title: Difficulty accepting lifestyle limitations after the abrupt onset of end-stage renal disease.
abstract: 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.
authors.affiliation: Nephrology Section, Portland Veterans Administration Medical Center, OR, USA.
authors.forename: M
authors.initials: M
authors.lastname: Wolfson
authors.forename: C
authors.initials: C
authors.lastname: Strong
authors.forename: K
authors.initials: K
authors.lastname: Hamel
authors.forename: M
authors.initials: M
authors.lastname: Cummings-Cosgrove
authors.forename: R
authors.initials: R
authors.lastname: Brown
mesh_terms: 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