Renal care

  • Clive G. Long


The technological advances in the treatment of end-stage renal disease (ESRD) have both increased the life expectations of patients and highlighted the psychological aspects of adaption to a changed existence. In 1960 the longest reported maintenance of life with intermittent haemodialysis was 181 days (Maher, Schreiner and Waters, 1960), but such treatment today imposes psychosocial stressors upon patients and their families for a period that may exceed a decade. This chapter is concerned with the nature and effects of these stressors and their treatment and care by psychological means. The text is concerned with all forms of renal treatment other than transplantation (i.e. intermittent and continuous ambulatory peritoneal dialysis (CAPD) and unit, minimal-care and home dialysis), unless specifically mentioned.


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© Springer Science+Business Media Dordrecht 1995

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  • Clive G. Long

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