By Madhukar Misra

This useful guide deals speedy and sound suggestion at the many concerns confronted while dialyzing the older sufferer. it truly is authored via recognized overseas specialists who've coated the whole diversity of finish degree renal problems together with remedies, sufferer administration and maximization of caliber of lifestyles. available and easy-to-read, Dialysis in Older Adults serves because the go-to reference for clinicians and individuals in their group as they deal with this tough sufferer population.

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Dialysis in Older Adults: A Clinical Handbook

This functional instruction manual bargains fast and sound suggestion at the many concerns confronted while dialyzing the older sufferer. it really is authored by means of recognized overseas specialists who've coated the complete variety of finish degree renal issues together with treatment plans, sufferer administration and maximization of caliber of existence.

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A memoir. ASAIO J 46:13–17 6. Disney AP (1995) Demography and survival of patients receiving treatment for chronic renal failure in Australia and New Zealand: report on dialysis and renal transplantation treatment from the Australia and New Zealand Dialysis and Transplant Registry. Am J Kidney Dis 25(1):165–175 7. MacGregor MS, Agar JW, Blagg CR (2006) Home haemodialysis – international trends and variation. Nephrol Dial Transplant 21:1934–1945 8. Abdel-Rahman EM, Yan G, Turgut F, Balogun RA (2011) Long-term morbidity and mortality related to falls in hemodialysis patients: role of age and gender – a pilot study.

The growth of patients ages 65–74, however, has increased which may be a reflection of the “baby boomers” developing renal failure (Fig. 2). Additionally, treatment of the elderly may be increasing due to longer life spans, a greater acceptance of dialysis as a modality to sustain life, and the availability of dialysis because of the proliferation of dialysis centers. For the first time in 2010, the number of patients doing in-center hemodialysis declined, and the number of patients that started home therapies, in particular, peritoneal dialysis, increased.

These centers should be staffed with home dialysis nurses who will allow the patient to conduct their own treatments. Often in-center nursing staff have difficulty training elderly patients for home therapies owing to busy schedules and slow learning process. Nursing staff oriented to home therapies will usually have more successful outcomes in such settings. Summary The elderly are faced with many difficult problems and decisions as their kidneys fail. Typically the disease that is causing their kidney failure is not confined to the kidneys but often represents a diffuse disease process.

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