Emotional trauma associated with renal disease and natural disasters

Emotional trauma frequently follows any disaster such as fire, flood, earthquake, accidents, war, bombings, and life-threatening disease. One such disease is end stage renal disease (ESRD), an irreversible, progressive loss of renal function (Lancaster, 1995). Since this is a "do or die" situation, it requires artificial methods of hemodialysis, peritoneal dialysis, or transplant, which require learned coping skills. Emotional trauma may occur pre or post-disaster and may include flashbacks when events trigger suppressed memories or unresolved emotions. Aftercare of disasters requires dedicated professionals to guide patients toward essential lifelines.