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The Elderly Patient on Dialysis--Psychosocial Considerations

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Geriatric Nephrology

Part of the book series: Developments in Nephrology ((DINE,volume 12))

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Abstract

There is an unprecedented increase in the number and proportion of elderly people in all industrial nations. Barring catastrophes such as nuclear war, pandemic infections, or an overheating of our planet, at the beginning of the next century the United States and Canada can expect to have more than 40 million old people.

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References

  1. U.S. Bureau of the Census. Current Population Reports: Projections of the population of the United States. Washington, D.C.: U.S. Government Printing Office, 1975.

    Google Scholar 

  2. Statistics Canada. Population projections for Canada and the provinces 1972–2001. Ottawa: Information Canada, Catalogue 91–514:119–133, 1974.

    Google Scholar 

  3. DePalma JR: Is patient rationing in our future? Dialysis and Transplantation 12:829–830, 1983.

    PubMed  Google Scholar 

  4. Parsons V: The ethical challenges of dialysis and transplantation. The Practitioner 220:871–877, 1978.

    PubMed  CAS  Google Scholar 

  5. Caplan AL: The selection of patients for dialytic therapy - Should treatment be left to change? Dialysis and Transplantation 13(3): 155–161, 1984.

    Google Scholar 

  6. Berlyne GM: Over 50 and uremic = death. Nephron 31:189–190, 1982.

    Article  PubMed  CAS  Google Scholar 

  7. Burton JH, Lindsay RM, Canzona L, et al: Adapting to a home dialysis program: The Ontario experience. Ontario Ministry of Health (DM 338): 1–30, 1985.

    Google Scholar 

  8. Cohen SL, Comty CM, Shapiro FL: The effect of age on the results of regular haemodialysis treatment. Proc Eur Dial Trans Assoc 7:254–260, 1970.

    Google Scholar 

  9. Chester AC, Rakowski RA, Argy WP, et al: Hemodialysis in the eighth and ninth decades of life. Archives of Internal Medicine 139:1001–1005, 1979.

    Article  PubMed  CAS  Google Scholar 

  10. Taube DH, Winder EA, Ogg CS, et al: Successful treatment of middle aged and elderly patients with end stage renal disease. British Medical Journal 285:2018–2020, 1983.

    Article  Google Scholar 

  11. Walker PJ, Ginn HE, Johnson KH, et al: Long-term hemodialysis for patients over 50. Geriatrics 55–61, 1975.

    Google Scholar 

  12. Bailey GL, Mocelin AJ, Griffiths HJ, et al: Hemodialysis and renal transplantation in patients of the 50–80 age group. Journal of the American Geriatrics Society 20(9):421–428, 1972.

    PubMed  CAS  Google Scholar 

  13. Ghantous WN, Bailey GL, Zschaech CL, et al: Long-term hemodialysis in the elderly. Transactions - American Society for Artificial Internal Organs 17:125–128, 1971.

    PubMed  CAS  Google Scholar 

  14. Rowe JW: Renal System. In: Rowe JW, Besdine RW (eds), Health and Disease in Old Age. Little, Brown and Company, Boston: 165–183, 1982.

    Google Scholar 

  15. Horn JL, Donaldson G: On the myth of intellectual decline in adulthood. American psychologist 31:701–719, 1976.

    Article  PubMed  CAS  Google Scholar 

  16. Horn JL, Donaldson G: Faith is not enough: a response to the Baltes-Schaie claim that intelligence does not wane. American Psychologist 31:701–719, 1976.

    Article  PubMed  CAS  Google Scholar 

  17. Baltes PB, Schaie KW: On the plasticity of intelligence in adulthood and old age: where horn and Donaldson fail. American psychologist 31:720–725, 1976.

    Article  PubMed  CAS  Google Scholar 

  18. Burton HJ, Canzona L, Lindsay RM, et al: Adaptation to home dialysis: a retrospective look. Toronto: Ontario Ministry of Health (DM338), 1980.

    Google Scholar 

  19. Hoffman H, Jackson DN, Skinner H: Dimensions of psychopathology among alcoholic patients. Journal of Studies on Alcohol 36:825–837, 1975.

    Google Scholar 

  20. Jackson DN: A sequential system for personality scale development. In: Spielberger C (ed), Clinical and Community Psychology, Vol. 2, Academic Press, New York, 1970.

    Google Scholar 

  21. Jackson DN: The dynamics of structured personality tests. Psychological Review 78:229–278, 1971.

    Article  Google Scholar 

  22. Jackson DN, Messick S: The differential personality inventory. Authors, London, Canada, 1971.

    Google Scholar 

  23. Jackson DN: Orthogonal components of psychopathology: a fresh appraoch to measuring the constructs underlying MMPI clinical scales. Presented at Society of Multivariate Experimental Psychology, Oregon, November, 1975.

    Google Scholar 

  24. Kilduff RA: Reliability and faking susceptibility of the Basic Personality Inventory. M.A. Thesis, University of Rhode Island, 1979.

    Google Scholar 

  25. Smiley W: Multivariate classification of male and female delinquent personality types. Ph.D. Dissertation, University of Western Ontario, 1976.

    Google Scholar 

  26. Holden RR: Item subtelty, face validity and the structured assessment of psychopathology. Ph.D. Dissertation, University of Western Ontario, 1982.

    Google Scholar 

  27. Sviland M: Factors of adaptation and rehabilitation in home hemodialysis. Ph.D. Dissertation, University of Southern California, 1971.

    Google Scholar 

  28. Holmes TH, Rahe RH: The social readjustment rating scale. Journal of Psychosomatic Research 11:213–128, 1967.

    Article  PubMed  CAS  Google Scholar 

  29. Holmes TH, Masuda: Life changes and illness susceptibility. In: Dohrenwend B, Dohrenwend B (eds), Stressful Life Events: Their Nature and Effects, John Wiley and Sons, New york, 45–72, 1974.

    Google Scholar 

  30. Cobb S: Social support as a moderator of life stress. Psychosomatic Medicine 38(5):301–314, 1976.

    Google Scholar 

  31. Kaplan RH, Cassel JC, Gore S: Social support and health. Medical Care 5:47–58, 1977.

    Article  Google Scholar 

  32. Turner RJ, Frankel BG, Levin D: Social support: conceptualization, measurement and implications for mental health. In: Greenley JR (ed), Research in community and mental health vol. III. Jai Press, Greenwich, 1985.

    Google Scholar 

  33. Campbell A, Converse P, Rodgers N: The quality of American life-perceptions, evaluations and satisfactions. Russell Sage Foundation, New York, 1976.

    Google Scholar 

  34. Levy NB: Psychological factors affecting long-term survivorship on hemodialysis. Dialysis and Transplantation 8(9):880–881, 1979.

    Google Scholar 

  35. Lynch JJ: The broken heart - the medical consequences of loneliness. Basic Books Inc, New York, 1979.

    Google Scholar 

  36. Gombos EA, Lee TH, Harton MR, et al: One year’s experience with an intermittent dialysis program. Annals of Internal Medicine 61:462–469, 1969.

    Google Scholar 

  37. Shea E, Bogdan DF, Freeman, RB, et al: Hemodialysis for chronic renal failure, IV. Annals of Internal Medicine 62:558–563, 1965.

    PubMed  CAS  Google Scholar 

  38. Cummings JW: Hemodialysis - feelings, factors, fantasies. The pressure and how patients respond. American Journal of Nursing 70:70–76, 1970.

    PubMed  CAS  Google Scholar 

  39. Hampers CL, Schupak E: Long-term hemodialysis. Grune and Stratton, New York, 1967.

    Google Scholar 

  40. Eschbach JN, Barnett BMS, Daly S, et al: Hemodialysis in the home: a new approach to the treatment of chronic uremia. Annals of Internal Medicine 67(6): 1149–1162, 1967.

    PubMed  Google Scholar 

  41. Linday RM, Oreopoulos D, Burton HJ, et al: Adaptation to home dialysis - a comparison of continuous ambulatory peritoneal dialysis and hemodialysis. In: Legrain M (ed), Continuous ambulatory peritoneal dialysis. Excerpta Medica, Amsterdam, 120–130, 1980.

    Google Scholar 

  42. Brand L, Komorita NJ: Adapting to long-term hemodialysis. American Journal of Nursing 66(8):1178–1181, 1966.

    Google Scholar 

  43. Burton HJ: Survival without the machine: a comparison of the psycho-social effectiveness of continuous ambulatory peritoneal dialysis (CAPD) and home hemodialysis. Dr. P.H. Dissertation, University of Pittsburgh, 1981.

    Google Scholar 

  44. Salzman C, Shader RI: Depression in the elderly: I. Relationship between depression, psychologic defense mechanisms and physical illness. Journal of the American Geriatrics Society 26:253–302, 1978.

    PubMed  CAS  Google Scholar 

  45. Levy S: The psychosocial assessment of the chronicall ill geriatric patient. In: Prokop CK, Bradley LA (eds), medical Psychology: Contributions to Behavioral Medicine. Academic Press, New York, 119–137, 1981.

    Google Scholar 

  46. Levy NB: Psychological complications of dialysis. Bulletin of the Menninger Clinic 48(3):237–250, 1984.

    PubMed  CAS  Google Scholar 

  47. Levy NB: Coping with maintenance hemodialysis - psychological considerations in the care of patients. In: Massry SG, Sellers AL (eds), Clinical Aspects of Uremia and Hemodialysis. Charles C. Thomas, Springfield, IL. 53–68, 1976.

    Google Scholar 

  48. Lefebvre P, Norbert A, Crombez J: Psychological and psychopathological reactions in relation to chronic hemodialysis. Canadian Psychiatric Association Journal 17:55–59, 1972.

    Google Scholar 

  49. Abraham HS: The psychiatrist, the treatment of chronic renal failure and the prolongation of life: II. American Journal of Psychiatry 126:157, 1969.

    Google Scholar 

  50. DeNour AK: Psychotherapy with patients on chronic haemodialysis. British Journal of Psychiatry 116:207, 1970.

    Article  CAS  Google Scholar 

  51. Short MJ, Alexander RJ: Psychiatric considerations for center and home hemodialysis. Southern Medical Journal 62:1476, 1969.

    Article  PubMed  CAS  Google Scholar 

  52. Reichsman R, Levy NB: Problems in adaptation to maintenance hemodialysis. Archives of Internal Medicine 130:859, 1972.

    Article  PubMed  CAS  Google Scholar 

  53. Wright RG, Sand P, Livingston G: Psychological stress during hemodialysis for chronic renal failure. Annals of Internal Medicine 64:611, 1966.

    PubMed  CAS  Google Scholar 

  54. Burton HJ, Klatt h, Conley JA, et al: Stresses associated with sexual adjustment of end stage renal disease patients commencing home diaoysis: a comparison between hemodialysis and CAPD. Contemporary Dialysis 2(6):25–28, 1981.

    Google Scholar 

  55. Cramond WA, Knight PR, Lawrence JR: The psychiatric contribution to a renal unit undertaking chronic haemodialysis and renal homotransplantation. British journal of Psychiatry 113:1201, 1967.

    Article  PubMed  CAS  Google Scholar 

  56. Wai L, Richmond J, Burton HJ, et al: Influence of psychosocial factors on survival of home dialysis patients. Lancet 2:1155, 1981.

    Article  PubMed  CAS  Google Scholar 

  57. Richmond JM, Lindsay RM, Burton HJ, et al: Psychological and physiological factors predicting the outcome of home dialysis. Clinical Nephrology 17:109, 1982.

    PubMed  CAS  Google Scholar 

  58. Burton JH, Kline SA, Lindsay RM, et al: Relationship of depression to survival in chronic renal failure. Psychosomatic Medicine (accepted 1985).

    Google Scholar 

  59. Epstein L: Symposium on age differentiation in depressive illness. Depression in the elderly. Journal of Gerontology 31:278–282, 1976.

    PubMed  CAS  Google Scholar 

  60. Liptzin B: psychiatric aspects of aging. In: Rowe JW, Besdine RW (eds), health and Disease in Old Age. Little, Brown and Company, Boston, 85–96, 1982.

    Google Scholar 

  61. Stenback A, Kumpulainen M, Vauhkonen ML: Illness and health behavior in septuagenarians. Gerontologist 33:57, 1978.

    CAS  Google Scholar 

  62. Dansak DK: Secondary gain in long-term hemodialysis patients. American Journal of Psychiatry 129:352, 1972.

    PubMed  CAS  Google Scholar 

  63. Menzies IC, Steward WK: Psychiatric observations on patients receiving regular dialysis treatment. British Medical Journal 1:544, 1968.

    Article  PubMed  CAS  Google Scholar 

  64. McKegney FP, Lange P: The decision to no longer live on chronic hemodialysis. American Journal of Psychiatry 128:267, 1971.

    PubMed  CAS  Google Scholar 

  65. Wittkower E: Psychological aspects of physical illness. Canadian Medical Association Journal 66:220, 1952.

    PubMed  CAS  Google Scholar 

  66. Gentry WD, Davis GC: Cross-sectional analysis of psychological adaptation to chronic hemodialysis. Journal of Chronic Diseases 25:545, 1972.

    Article  PubMed  CAS  Google Scholar 

  67. Greenberg RP, Davis G, Massey R: The psychological evaluation of patients for a kidney transplant and hemodialysis program. American Journal of Psychiatry 130:274, 1973.

    PubMed  CAS  Google Scholar 

  68. Ballak L: Psychology of Physical Illness. Grune and Stratton, New York, 1952.

    Google Scholar 

  69. Beard BH: Fear of death and fear of life. Archives of General Psychiatry 21:373, 1969.

    PubMed  CAS  Google Scholar 

  70. Freyberger H: Six years’ experience as a psychosomaticist in a hemodialysis unit. Psychotherapy and Psychosomatics 22:226, 1973.

    Article  PubMed  CAS  Google Scholar 

  71. Short MJ, Wilson WP: Roles of denial in chronic hemodialysis. Archives of General Psychiatry 20:433, 1969.

    PubMed  CAS  Google Scholar 

  72. MacNamera M: Psychosocial problems in a renal unit. British Journal of Psychiatry 113:1231, 1967.

    Article  Google Scholar 

  73. Coogan JP: Psychiatry for the slowly dying. Report on a program at Los Angeles County Hospital, SK and F Psychiatric Reporter 45:4–6, 1969.

    Google Scholar 

  74. Abram HS: The prosthetic man. Comprehensive Psychiatry 11:475, 1970.

    Article  PubMed  CAS  Google Scholar 

  75. Glassman BM, Siegal A: Personality correlates of survival in a long-term hemodialysis program. Archives of General Psychiatry 22:566, 1970.

    PubMed  CAS  Google Scholar 

  76. Hollon TH: Modified group therapy in the treatment of patients on chronic hemodialysis. American Journal of Psychotherapy 26(4):501–510, 1972.

    PubMed  CAS  Google Scholar 

  77. Goldstein AM, Reznikoff M: Suicide in chronic hemodialysis patients from an external locus of control framework. American Journal of Psychiatry 127:1204, 1971.

    PubMed  CAS  Google Scholar 

  78. Janis I: Psychological Stress, John Wiley and Sons, New York, 1958.

    Google Scholar 

  79. Lindsay RM, Oreopoulos DG, Burton HJ, et al: The effect of treatment modality (CAPD vs hemodialysis) in adaptation to home dialysis in Canada. In: Atkins RC, Thomson NM, Farrell PC (eds), Peritoneal Dialysis. Chruchill, Livingstone, Edinburgh, 385–394, 1981.

    Google Scholar 

  80. Kline SA, Burton HJ, DeNour AK, et al: Patient’s self assessment of stressors and adjustment to home hemodialysis and CAPD. Peritoneal Dialysis Bulletin 5(1):36–39, 1985.

    Google Scholar 

  81. Elliot GR, Eisdorfer C: Stress and human health. Springer-Verlag, New York, 1982.

    Google Scholar 

  82. Goldberger L, Breznitzs: Handbook of stress. Free Press, New York, 1982.

    Google Scholar 

  83. Cassel J: Psychosocial process and ‘stress’: theoretical formulation. International Journal of Health Services 4:471, 1974.

    Article  PubMed  CAS  Google Scholar 

  84. Cassel J: An epidemiological perspective of psychosocial factors in disease etiology. American Journal of Public Health 64:1040–1043, 1974.

    Article  PubMed  CAS  Google Scholar 

  85. McGrath JE: Social and psychological factors in stress. Holt, Rinehard and Winston, New York, 1970.

    Google Scholar 

  86. Brown HW, Maher JF, Lapierre L, et al: Clinical problems related to the prolonged artificial maintenance of life by hemodialysis in chronic renal failure. Transactions American Society for Artificial Internal Organs 8:281–291, 1962.

    PubMed  CAS  Google Scholar 

  87. Tsaltas MD: Children of home dialysis patients. Journal of the American medical Association 236:2764, 1976.

    Article  PubMed  CAS  Google Scholar 

  88. Shambaugh PW, Hampers CL, Bailey GL, et al: Hemodialysis in the home - emotional impact on the spouse. Transactions-American Society for Artificial Internal Organs 13:41, 1967.

    Google Scholar 

  89. Shambaugh PW, Kanter SS: Spouses under stress - group meeting with spouses of patients on hemodialysis. American Journal of Psychiatry 125:928, 1969.

    Google Scholar 

  90. Berkman LF, Syme SL: Social networks, host resistance, and mortality: a nine-year followup study of Alameda County residents. American Journal of Epidemiology 109:186–204, 1979.

    PubMed  CAS  Google Scholar 

  91. Gore S: Stress-bufferingfunctions of social supports: an appraisal and clarification of research models. In: Dohrenwend BS, Dohrenwend BP (eds) Life stress and illness. Neale Watson, New York, 1980.

    Google Scholar 

  92. Rabkin Jg, Struening EC: Life events, stress and illness. Science 194:1013–1020, 1976.

    Article  PubMed  CAS  Google Scholar 

  93. Tolsdorf C: Social networks, support and coping: an exploratory study. Family Process 15:407–418, 1976.

    Article  PubMed  CAS  Google Scholar 

  94. Caplan G: Support systems. In Caplan G (ed), Support systems and community mental health, Basic Books, New York, 1974.

    Google Scholar 

  95. Dean A, Lin N: The stress-buffering role of social support: problems and prospects for systematic investigation. Journal of Nervous and Mental Disease 165(6):403–417, 1977.

    Article  PubMed  CAS  Google Scholar 

  96. Kaplan BH, Cassel JC, Gore S: Social support and health. Medical Care 15(5):47–58, 1977.

    Article  PubMed  CAS  Google Scholar 

  97. Sand P, Livingston G, Wright RG: Psychological assessment of candidates for a hemodialysis program. Annals of Internal Medicine 64:602, 1966.

    PubMed  CAS  Google Scholar 

  98. Mallard WP: Rehabilitation level of home hemodialysis patients and predialysis training social factors. Dialysis and Transplantation 6:15, 1977.

    Google Scholar 

  99. Pentecost RL: Family study in home dialysis. Archives of General Psychiatry 22:538, 1970.

    PubMed  CAS  Google Scholar 

  100. Pentecost RL, Zwerens B, manuel JW: Intrafamily identity and home dialysis success. Nephron 17:88, 1976.

    Article  PubMed  CAS  Google Scholar 

  101. Palmer S, Canzona L, Conley J, et al: Vocational adaptation of patients on home dialysis - its relationship to personality, activities and support received. Journal of Psychosomatic Research 27:201, 1983.

    Article  PubMed  CAS  Google Scholar 

  102. Conley JA, Burton HJ, DeNour AK: Support systems for patients and spouses on home dialysis. Internation Journal of Family Psychiatry 2(1):45–54, 1981.

    Google Scholar 

  103. Burton HJ, DeNour AK, Conley JA, et al: Comparison of psychological adjustment to continuous ambulatory peritoneal dialysis and home dialysis. Peritoneal Dialysis Bulletin 2(2):76–79, 1982.

    Google Scholar 

  104. Burton HJ, Kline SA, Lindsay RM, et al: The effect of social networks, integration and support systems in determining quality of life for the ESRD patient. In: Levy NB (ed) Psychonephrology 4, Plenum publishers, New York (in press).

    Google Scholar 

  105. Eckenrode J, Gore S: Stressful events and social supports: the significance of context. In: Gottlieb BH (ed), Social networks and social support. Sage Publications, Beverly Hills, 43–68, 1981.

    Google Scholar 

  106. Henderson S: The social network, support and neurosis. British Journal of Psychiatry 131:185–191, 1977.

    Article  PubMed  CAS  Google Scholar 

  107. Brown G, Bhrolchain M, Harris T: Social class and psychiatric disturbance among women in an urban population. Sociology 9:225–254, 1975.

    Article  Google Scholar 

  108. Hammer M, Makiesky-Barrow S, Gutwirth L: Social networks and schizophrenia. Schizophrenia Bulletin 4:522–545, 1978.

    PubMed  CAS  Google Scholar 

  109. Liem GR, Liem JH: Social class and mental health reconsidered: the role of economic stress and social support. Journal of Health and social Behaviour 19:129–156, 1978.

    Article  Google Scholar 

  110. Lowenthal Mf, Haven C: Interaction and adaptation: intimacy as a critical variable. American Sociological Review 33:20–30, 1968.

    Article  PubMed  CAS  Google Scholar 

  111. Miller P, Ingham JG: Friends, confidants, and symptoms. Social Psychiatry 11:51–58, 1976.

    Article  Google Scholar 

  112. Weiss RS: The provisions of social relationships. In: Rbin Z (ed), Doing unto others. Prentice-Hall, Englewood Cliffs, NJ, 1974.

    Google Scholar 

  113. Conner KA, Powers EA, Bultena GL: Social interaction and life satisfaction: an empirical assessment of late-life patterns. Journal of Gerontology 34:116–121, 1979.

    PubMed  CAS  Google Scholar 

  114. Henderson S, Duncan-Jones P, McAuley H, et al: The patient’s primary group. British Journal of Psychiatry 132:74–86, 1978.

    Article  Google Scholar 

  115. Campbell A, Converse P, Rodgers W: The quality of American life. Russell Sage Foundation, New York, 1976.

    Google Scholar 

  116. Adler D: Psycho-social characteristics of successfully adapted and unsuccessfully adapted hemodialysis. Ph.D. Dissertation, Washington University, 1975.

    Google Scholar 

  117. Levenburg S, Campbell L: An Eriksonian approach to long-term adjustment ot hemodialysis. Journal of the American Association of Nephrology Nurses and Technicians 4:19–23, 1977.

    Google Scholar 

  118. Goldberg RT: Rehabilitation of patients on chronic hemodialysis and after renal transplantation: a comparative study. Scandinavian Journal of Rehabilitation Medicine 6(2):65–69, 1974.

    PubMed  CAS  Google Scholar 

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Kline, S.A., Burton, H.J., Akhtar, M. (1986). The Elderly Patient on Dialysis--Psychosocial Considerations. In: Oreopoulos, D.G. (eds) Geriatric Nephrology. Developments in Nephrology, vol 12. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4255-4_20

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  • DOI: https://doi.org/10.1007/978-94-009-4255-4_20

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