Geriatric Nephrology

The medical, psychosocial, nursing, financial and ethical issues of treating end-stage renal disease in the elderly

  • Dimitrios G. Oreopoulos

Part of the Developments in Nephrology book series (DINE, volume 12)

Table of contents

  1. Front Matter
    Pages I-XVI
  2. D. G. Oreopoulus
    Pages 1-3
  3. C. I. Gryfe
    Pages 5-10
  4. H. M. Rosemary Meier, Richard Ian Ogilvie
    Pages 11-18
  5. Robert M. A. Richardson
    Pages 27-36
  6. Theodore R. Reiff
    Pages 41-48
  7. George E. Schreiner
    Pages 73-93
  8. N. Lameire, K. De Keyzer, W. Pauwels, E. Matthys, R. Vanholder, S. Ringoir
    Pages 103-116
  9. Christopher R. Blagg
    Pages 117-126
  10. Joel D. Kopple, Mary B. Grosvenor, Charlotte E. Roberts
    Pages 127-134
  11. C. Kjellstrand, K. Koppy, A. Umen, S. Nestrud, L. Westlie
    Pages 135-145
  12. Allen R. Nissenson, Dominick E. Gentile, Robert E. Soderblom, Charlene Brax
    Pages 147-156
  13. Bruce G. Sommer, David M. Mandelbaum, Mitchell L. Henry, Ronald M. Ferguson
    Pages 157-168
  14. Stephen A. Kline, Howard J. Burton, Mumtaz Akhtar
    Pages 183-201
  15. Antony J. Wing
    Pages 227-239
  16. Theodore R. Reiff
    Pages 241-246
  17. Back Matter
    Pages 289-293

About this book


The year was 1943. As a third-year medical student at Stanford, I was about to witness the beginning of a medical miracle. Dr. Arthur Bloomfield, Professor of Medicine, had selected my patient, a middle aged man, who was dying of acute pneumococcal pneumonia, as one of the first patients to receive miniscule doses (by today's standards) of his meagre supply of a new drug - penicillin. The patient's response amazed everyone especially this impressionable medical student. The rest of the story is history. With one stroke, the introduction of penicillin removed from the medical scene the 'friend of the aged' - lobar pneumonia. The consequences, which no one could have imagined at the time, are still becoming manifest as other 'miracles' such as respirators, artificial kidneys and many potent new antibiotics have come upon the scene. All of us are aware that these miracles have created a variety of new challenges around the states of dying and near dying. We have no easy answers for these problems. Nevertheless as dialysis techniques, especially CAPD, are applied more widely to the treatment of the elderly, the task of helping the patient meet death with dignity becomes increasingly important and vexing because once begun, dialysis is difficult to terminate.


aging geriatrics nephrology nursing physiology transplantation

Editors and affiliations

  • Dimitrios G. Oreopoulos
    • 1
  1. 1.Division of NephrologyToronto Western HospitalTorontoCanada

Bibliographic information

  • DOI
  • Copyright Information Springer Science+Business Media B.V. 1986
  • Publisher Name Springer, Dordrecht
  • eBook Packages Springer Book Archive
  • Print ISBN 978-94-010-8389-8
  • Online ISBN 978-94-009-4255-4
  • Buy this book on publisher's site