By Madhukar Misra
This functional guide deals quickly and sound suggestion at the many matters confronted while dialyzing the older sufferer. it truly is authored through famous foreign specialists who've lined the total diversity of finish level renal issues together with therapies, sufferer administration and maximization of caliber of lifestyles. available and easy-to-read, Dialysis in Older Adults serves because the go-to reference for clinicians and participants in their group as they deal with this demanding sufferer population.
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Extra info for Dialysis in Older Adults: A Clinical Handbook
Van de Luijtgaarden M, Noordzij M, Stel VS, Ravani P, Jarraya F, Collart F, Schön S, Leivestad T, Puttinger H, Wanner C, Jager KJ (2011) Effects of comorbid and demographic factors on dialysis modality choice and related patient survival in Europe. Nephrol Dial Transplant 26:2940–2947 9. Lamping DL, Constantinovici N, Roderick P, Normand C, Henderson L, Harris S, Brown E, Gruen R, Victor C (2000) Clinical outcomes, quality of life, and costs in the North Thames Dialysis Study of elderly people on dialysis: a prospective cohort study.
This acceptance rate has appeared to change in the UK with the advent of peritoneal dialysis, a less costly option . Dialysis rationing has been described in South Africa because of too few dialysis facilities and health care workers. In the United States in the 1960s, there was a similar rationing of dialysis before Medicare and private insurance provided coverage for long-term dialysis . With Medicare and privatized insurance, the United States has not placed age restrictions on dialysis so far.
If the rate of decline of renal function is slow, placement of an access could be delayed. To assess the rate of decline, using the reciprocal of 4 The Pros and Cons of Home vs. In-Center Dialysis in the Elderly 41 the creatinine over time can help predict future value that in turn can assist in choosing the right time for access placement. The practitioner should keep in the mind that the muscle mass of the elderly is reduced making calculations of estimated GFR skewed, thus overestimating renal function.
Dialysis in Older Adults: A Clinical Handbook by Madhukar Misra