Helping Families Respond Effectively to Chronic Illness

Home Dialysis as a Case Example
  • Sally E. Palmer
  • Lino Canzona
  • Lokky Wai


The importance of the family as a treatment resource in chronic illness is being increasingly recognized. The dramatic rise in health care costs has precipitated a move toward home care and the training of patients and their families to perform treatment previously assigned only to professional staff. Home dialysis is probably the prime example of this, as it involves complicated medical procedures, including access to the patient’s circulatory system with the danger of contamination or machine failure. An emotionally stable home environment has been recognized for many years as an essential prerequisite for successful adaptation to long-term dialysis therapy.1


Chronic Illness Family Functioning Young Couple Part VIII Task Accomplishment 
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  1. 1.
    Meldrum, M. W., Wolfram, J. G., & Rubini, M. E. The impact of chronic hemodialysis upon the socio-economics of a veteran patient group. Journal of Chronic Diseases, 1968, 21, 37–52.PubMedCrossRefGoogle Scholar
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    Santa-Barbara, J., Steinhauer, P. D., &: Skinner, H. Process model of family functioning. Toronto: University of Toronto Press, 1981.Google Scholar
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    Pentecost, R. L., Zwerenz, B., & Manuel, J. W. Intrafamily identity and home dialysis success. Nephron, 1976, 17, 88–103.PubMedCrossRefGoogle Scholar
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    Shambaugh, P. W., & Kanter, S. S. Spouses under stress: Group meetings with spouses of patients on hemodialysis. American Journal of Psychiatry, 1969,126, 928—936.Google Scholar

Copyright information

© Plenum Publishing Corporation 1984

Authors and Affiliations

  • Sally E. Palmer
    • 1
  • Lino Canzona
    • 2
  • Lokky Wai
    • 3
  1. 1.University of Western OntarioLondonCanada
  2. 2.Department of Social WorkKing’s CollegeLondonCanada
  3. 3.Department of Social WorkUniversity of Western OntarioLondonCanada

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