Psychosocial Aspects of Chronic Kidney Disease: Exploring the Impact of CKD, Dialysis, and Transplantation on Patients provides an overview of the emotional and psychological challenges faced by people with renal disease. This book outlines the epidemiology and treatment of the psychosocial factors affecting them. The sections in the book cover psychiatric illness in the earlier and middle stages of chronic kidney disease, end-stage renal disease treated with dialysis, and renal transplantation. The book concludes with a section on special considerations, delving into topics such as treating children and adolescents, quality of life, caregiver burden, challenges in psychosocial research in kidney disease, and future directions for intervention. Includes chapters that are written by a leading group of international researchers Emphasizes practical approaches to patient care and treatment issues Explores psychosocial issues related to hemodialysis and peritoneal dialysis Discusses available treatment for anxiety, depression, sleep disturbances, pain, nonadherence, cognitive dysfunction, palliative care, and other psychosocial concerns

This thoughtful new book presents strategies for helping end-stage renal disease patients and their families deal with the psychosocial aspects of the chronic long-term illness. Technological advances in the treatment of this disease have offered much hope for improved quality in living which has led caregivers to have a greater concern for preserving the quality of life of their patients. In Psychosocial Aspects of End-Stage Renal Disease leaders in the field of many disciplines share knowledge and reveal problems that are still evident to them in the confrontation with this potentially fatal illness. Five comprehensive sections devote special attention to the different areas of concern for the psychosocial well-being of end-stage renal disease patients. The impact of renal disease on family relationships is covered by examining issues of family responses and coping measures such as marital and family reactions to home and hospital dialysis treatment. Ethical issues in treatment are explored, including the ethics of treatment refusal and a Jewish perspective on kidney transplants. Relations between staff and patients and a timely section on renal disease and special populations, particularly the elderly and AIDS patients, make up the final two sections of this informative volume. Professionals in all allied health disciplines will benefit from this important volume as it demonstrates a model approach, if not the definitive one, for the treatment of the psychosocial aspects of end-stage renal disease as well as other chronic illnesses.

Major nephrological and psychological organizations have, at best, set aside only small portions of their programs for papers or panels devoted to the psychological aspect of patients with end-stage renal disease. Thus, the increased need for information concerning the psychological aspects of end-stage renal disease has been met by occasional journal articles, professional peer discussions, small portions of national confer ences, and informal conversations and consultations with people with clinical and research experience in these areas. The First International Conference on Psychological Factors in Hemodialysis and Transplantation arose out of a need to have a forum in which the major people involved in treatment and research in this area could share their latest work among themselves and with the registrants. The initial encouragement for organizing such a conference came from the rank and file of nephrology social workers, nephrology nurses, and liaison psychiatrists and psychologists. In early 1977 I had decided that I would make an effort to organize such a meeting and asked the two other individuals most closely identified with major research in this area, Atara Kaplan De-Nour and Harry S. Abram, to join me in planning this confer ence. With their support and suggestions concerning the program, I embarked upon an attempt to raise financial backing for it. I was some what surprised to find that the many equipment and drug companies supporting nephrological conferences were not greatly interested in this one.

INTRODUCTION 1.1. Introduction 1.2. End Stage Renal Disease (ESRD) as a Platform for Psychological Research 1.3. The Unique aspects of Psychological effects relating to Physiological aspects of (ESRD) 1.4. Relevance of psychological research in specific to Hemodialysis (HD) 1.5. Need for the Present study 1.6. Kidney Disease and its Reach 1.6.1. End Stage Renal Diseases (ESRD) 1.6.2. Renal Replacement Therapy (RRT) 1.6.3. Hemodialysis (HD) 1.7. The Backdrop of Psychological Factors in ESRD and HD 1.7.1. Depression and Anxiety 1.7.2. Illness Intrusiveness 1.7.3. Quality of Life 1.8. The Back drop of Psychosocial Factors in ESRD and HD 1.8.1. Creatinine 1.8.2. Serum Albumin 1.8.3. Intradialytic Weight Gain (IWG) 1.8.4. Physical performance 1.8.5. Prevalence of ESRD in India 1.9. The need for the psychological profiling of HD patients and its parallel with physiological Indicators. 1.10. Statement of Purpose,