The Japanese Journal of Clinical Dialysis Vol.33 No.10(5)

Theme Sense of loss of dialysis patients -- support for understanding and overcoming
Title Experience of loss and regeneration appearing in dialysis patients as shown by a narrative interview
Publish Date 2017/09
Author Kiichiro Ichimaru Hamayu-kai Shinoji Hospital
[ Summary ] 'Narrative Society of Dialysis Patients' is where patients undergoing dialysis are offered a chance to talk freely and openly about their lives. This type of narrative interview helps patients come to terms with the loss and regeneration associated with their lives and to reconsider the meaning of their life. This feedback approach through a narrative interview increases awareness in patients and helps them to appreciate the fact that they are alive by the related people and the surroundings. Some patients might experience the oftennoted "sublimation" phenomenon.
However, although such narrative interviews are beneficial, there remain some painful/bothersome experiences that might be difficult for patients to express or patients might experience a sort of silence/emptiness that is seemingly difficult to describe. And there also is hardness in choice of patients themselves. Therefore, medical staff associated with dialysistreatment while avoiding a literal interpretation of the patients' remarks (story), must try and relate to the patient and reduce or eliminate their complaints/pain by trying to closely understand their life experiences.
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