Initiation of maintenance renal replacement therapy in infancy
Decisions concerning the initiation of dialysis during infancy are complex and represent a prime example of the need for multidisciplinary roles within the healthcare team. Team members must include social workers, nutritionist/dietitian, nurses with experience in management of end-stage renal disease (ESRD) in infants, as well as the medical staff. In addition, the views of the parents must be seriously considered. The complexity of the medical and psychosocial issues mitigates against care by a single individual, if results are to be optimized. Additional input may be required from the dialysis technologist, and home or community care providers. Finally, although dialysis in infants often poses significant clinical and technical challenges, as outlined below, it is frequently psychosocial and economic issues that dominate the patient management discussions.
KeywordsPeritoneal Dialysis Renal Replacement Therapy Gastrostomy Tube Dialysis Initiation Peritoneal Membrane
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