Difficulty accepting lifestyle limitations after the abrupt onset of end-stage renal disease.
Adjustment to the lifestyle changes imposed by end-stage renal disease is particularly difficult when the onset is abrupt and unheralded. A case of atheroembolism is presented in which living situation, dietary compliance, and family involvement are particularly problematic for the dialysis staff. Discussion by team members focuses on the evolution of a reasonable disposition through diligence and persistence, recognizing the need to compromise medical indications with individual lifestyle and available family support.
Wolfson
M
M
Nephrology Section, Portland Veterans Administration Medical Center, OR, USA.
Strong
C
C
Hamel
K
K
Cummings-Cosgrove
M
M
Brown
R
R
D000223:Adaptation, Psychological; D000368:Aged; D004032:Diet; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology* / Q000628:therapy; D008019:Life Style; D008297:Male; D010349:Patient Compliance; D010353:Patient Education as Topic; D006435:Renal Dialysis; D012944:Social Support