The Japanese Journal of Clinical Dialysis Vol.24 No.11(2-4-3)

Theme Nursing Practices for Elderly Dialysis Patients -- Report from Expert Nurses
Title [Case report] Safe treatment of elderly dialysis patients
Publish Date 2008/10
Author Yumiko Matsuoka Department of Nursing, Keishokai Okachimachi Kidney Clinic
[ Summary ] Circulatory conditions in elderly patients can be easily affected by dialysis, due to deteriorating physical and mental health, autonomic disorders, cardiac depression, cardiovascular complications or heart failure associated with arterial sclerosis or ectopic calcification. The changes in their circulatory dynamics during dialysis treatment may cause these patients to suffer from low blood pressure or irregular heart beat and sometimes fall into serious conditions. Furthermore, even though weakened immune systems and low nutrient conditions always expose these patients to infection, they neither show symptoms of infection quickly nor feel pain. Their conditions often become more serious and difficult to treat. Therefore, we must observe elderly patients receiving dialysis very carefully in order to find and cope with any complications as soon as possible. It is also absolutely necessary to make use of safe and reliable dialysis technology.
back