title: A literature review of the potential effects of having a parent with chronic renal failure.
abstract: OBJECTIVE
  This review aims to answer the question 'What are the possible effects on children of having a parent with chronic renal failure?'
  
  
  BACKGROUND
  Chronic illness affects the whole family, not just the individual with the illness. It would appear that little research has been undertaken to consider the potential effects on children when a parent has chronic renal failure.
  
  
  METHODS
  Systematic review.
  
  
  CONCLUSIONS
  There are many potential effects of parental chronic renal failure that have been documented. These are both negative, for example depression and under achievement and positive, for example - enhanced self-esteem. Children, in particular, appear to have a need for information that is not being met. The review has helped to refine a project looking at the information needs of children who have a parent with chronic renal failure, from the perspective of the child.
  
  
  CONCLUSIONS
  There appears to be a lack of information to direct nursing practice in this area. Practitioners need to be aware that chronic parental illness impacts on the whole family. Appropriate referral mechanisms for the child and family are necessary, in addition to an understanding of the needs of these children.
authors.affiliation: Pre-dialysis Management, Guy's and St Thomas' Foundation Trust, London, UK. frances.coldstream@rbch.nhs.uk
authors.forename: Frances
authors.initials: F
authors.lastname: Coldstream
authors.forename: Andreé
authors.initials: A
authors.lastname: le May
mesh_terms: D002908:Chronic Disease; D003863:Depression; D003866:Depressive Disorder; D006801:Humans; D007676:Kidney Failure, Chronic; D010290:Parents