Renal replacement therapy choices for pre-dialysis renal patients

With the numbers of patients developing end-stage renal failure predicted to increase over the coming years, more patients than ever will be expected to choose their future form of renal replacement treatment. This study explored the decision-making processes of pre-dialysis patients to elucidate ho...

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Bibliographic Details
Published in:British journal of nursing (Mark Allen Publishing) 2005-06, Vol.14 (12), p.659-664
Main Authors: Tweed, Alison E, Ceaser, Karen
Format: Article
Language:English
Subjects:
Adult
Aged
Clinical Nursing Research
Decision Making
End state
Female
Health Knowledge, Attitudes, Practice
Humans
Informed choice
Interviews as Topic
Kidney failure
Kidney Failure, Chronic - psychology
Kidney Failure, Chronic - therapy
Male
Middle Aged
Nurse-Patient Relations
Nursing
Patient Education as Topic - methods
Patient Participation - methods
Patient Participation - psychology
Peer Group
Personal Autonomy
Qualitative Research
Renal Nursing
Renal replacement therapy
Renal Replacement Therapy - methods
Renal Replacement Therapy - nursing
Renal Replacement Therapy - psychology
Social Support
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Summary:With the numbers of patients developing end-stage renal failure predicted to increase over the coming years, more patients than ever will be expected to choose their future form of renal replacement treatment. This study explored the decision-making processes of pre-dialysis patients to elucidate how these choices were made. Nine pre-dialysis patients were interviewed, transcripts of which were analysed using interpretative phenomenological analysis. Four main themes relating to the decision-making process emerged: maintaining one's integrity, forced adaptation, utilizing information, and support and experiencing illness. While making a decision was an individualized process, contextualized within participants' illness experiences, these core themes emerged for the whole group, irrespective of the chosen treatment modality. For renal services, there is a need to tailor information provided to pre-dialysis patients and to become cognizant of the contexts in which they live and operate.
ISSN:0966-0461
2052-2819
DOI:10.12968/bjon.2005.14.12.18287