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Updated: Jul 5, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Roles assessment in families of children with chronic renal failure on peritoneal dialysis
Erica S de Paula1, Lucila C Nascimento, Semiramis M M Rocha
1University of São Paulo at Ribeirão Preto College of Nursing, Avenida Bandeirantes, Ribeirão Preto, São Paulo, Brazil.
Insights
Caring for a child on chronic peritoneal dialysis significantly impacts family roles and dynamics. Understanding these role changes is crucial for identifying family needs and potential health issues.
Area of Science:
- Pediatric Nephrology
- Family Studies
- Chronic Illness Care
Background:
- Families with children undergoing chronic peritoneal dialysis (CPD) face substantial care burdens.
- CPD necessitates significant reorganization of family roles and daily life.
Purpose of the Study:
- To explore the implications of role changes within families of children with chronic renal disease on CPD.
- To understand how family members adapt to the demands of pediatric CPD.
Main Methods:
- A qualitative case study approach was employed.
- Data were collected from fourteen family members across four families with children on CPD.
Main Results:
- The initiation of CPD treatment led to changes, maintenance, or adaptations in the roles, actions, and functions of family members.
- New family dynamics emerged in response to the child's treatment requirements.
Conclusions:
- Role assessment is vital for nurses and families to anticipate health problems and address family needs.
- Understanding role shifts in families with children on CPD can improve supportive care strategies.
Abstract:
Families with a child on chronic peritoneal dialysis have to assume a significant burden of care, intensifying the demands and the reorganization of roles in the families of children. The purpose of this study is to describe the implications of role changes in families of children with chronic renal disease on peritoneal dialysis. This is a case study of four families of children with chronic renal disease on peritoneal dialysis. Fourteen family members participate in the study. After the child's chronic kidney failure and the start of treatment, each relative's ways, acts and functions are changed, maintained or adapted to the new family dynamics, imposed by the child's treatment conditions. Appropriate role assessment provides the nurse and the families of children with chronic renal failure on peritoneal dialysis with insight regarding current and potential health problems and aids in identifying the needs of the families.
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