| Theme |
PD for elderly patients -- current status of "assisted PD" and its future perspective in Japan |
| Title |
Various problems involving elderly patients on HD and PD |
| Author |
Fumihiko Hinoshita |
Department of Nephrology, National Center for Global Health and Medicine |
| [ Summary ] |
There is an increasing number of elderly patients on HD and PD with various complications and cognition failure. These individuals require assistance, nursing care and support. However, the Japanese medical support system to provide care for the elderly receiving dialysis has not been provided well. It is necessary we promote seamless cooperation between medical insurance systems and nursing care insurance systems. Collaboration between medical care workers as well as between health care providers including nursing care personnel in local communities must include attention to regional characteristics for health care. In addition, we should make efforts to carry out effective measures to treat serious problems associated with elderly dialysis patients by involving local government offi cials. It is suggested that we create tailor-made dialysis and support systems for elderly patients on HD and PD, adjusting them to individuals' characteristics. |