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Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
Published on: July 19, 2018
The elderly patients on hemodialysis
S Anand1, M Kurella Tamura, G M Chertow
1Division of Nephrology, Stanford University School of Medicine, Palo Alto, CA, USA. sanand2@stanford.edu
Caring for elderly hemodialysis patients requires understanding overlaps between dialysis complications and geriatric syndromes. This review addresses key management issues and geriatric concepts for optimal care.
Area of Science:
- Nephrology
- Geriatrics
Background:
- Increasing number of elderly patients undergoing hemodialysis.
- Overlap exists between hemodialysis complications and geriatric syndromes.
Purpose of the Study:
- Review hemodialysis management in elderly patients.
- Highlight distinct medical needs of older adults on dialysis.
Main Methods:
- Literature review of hemodialysis management.
- Discussion of geriatric syndromes relevant to elderly dialysis patients.
Main Results:
- Key hemodialysis issues include vascular access, hypertension, anemia, and bone/mineral disorders.
- Geriatric concepts like frailty, dementia, and palliative care are crucial.
- Nephrologists play a role in balancing longevity, function, and treatment burden.
Conclusions:
- Integrated approach needed for elderly hemodialysis patients.
- Addressing both dialysis-specific and geriatric issues is essential for quality of life.
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