Kohlenberg: Psychosocial Aspects of Kidney Disease

Question 1

What are some problems with dialysis and adherence?

Answer 1

can’t drink too much fluids
phosphate binding meds and reduction in phosphorous rich foods

• *30-60% do not adhere to diet, fluid intake and meds
• *fluid is the hardest to get good adherence

Question 2

(blank) distress in end-stage renal disease population is higher than observed in other chronic conditions

Answer 2

psychiatric distress

Question 3

What percentage of ESRD patients meet criteria for a mood disorder?

Answer 3

12-40%

Question 4

What is one of the very first symptoms of end stage renal failure?

Answer 4

lack of ability to concentrate

Question 5

What is one major problem with activities of daily life?

Answer 5

can’t drink more than 500mL a day

can’t go out to eat - too much Na+, K+, Phosphate

Question 6

What happens on dailysis days?

Answer 6

the patients are too exhausted to do anything else!

Question 7

What kind of psychological issues do patients on dialysis experience?

Answer 7

trauma around diagnosis or commencement of treatment (ex: first time the needle stuck)

Question 8

What impacts does dialysis have on relationships?

Answer 8

fatigue, infertility, low energy, low mood
catheter, weight gain, scarring
sexual activity and intimacy suffer