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Table 2 Excerpt 1. Active checking of patients’ knowledge

From: Shared decision making in chronic kidney disease: a qualitative study of the impact of communication practices on treatment decisions for older patients

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Speaker

Talk

274.

Doc3:

What’s your understanding about dialysis via the tummy? Can you …

275.

CKD-P2

The peritoneal?

276.

Doc3:

Yeah, summarise it for me.

277.

CKD-P2:

Yeah. From what I’ve studied myself …

278.

Doc3:

Good [laughs].

279.

CKD-P2:

… Dr Google, is that they—the access point is here in your stomach, in your abdomen. The fluid goes into the peritoneum and …

280.

Doc3:

Good, you’re using all the right terms. [to patient’s mother] She’s been studying very well [laughs].

281.

CKD-P2:

…in the peritoneum but if there is scar tissue in there it won’t cleanse that area properly, but that’s okay you can still do it, it will still do its job.

282.

Doc3:

Yeah. Yep. It’s based at home.

283.

CKD-P2:

Yeah.

284.

Doc3:

You have surgery…

285.

CKD-P2:

Yeah.

286.

Doc3:

…pre-emptively…

287.

CKD-P2:

At an access point. Yes.

288.

Doc3:

…so that we’re planning…

289.

CKD-P2:

Set up. Yeah.

290.

Doc3:

…ahead of your need for dialysis. The Tenckhoff catheter is inserted by the surgeon, generally needs a couple of weeks to mature before we…

291.

CKD-P2:

Before they start to use it.

292.

Doc3:

…start using it.

293.

CKD-P2:

What about percentage? Do you get that done at 15 per cent or lower?

294.

Doc3:

Generally, we start making arrangements around 15 per cent.

295.

CKD-P2:

Yeah, okay.

296.

Doc3:

But it’s also guided by your symptoms.