End-stage renal disease and its management in older adults.
The older patient with renal disease presents the nephrologist with a formidable problem list: treatment of end-stage renal disease (ESRD) in these patients can be viewed as a continuum in the management of several diseases at one time. The older ESRD patient with complex medical problems is a challenge to the health care team, clearly requiring the cooperation of physician, nurse, dialysis technician, social worker, dietician, physical medicine specialist, and a host of other subspecialists. The outcomes, however, are gratifying, in that a satisfactory and enjoyable autumn of life is attainable for many.
Winchester
J F
JF
Department of Medicine, Georgetown University Medical Center, Washington, DC 20007, USA.
Rakowski
T A
TA
D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology; D015897:Comorbidity; D005260:Female; D006801:Humans; D007668:Kidney / Q000502:physiology; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000628:therapy*; D016030:Kidney Transplantation; D008297:Male; D010530:Peritoneal Dialysis; D006435:Renal Dialysis