Assessment of the learner: physiological readiness

Patients with end-stage renal disease (ESRD) who undergo dialytic therapy or who receive a kidney transplant are expected to learn a great deal of information about their disease and treatment. As this population encompasses a vast number of persons of varying age, education, and life skills, the ability to learn new information may be a challenge for both the patient and staff. The uremic state and its effect on cognitive function influences the patient's physiological readiness and ability to learn. Recent research, testing methods, and understanding of other effects of renal failure on cognitive function have provided more information about the patient's physiological readiness/ability to learn. Health care professionals can incorporate these new findings into their teaching programs and strategies to assure successful patient learning and outcomes.