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| Topic: |
kidney and urologic diseases (ku) |
| Title: |
Starting Dialysis: What You Need to Know. |
| Author: |
Szromba, C. |
| Source: |
Kidney Beginnings. 7(6): 10-14. May 2008. |
| Abstract: |
This article reviews the basic information that patients just beginning dialysis need to know. The author reviews the five stages of chronic kidney disease (CKD), which are based on a common measure of kidney function called the estimated glomerular filtration rate (GFR). The article advises patients with stage 4 CKD to meet regularly with a nephrologist and health care team for monitoring and treatment of complications of CKD, such as anemia, bone disease, malnutrition, acidosis, and decreased sense of well-being; patients at this stage must follow diet, medications, blood pressure control, and lifestyle recommendations. The article lists and describes the types of kidney replacement therapy available for patients with stage 5 CKD, including home or in-center hemodialysis, peritoneal dialysis, kidney transplantation, or choosing nontreatment. Other topics include the time needed for each type of kidney replacement therapy, the different types of vascular access used for hemodialysis, the types of peritoneal dialysis (PD), preparation for PD, and understanding the option of declining dialysis. Charts summarize the advantages and disadvantages of each type of kidney replacement therapy. The article concludes with a brief description of some additional instructional materials available from the American Association of Kidney Patients (AAKP) website (www.aakp.org). 4 figures. 4 tables. 5 references. |
| Format: |
Journal Article |
| Language: |
English. |
| Major Keywords: |
Kidney Diseases. End Stage Renal Disease. Transplantation. Hemodialysis. Peritoneal Dialysis. Patient Care Management. Decision Making. |
| Minor Keywords: |
Glomerular Filtration Rate. Patient Care Team. Patient Education. Home Dialysis. CCPD. CAPD. Vascular Access. Monitoring. Diet Therapy. Quality of Life. |
| Publication Number: |
KUJA11839 |
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