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Rehabilition of Patients with Renal Disease Rehabilitation of patien

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Rehabilitation of patients with end-stage renal disease should involve more than just the maintenance of physiologic homeostasis. Nephrology health care teams must also strive to maximize patients' functional capacity and overall well-being. While end-stage renal disease cannot be completely cured, its treatment may comprise numerous aspects. Just some of these include the medical, psychological, occupational, and social therapeutic dimensions. Such comprehensive treatments can dramatically affect a person's lifestyle.

End-stage renal disease (ESRD) is a life-threatening condition with a variable etiology. For the most part, ESRD occurs whenever some pathophysiologic process causes the kidneys to stop functioning. Unless treatment is provided promptly, ESRD's consequences can be severe (Cattran, 1983, p. 229).

The World Health Organization (WHO) has defined health as "a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity" (Kutner, 1994, p. 321). This general definition has served to delineate certain health care objectives for the chronic diseases. Traditionally, health care providers focused on the clinical aspects of an individual's disease. The WHO's definition of health, however, suggests that caregivers should broaden their emphasis (Levinsky & Mesler, 1994, p. 244).

The pathologic processes of end-stage renal disease follow an evolving course. In adults, ESRD tends to be c

. . .
e process, and both patient and family denial (Anderson & Levine, 1983, pp. 28-29). Yet another aspect of end-stage renal disease involves its vocational effects. Although early studies documented substantial rehabilitation (i.e., employment, active education, or activities as chief houseperson) rates, more recent reports have been somewhat less encouraging. It has been found, for example, that only 23% to 60% of dialysis populations are capable of physical activity beyond the level of self-care. Moreover, objective measures of quality of life have documented impairment with regard to physical activity. Patients tend to report difficulty in carrying out various activities relevant to job tasks. For instance, more than half of dialysis patients report problems with extensive walking, or lifting and carrying weights up to 25 pounds. In addition, other ESRD victims report vision difficulties (Kutner, 1994, p. 330). Such factors may be responsible for the fact that labor force participation among dialysis patients is only 37% that of the general population (Levinsky & Mesler, 1994, p. 237). Transplant patients tend to have higher rates of employment and quality of life though. It has been observed that 75% of transplant pati
. . .

Some common words found in the essay are:
Lundin III, Levinsky Mesler, Anderson Levine, Richie Niblack, NIMH Nd, S22-S23 Furthermore, Vermylen Boogaerts, Ampil Wendland, Tuttle Jr, Failure Rehabilitation, renal disease, end-stage renal, end-stage renal disease, health care, esrd patients, 1983 pp, 1978 pp, pp 99-106, patient pp, renal patient, levy 1978, levy 1978 pp, health care team, 1978 pp 99-106, pa saunders company,
Approximate Word count = 3634
Approximate Pages = 15 (250 words per page)

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