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Special clinical problems in geriatric patients.

James F Winchester1

  • 1RenalTech International, New York, NY 10021, USA. jamesw@renaltech.com

Seminars in Dialysis
|April 16, 2002
PubMed
Summary

Managing elderly dialysis patients requires a comprehensive approach, addressing concurrent illnesses, disabilities, and mental health. Humane cessation of dialysis is possible when medically indicated.

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Area of Science:

  • Nephrology
  • Geriatrics
  • Internal Medicine

Background:

  • Elderly dialysis patients present unique management challenges.
  • Concurrent illnesses, disabilities, and mental health issues complicate care.
  • Specialized considerations are needed for geriatric nephrology.

Purpose of the Study:

  • To outline a broad treatment plan for elderly dialysis patients.
  • To emphasize the importance of a multidisciplinary team approach.
  • To address the compassionate cessation of dialysis when necessary.

Main Methods:

  • Review of challenges in elderly dialysis patient management.
  • Discussion of multidisciplinary team involvement (physicians, healthcare professionals, family, clergy, friends).
  • Consideration of lifestyle adjustments and patient well-being.

Main Results:

  • Satisfactory outcomes are achievable with appropriate management strategies.
  • A holistic approach can mitigate complications associated with aging and dialysis.
  • Patient perception of futility necessitates humane dialysis cessation protocols.

Conclusions:

  • Comprehensive, team-based care is essential for elderly dialysis patients.
  • Lifestyle adaptations are manageable, allowing for positive outcomes.
  • Compassionate end-of-life care, including dialysis cessation, is crucial.

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