Hemodialysis for Chronic Renal Failure

Article1 March 1965Hemodialysis for Chronic Renal FailureIV. Psychological ConsiderationsEILEEN J. SHEA, R.N., M.S.N., DONALD F. BOGDAN, M.D., RICHARD B. FREEMAN, M.D., GEORGE E. SCHREINER, M.D., F.A.C.P.EILEEN J. SHEA, R.N., M.S.N.Search for more papers by this author, DONALD F. BOGDAN, M.D.Search for more papers by this author, RICHARD B. FREEMAN, M.D.Search for more papers by this author, GEORGE E. SCHREINER, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-62-3-558 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTechnical, biochemical, and ethical problems related to a chronic hemodialysis program have been reviewed in three publications from this institution (1-3). A review of experience would be incomplete, however, without some reference to the psychiatric status of the patients on the program. From a subjective point of view of the patient, the emotional reaction to the need for chronic dialysis may represent the greatest obstacle to successful rehabilitation. Brief reference to this subject has been made in previous reports from this (4-5) and other centers (6-8), but there has been no general review of the subject. This report summarizes our...References1. FREEMANMAHERSCHREINER RBJFGE: Hemodialysis for chronic renal failure. I. Technical considerations. Ann. Intern. Med. 62: 519, 1965. LinkGoogle Scholar2. MAHERFREEMANSCHREINER JFRBGE: Hemodialysis for chronic renal failure. II. Biochemical and clinical aspects. Ann. Intern. Med. 62: 535, 1965. LinkGoogle Scholar3. SCHREINERMAHER GEJF: Hemodialysis for chronic renal failure. III. Medical, moral, and ethical, and socio-economic problems. Ann. Intern. Med. 62: 551, 1965. LinkGoogle Scholar4. GONZALEZPABICOBROWNMAHERSCHREINER FMRCHWJFGE: Further experience with the use of routine intermittent hemodialysis in chronic renal failure. Trans. Amer. Soc. Artif. Intern. Organs 9: 11, 1963. MedlineGoogle Scholar5. BROWNMAHERLAPIERREBLEDSOESCHREINER HWJFLFHGE: Clinical problems related to the prolonged artificial maintenance of life by hemodialysis in chronic renal failure. Trans. Amer. Soc. Artif. Intern. Organs 8: 281, 1962. CrossrefMedlineGoogle Scholar6. KOLFFNAKAMATOSCUDDER WJSJP: Experiences with long term intermittent dialysis. Ibid., p. 292. Google Scholar7. LINDHOLMBURNELLMURRAY DCJMJS: Experience in the treatment of chronic uremia in an outpatient community hemodialysis center. Trans. Amer. Soc. Artif. Intern. Organs 9: 3, 1963. Google Scholar8. GOMBOSLEEHORTONCUMMINGS EATHMRJW: One year's experience with an intermittent dialysis program. Ann. Intern. Med. 61: 462, 1964. LinkGoogle Scholar9. SCHREINERMAHER GEJF: Uremia: Biochemistry, Pathogenesis and Treatment. Charles C Thomas, Springfield, Ill., 1961. Google Scholar10. KENNEDYLINTONRENFREWLUKEDINWOODIE ACALSRGA: The pathogenesis and prevention of cerebral dysfunction during dialysis. Lancet 1: 790, 1964. CrossrefMedlineGoogle Scholar11. KENNEDYLINTONLUKERENFREW ACALRGS: Electroencephalographic changes during hemodialysis. Lancet 1: 408, 1963. CrossrefMedlineGoogle Scholar12. DOSSETOROHDAYESPAPPIUS JBJHLHM: Brain urea and water changes with rapid hemodialysis in uremic dogs. Trans. Amer. Soc. Artif. Intern. Organs 10: 323, 1964. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: EILEEN J. SHEA, R.N., M.S.N.; DONALD F. BOGDAN, M.D.; RICHARD B. FREEMAN, M.D.; GEORGE E. SCHREINER, M.D., F.A.C.P.Affiliations: Washington, D. C.From the Clinical Study Unit and the Psychiatry Liaison and Consultative Services, Georgetown University Medical Center, Washington, D. C.A portion of this work was conducted through the Georgetown University Study Unit supported by grant FR-60 from the National Institutes of Health, U. S. Public Health Service, Bethesda, Md.Dr. Freeman was supported in this study by the Heart Disease Control Program, Bureau of State Services, U. S. Public Health Service, Washington, D. C.Requests for reprints should be addressed to Richard B. Freeman, M.D., Renal & Electrolyte Division, Georgetown University Hospital, 3800 Reservoir Rd., N.W., Washington, D. C. 20007. 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Psychopathologische Beobachtungen und psychotherapeutische Erfahrungen in einem DialysezentrumPsychosyndrome und somatische Reaktionen bei chronisch Nierenkranken im HämodialysedauerprogrammEMOTIONAL PROBLEMS AND REACTIONS OF THE MEDICAL TEAM IN A CHRONIC HÆMODIALYSIS UNITPsychiatric Aspects of Renal HomotransplantationNeurologic disorders in renal failureCurrent status of chronic hemodialysisThe Psychiatric Contribution to a Renal Unit Undertaking Chronic Haemodialysis and Renal HomotransplantationThe Artificial Kidney: Some Approaches to Improved Design and FunctionDietary Care of the Patient with Chronic OliguriaPsychological Assessment of Candidates for a Hemodialysis ProgramPATRICIA SAND, PH.D., GOODHUE LIVINGSTON, PH.D., ROBERT G. WRIGHT, M.D.Psychological Stress During Hemodialysis for Chronic Renal FailureROBERT G. WRIGHT, M.D., PATRICIA SAND, PH.D., GOODHUE LIVINGSTON, PH.D. 1 March 1965Volume 62, Issue 3Page: 558-563KeywordsCardiovascular therapyEmotionsInsomniaLongitudinal studiesMedical dialysisMedical servicesPrevention, policy, and public healthRenal failure ePublished: 1 December 2008 Issue Published: 1 March 1965 PDF downloadLoading ...