Initiation of Dialysis Therapy in Uremic Patients of Advanced Age.
10.2185/jjrm.49.758
- VernacularTitle:高齢腎不全患者への透析導入の是非
- Author:
Yoshitaka MAEDA
;
Takahiko KOBAYASHI
;
Tomokazu OKADO
;
Kenichi ENDO
;
Tatsuo SHIIGAI
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
2001;49(5):758-761
- CountryJapan
- Language:Japanese
-
Abstract:
Two uremic patients gradually advanced in years were successfully treated with dialysis, even though they had some medical and social problems. The first case was a 97-year-old female, in whom hemodialysis could be introduced because one of her neighbors offered to support her to get the dialysis therapy. The second case was an 87-year-old male. He had rejected dialyis, when he had suffered from pulmonary edema as a complication of uremia. He finally accepted dialysis after his general condition was remarkedly improved by forced hemodialysis. These two cases show difficulty in initiating dialysis in very old patients. A decision not to offer or to discontinue dialysis should be made after sufficient discussion and counselling among the medical staff, patients, and their families, since it is difficult to establish indication criteria for dialysis therapy in such high-aged patients.
