in a plurality of screens using the at least one display device, the at least one memory device, and the at least one processor, wherein each screen presents information pertinent to a particular aspect of the peritoneal dialysis therapy;

the peritoneal dialysis module displaying in the plurality of screens information about the patient'"'"'s prescription for the peritoneal dialysis therapy, the prescription including at least one of;

(i) ultrafiltration to be removed by the dialysis instrument, (ii) total volume to be delivered by the dialysis instrument, or (iii) time of therapy to be performed by the dialysis instrument, information about medication the patient is taking in connection with the peritoneal dialysis therapy, and information about the patient'"'"'s compliance with the prescription for the peritoneal dialysis therapy recorded by the dialysis instrument, the information about the patient'"'"'s compliance including at least one of (a) ultrafiltration removed by the dialysis instrument, (b) total volume delivered by the dialysis instrument, (c) time of therapy performed by the dialysis instrument, (d) patient dry weight, (e) skipped therapies, or (f) a change in the prescription;

performing via the at least one dialysis instrument, the peritoneal dialysis therapy based on the prescription for the patient by removing ultrafiltration from the patient and delivering a volume of fluid to the patient, the prescription including at least one of;

(i) ultrafiltration to be removed by the at least one dialysis instrument, (ii) total volume to be delivered by the at least one dialysis instrument, or (iii) time of treatment to be performed by the at least one dialysis instrument; and

causing, via the peritoneal dialysis module, the at least one processor to compare the information about the patient'"'"'s compliance with an acceptable range for at least one of (a) to (f) and generate an alert after performing the peritoneal dialysis therapy if the information about the patient'"'"'s compliance is outside the acceptable range.

9. The method of claim 8, which further includes displaying in the plurality of screens information concerning the patient'"'"'s peritoneal dialysis access site.

10. The method of claim 8, wherein displaying information about the patient'"'"'s prescription for the peritoneal dialysis therapy includes displaying information about at least one of:

(i) total volume, (ii) therapy time, (iii) fill volume, and (iv) last fill volume.

11. The method of claim 8, wherein displaying information about the patient'"'"'s prescription for the peritoneal dialysis therapy includes displaying information about solution type used for the peritoneal dialysis therapy.

12. The method of claim 11, wherein information about solution type used for the peritoneal dialysis therapy includes information about at least one of solution brand and solution dextrose level.

13. The method of claim 8, wherein displaying information about the patient'"'"'s prescription for the peritoneal dialysis therapy includes displaying information about peritoneal dialysis therapy type.

14. The method of claim 13, wherein the peritoneal dialysis therapy types are selected from the group consisting of:

continuous circulating peritoneal dialysis (“

CCPD”

), tidal peritoneal dialysis, high dose CCPD, high dose tidal peritoneal dialysis, and continuous ambulatory peritoneal dialysis.

15. The method of claim 8, which includes displaying information about the patient'"'"'s prescription on a first prescription screen and displaying information about the patient'"'"'s compliance on a second compliance screen.

16. The method of claim 8, wherein information about the patient'"'"'s compliance with the prescription for the peritoneal dialysis therapy includes information broken down by date.

17. The method of claim 8, wherein information about the patient'"'"'s compliance with the prescription for the peritoneal dialysis therapy includes cross-referencing a plurality of dates with a plurality of compliance factors.

23. The method of claim 8, which includes causing the at least one processor to generate the alert after displaying the information about the patient'"'"'s compliance with the prescription for the peritoneal dialysis therapy.

24. The method of claim 8, which includes causing the at least one processor to generate the alert in response to a query.

18. A method for monitoring patient compliance with a peritoneal dialysis therapy goal for a patient undergoing a peritoneal dialysis therapy using at least one display device, at least one memory device, at least one processor, and a peritoneal dialysis instrument for performing a prescribed peritoneal dialysis therapy, the method comprising:

a peritoneal dialysis module displaying information about the patient'"'"'s prescribed peritoneal dialysis therapy type;

the peritoneal dialysis module displaying information about the patient'"'"'s prescribed peritoneal dialysis therapy solution type;

the peritoneal dialysis module displaying information about the patient'"'"'s prescribed peritoneal dialysis therapy solution volume;

the at least one processor calculating and the at least one display device displaying at least one peritoneal dialysis therapy parameter that is related to and based on the peritoneal dialysis therapy solution volume;

the peritoneal dialysis module displaying at least one peritoneal dialysis therapy goal;

the dialysis instrument performing the prescribed peritoneal dialysis therapy based on the peritoneal dialysis therapy goal by removing ultrafiltration from the patient and delivering a volume of fluid to the patient, the peritoneal dialysis therapy goal including at least one of (i) ultrafiltration to be removed by the dialysis instrument, (ii) total volume to be delivered by the dialysis instrument, or (iii} time of treatment to be performed by the dialysis instrument;

the peritoneal dialysis module indicating whether the at least one peritoneal dialysis goal has been met based upon peritoneal dialysis therapy results recorded by the dialysis instrument;

and

the peritoneal dialysis module causing the at least one processor to generate an alert after performing the peritoneal dialysis therapy if the at least one peritoneal dialysis goal has not been met.

19. The method of claim 18, wherein the at least one calculated peritoneal dialysis therapy parameter related to and based on the peritoneal dialysis therapy solution volume includes a number of therapy cycles or a dwell time.

20. The method of claim 18, wherein the at least one peritoneal dialysis therapy goal includes an ultrafiltration removed goal, a total volume delivered goal, a total time for therapy goal or a dry weight goal.

25. The method of claim 18, which includes causing the at least one processor to generate the alert after indicating whether the at least one peritoneal dialysis goal has been met.

26. The method of claim 18, which includes causing the at least one processor to generate the alert in response to a query.