Geriatric Nephrology The medical, psychosocial, nursing, financial and ethical issues of treating end-stage renal disease in the elderly
Dimitrios G. Oreopoulos
Geriatric Nephrology The medical, psychosocial, nursing, financial and ethical issues of treating end-stage renal disease in the elderly - illustrated - Boston: Springer Science & Business Media, c2012 - 293 pages - Volume 12 of Developments in Nephrology .
The year was 1943. As a third-year medical student at Stanford, I was about to witness the beginning of a medical miracle. Dr. Arthur Bloomfield, Professor of Medicine, had selected my patient, a middle aged man, who was dying of acute pneumococcal pneumonia, as one of the first patients to receive miniscule doses (by today's standards) of his meagre supply of a new drug - penicillin. The patient's response amazed everyone especially this impressionable medical student. The rest of the story is history. With one stroke, the introduction of penicillin removed from the medical scene the 'friend of the aged' - lobar pneumonia. The consequences, which no one could have imagined at the time, are still becoming manifest as other 'miracles' such as respirators, artificial kidneys and many potent new antibiotics have come upon the scene. All of us are aware that these miracles have created a variety of new challenges around the states of dying and near dying. We have no easy answers for these problems. Nevertheless as dialysis techniques, especially CAPD, are applied more widely to the treatment of the elderly, the task of helping the patient meet death with dignity becomes increasingly important and vexing because once begun, dialysis is difficult to terminate.
9400942559 9789400942554 = acute renal failure age group allograft associated bacteriuria bacteriuric blood pressure body water CAPD patients causes cell changes chronic renal failure Clin Pharmacol clinical concentration creatinine clearance cyclosporine death decline decreased diabetes dialysis and transplantation diet dietary protein diuretics drugs effect elderly patients end-stage renal disease ESRD excretion factors FENa geriatric geriatrician glomerular filtration rate glomerular sclerosis glomeruli hemodialysis patients home dialysis home hemodialysis hospital hyperfiltration hypertension hyponatremia impaired incidence increase individual infection kidney transplantation Kjellstrand levels Medicine mortality Nephrology nephron nephropathy nephrotoxic normal number of patients nursing nutritional obstruction older patients older persons osmolality osmotic pressure patients aged peritoneal dialysis physician plasma prerenal prognosis proteinuria psychosocial rats recipients reduced renal function renal transplantation risk SCHREINER serum creatinine social sodium solute solute-solvent interaction solvent syndrome Table therapy treated treatment United uremic urinary tract urine vascular vitamin younger patients
--Geriatric nephrology --Chronic renal failure -- Treatment -- Moral and ethical aspects --Kidney Diseases -- in old age-- Medical / Nephrology--Medical / Geriatrics-- Medical / Clinical Medicine -- Medical › Nephrology
618.97/661 ORE
Geriatric Nephrology The medical, psychosocial, nursing, financial and ethical issues of treating end-stage renal disease in the elderly - illustrated - Boston: Springer Science & Business Media, c2012 - 293 pages - Volume 12 of Developments in Nephrology .
The year was 1943. As a third-year medical student at Stanford, I was about to witness the beginning of a medical miracle. Dr. Arthur Bloomfield, Professor of Medicine, had selected my patient, a middle aged man, who was dying of acute pneumococcal pneumonia, as one of the first patients to receive miniscule doses (by today's standards) of his meagre supply of a new drug - penicillin. The patient's response amazed everyone especially this impressionable medical student. The rest of the story is history. With one stroke, the introduction of penicillin removed from the medical scene the 'friend of the aged' - lobar pneumonia. The consequences, which no one could have imagined at the time, are still becoming manifest as other 'miracles' such as respirators, artificial kidneys and many potent new antibiotics have come upon the scene. All of us are aware that these miracles have created a variety of new challenges around the states of dying and near dying. We have no easy answers for these problems. Nevertheless as dialysis techniques, especially CAPD, are applied more widely to the treatment of the elderly, the task of helping the patient meet death with dignity becomes increasingly important and vexing because once begun, dialysis is difficult to terminate.
9400942559 9789400942554 = acute renal failure age group allograft associated bacteriuria bacteriuric blood pressure body water CAPD patients causes cell changes chronic renal failure Clin Pharmacol clinical concentration creatinine clearance cyclosporine death decline decreased diabetes dialysis and transplantation diet dietary protein diuretics drugs effect elderly patients end-stage renal disease ESRD excretion factors FENa geriatric geriatrician glomerular filtration rate glomerular sclerosis glomeruli hemodialysis patients home dialysis home hemodialysis hospital hyperfiltration hypertension hyponatremia impaired incidence increase individual infection kidney transplantation Kjellstrand levels Medicine mortality Nephrology nephron nephropathy nephrotoxic normal number of patients nursing nutritional obstruction older patients older persons osmolality osmotic pressure patients aged peritoneal dialysis physician plasma prerenal prognosis proteinuria psychosocial rats recipients reduced renal function renal transplantation risk SCHREINER serum creatinine social sodium solute solute-solvent interaction solvent syndrome Table therapy treated treatment United uremic urinary tract urine vascular vitamin younger patients
--Geriatric nephrology --Chronic renal failure -- Treatment -- Moral and ethical aspects --Kidney Diseases -- in old age-- Medical / Nephrology--Medical / Geriatrics-- Medical / Clinical Medicine -- Medical › Nephrology
618.97/661 ORE