title: [A study of factors to be considered whether a patient to have a home dialysis service or not].
abstract: In the case of home chronic renal failure patient, there are two possible treatment options: home hemodialysis (HHD) and peritoneal dialysis (PD). The patient's decision is much limited due to uneven distribution of dialysis services. Furthermore, it is difficult for a home elderly patient to make a decision alone because of the difficulties such as a transportation and daily life, low comprehensive ability to imagine actual dialysis life. In comparing with the introduction processes of dialysis, we investigated what it makes a tough work for home elderly patients to decide their own favorable dialysis. We thought the following points are important: (1) prevalence of HHD and PD, (2) provision of dialysis information to the patient/caregiver by visiting doctors, (3) assistance of family for a decision making of the patient and (4) a discussion about the dialysis discontinuation/withdrawal.
authors.affiliation: Kawasaki Total Care Center, Municipal, Ida Hospital, City of Kawasaki.
authors.forename: Takashi
authors.initials: T
authors.lastname: Ando
authors.forename: Kyoko
authors.initials: K
authors.lastname: Sato
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Kondo
authors.forename: Tomomi
authors.initials: T
authors.lastname: Tsutazawa
authors.forename: Fumiko
authors.initials: F
authors.lastname: Oi
authors.forename: Munekazu
authors.initials: M
authors.lastname: Ryuzaki
authors.forename: Tadashi
authors.initials: T
authors.lastname: Miyamori
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers; D005260:Female; D006437:Hemodialysis, Home; D006801:Humans; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis