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Author Topic: Button Hole -- Yes or no?  (Read 2260 times)
dwcrawford
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« on: May 11, 2009, 07:39:02 AM »
Who has experience and/or knowledge of the Button Hole Technique.  My fistala should be ready for use in a month or so.  A nurse in the center claims to be an expert in etablishin button hole.  I'd appreciate any insight as to Yea or Nay.

Thanks, Dan
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Come to think of it, nothing is funny anymore.

Nothing that I post here is intended for fact but rather for exploration into my personal thought processes.  Any slight, use of words with multiple connotations or other percieved insults are totally unintended.  I reserve my insults for private.
glitter
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« Reply #1 on: May 11, 2009, 10:20:24 AM »
I beleive it is the healthiest thing to do-

http://ihatedialysis.com/forum/index.php?topic=965.0


this link is the IHD guide to buttonhole
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Jack A Adams July 2, 1957--Feb. 28, 2009
I will miss him- FOREVER

caregiver to Jack (he was on dialysis)
RCC
nephrectomy april13,2006
dialysis april 14,2006
Wallyz
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« Reply #2 on: May 11, 2009, 10:47:13 AM »
Yes on buttonholes-  ask her to help you set your own.
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monrein
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« Reply #3 on: May 11, 2009, 11:24:48 AM »
Definitely a great way to go.  Have the same person consistently (that means every single time if at all possible) to establish them and then take over yourself to ensure consistency.  You could of course set them yourself which is what I did so that consistency is built in but use the experienced nurse to guide you in the whole process.  Good luck.
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Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr.  2009
Second trx doing great so far...all lab values in normal ranges
del
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del and willowtreewren meet
« Reply #4 on: May 11, 2009, 04:09:30 PM »
Definitely YES to buttonholes. But like monrein said make sure it is the same person needling until they are established.
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jbeany
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« Reply #5 on: May 12, 2009, 10:24:23 AM »
Everything on here that I've read say they are better for the fistula and hurt less to stick each time - sounds like a win-win to me. 
I've got a graft, though - so I'm still laddering with sharps!
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Stoday
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« Reply #6 on: May 12, 2009, 04:10:21 PM »
The policy at my center is to encourage buttonholes, but only if you stick yourself. That's because they can't guarantee the same nurse every time.
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Diagnosed stage 3 CKD May 2003
AV fistula placed June 2009
Started hemo July 2010
Heart Attacks June 2005; October 2010; July 2011
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