Peritoneal Dialysis - From Basic Concepts to Clinical Excellence
Editor(s): Ronco, C. (Vicenza)Crepaldi, C. (Vicenza)
Cruz, D.N. (Vicenza)
Peritoneal Dialysis in Special Settings
Peritoneal Dialysis in the ElderlyBrown E.A.Imperial College Kidney and Transplant Institute, Hammersmith Hospital, London, UK
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Article / Publication Details
Published online: June 03, 2009
Cover Date: 2009
Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 0
ISBN: 978-3-8055-9202-4 (Print)
eISBN: 978-3-8055-9203-1 (Online)
Abstract
The elderly on dialysis have unique needs and characteristics and their outcomes vary from those of their younger counterparts. Comparatively fewer will start or be maintained on peritoneal dialysis (PD) compared to younger patients despite the fact that haemodialysis is often poorly tolerated. A home-based treatment also avoids the need for transport which can be expensive and adversely affect the quality of life of a patient. Barriers to PD for older patients include poor vision, frailty, cognitive dysfunction, accommodation issues and a prejudice from renal teams that older patients cannot do PD. In France, where assistance from community nurses has been available for many years, PD is predominantly a treatment for the elderly and older, sicker patients are often preferentially placed on PD. The use of assisted PD is growing in other countries and where this happens, there is a growth in the prevalent PD population. The ability of older patients to use PD as their dialysis modality should not be determined by whether they live in an area where the nephrologist is a PD enthusiast or not. Patients have the right to receive appropriate non-biased information so they can choose the dialysis modality which gives them the best quality of life and suits their and their family’s lifestyle.
© 2009 S. Karger AG, Basel
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Article / Publication Details
Published online: June 03, 2009
Cover Date: 2009
Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 0
ISBN: 978-3-8055-9202-4 (Print)
eISBN: 978-3-8055-9203-1 (Online)
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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