Psychological Adaptation to Hemodialysis

  • Denton C. Buchanan
  • Harry S. Abram


After studying patients’ adaptation to chronic hemodialysis in the late 1960s, Abrami described a series of stages through which a dialysand passed. When entering dialysis the patient was at death’s door and much too numb to care about his future. Apathy was the general attitude in this initial stage. A period of euphoria followed when the patient realized he had “returned from the dead” and was joyous over his fresh start. After a few weeks of dialysis, a state of anxiety developed as the patient became more and more aware of the life-maintaining equipment and procedures. The final stage described by Abram was the struggle for normalcy the patient undertook in coping with his illness.


Chronic Hemodialysis Psychological Adaptation Treatment Staff Fresh Start Part VIII 
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Copyright information

© Plenum Publishing Corporation 1984

Authors and Affiliations

  • Denton C. Buchanan
    • 1
  • Harry S. Abram
    • 2
  1. 1.Royal Ottawa Regional Rehabilitation CenterOttawaCanada
  2. 2.Department of PsychiatryVanderbilt University Medical SchoolNashvilleUSA

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