| Theme |
"Reflection" of nursing practice to chronic kidney disease patients |
| Title |
Reflection on nursing practice for younger patients with chronic kidney disease in initiation of peritoneal dialysis |
| Author |
Tokiko Sato |
Department of Nursing, Nihon University Itabashi Hospital / Certified Nurse Specialist in Chronic Care Nursing |
| Author |
Masanori Abe |
Division of Nephrology, Hypertension and Endocrinology, Department of Internal Medicine, Nihon University School of Medicine |
| [ Summary ] |
We report on a younger patient with chronic kidney disease due to IgA nephropathy who initiated peritoneal dialysis. He was diagnosed with IgA nephropathy during childhood. However, he discontinued hospital visits during the 8 years after entering university. Thereafter, he was diagnosed with end-stage kidney disease. He rejected initiation of renal replacement therapy, because he could not talk with his mother about his discontinuation of hospital visits. Therefore, we rebuilt relations between the patient and his family, and he initiated peritoneal dialysis smoothly. |