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Family adjustment to pediatric ambulatory dialysis

Joan LePontois1, Donald I Moel1, Richard A Cohn1

  • 1Children's Memorial Hospital.

The American Journal of Orthopsychiatry
|January 1, 1987
PubMed

Insights

Continuous ambulatory peritoneal dialysis is a successful treatment for pediatric end-stage renal disease. Psychosocial challenges arise for children and families, impacting family dynamics due to parental caregiving roles.

Area of Science:

  • Pediatric Nephrology
  • Family Medicine
  • Child Psychology

Background:

  • Continuous ambulatory peritoneal dialysis (CAPD) offers a successful treatment for pediatric end-stage renal disease (ESRD).
  • ESRD significantly impacts the psychosocial well-being of children and their families.
  • Understanding these challenges is crucial for holistic patient care.

Purpose of the Study:

  • To explore the psychosocial issues faced by children undergoing CAPD for ESRD.
  • To analyze these issues within different developmental stages: infants/toddlers, school-age children, and adolescents.
  • To examine the impact on family relationships and parental roles.

Main Methods:

  • Qualitative analysis of psychosocial challenges.
  • Consideration of child developmental stages.
  • Examination of parental roles in medical care and family dynamics.

Main Results:

  • CAPD is an effective treatment for pediatric ESRD.
  • Psychosocial issues vary across developmental stages.
  • Parental roles as caregivers can strain family relationships.

Conclusions:

  • Addressing psychosocial aspects is vital for children with ESRD on CAPD.
  • Interventions should be tailored to developmental stages.
  • Support for families and parents is essential to mitigate relationship disturbances.

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