The Impact of Psychosocial Factors on Peritonitis: A Social Work Approach

Abstract

Peritonitis is a preventable infection in people on peritoneal dialysis (PD). Psychosocial factors that may impact the onset of peritonitis include complacency, depression, forgetfulness, expediency, caregiver stress/burnout, and the "pet factor." The clinical social worker is skilled in addressing each of these areas to reduce the rate of peritonitis in the PD population. Intervention methodology, such as motivational interviewing, depression assessment, behavioral therapy, the dispelling of myths, stress reduction, adjustment counseling, and pet relationship significance assessment are utilized to effectively address peritonitis prevention. Patient education on psychosocial factors that may lead to peritonitis followed by appropriate social work clinical interventions may be implemented for a true interdisciplinary approach to peritonitis prevention.