Preventive care of dialysis patients encompasses general medical care issues as well as dialysis-specific issues that are detailed in preceding chapters. In this chapter, aspects of general medical preventive care are discussed as they apply to maintenance dialysis patients. The…
Whatever the cause of kidney failure, for most patients, the effects are the same. The insidious progression of symptoms parallels the slow worsening of blood chemistries as glomerular filtration declines. Many patients fail to recognize the change in their vigor…
Introduction The focus on increasing physical activity for those people with a high burden of cardiometabolic) conditions and complications (i.e., kidney failure, diabetes, cardiovascular comorbidities) for managing symptoms and maintaining physical well-being is at an all-time high. Rehabilitation, meaning recovering…
Medication management is a patient-centered care process that optimizes safe, effective, and appropriate drug therapy. Medication management is a repeating process that involves patient assessment, creating and implementing a care plan, and follow-up and evaluation ( Fig. 59.1 ). Care…
Introduction The evolution of the field of dialysis and the advances in surgical procedures and access placement have made it possible to treat patients with end-stage kidney disease (ESKD) with dialysis therapy for more than 60 years. Improvements in pharmacotherapy…
Introduction: A Historic Perspective When the first successful pregnancy in a woman on hemodialysis was reported in 1971 by Confortini and coworkers, the report elicited more skepticism than enthusiasm, and some nephrologists felt that emphasizing this exceptional occurrence could lead…
Introduction Sexual dysfunction is a common finding in both men and women with chronic kidney disease. Common disturbances include erectile dysfunction in men, menstrual abnormalities in women, and decreased libido and fertility in both sexes. These abnormalities are primarily organic…
This chapter reviews the growing scientific literature on the psychosocial challenges patients with end-stage renal disease (ESRD) treated with hemodialysis (HD) confront, concentrating on psychopathology, sleep disturbances, quality of life (QOL), and barriers to adherence to the medical prescription. Patients'…
The Impact of COVID-19 on Outpatient Dialysis Facilities Introduction This is a point-in-time view of early pandemic. While the principles remain the same, the facts of COVID-19 care have evolved since 2020. Through August 2020, COVID-19 disease caused by the…
Introduction The human immunodeficiency virus (HIV)–infected end-stage kidney disease (ESKD) patient presents specific clinical and logistical challenges to dialysis care providers. In this chapter, we discuss the shifting epidemiology and current management of ESKD in people living with HIV. Epidemiology…