The Japanese Journal of Clinical Dialysis Vol.20 No.10(3-4)

Theme Communication Skill in the Dialysis Medical Treatment
Title Communication skills required to support children with end-stage renal disease and their families
Publish Date 2004/09
Author Akiko Sasagaki Department of Nursing, Nishi-Sapporo National Hospital
Author Makiko Doukoshi Department of Nursing, Nishi-Sapporo National Hospital
Author Masae Funaki Department of Nursing, Nishi-Sapporo National Hospital
Author Mutsuko Honma Department of Nursing, Nishi-Sapporo National Hospital
[ Summary ] End-stage renal disease results in severe psychological and social stress for both those children with disease and their families. Characteristically, their normal progression to independence is impeded, and the burden of care upon the families, particularly mothers, can be substantial. It is increasingly recognized that supporting such children and their familiesrequires special communication skills and knowledge which nurses must acquire. Furthermore, the multi-disciplinary team must develop a support strategy, which includes appropriate information with good communication.
We reported on a 10-year-old boy receiving peritoneal dialysis, whose renal transplantation was postponed, because of his refusal to practice taking medicines. We described how to obtain information from and communicate with the patient and the family and how to adopt individualized approaches.
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