Psychosocial
Both of these dialysis options have similar and different psychosocial issues associated with them. Psychosocially, dialysis requires constant thinking and planning ahead (Griva et al., 2014; Hardy et al., 2014; Lai, Loh, Mooppil, Krishnan & Griva, 2012; Lew & Piraino, 2005). Most people on dialysis are able to maintain jobs however for this to occur it requires considerable help from health care professionals, family and their workplace (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; Lew & Piraino, 2005; Sinnakirouchenan & Holley, 2011). Often patients feel lethargic, powerlessness over treatment, constantly not feeling well leading to high rates of depression (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; …show more content…
One of the main psychosocial issues with both dialysis options is how time consuming it is (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; Lew & Piraino, 2005; Sinnakirouchenan & Holley, 2011). In HD, a main advantage is that there are four dialysis-free-days a week compared to PD which requires daily dialysis (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; Lew & Piraino, 2005; Sinnakirouchenan & Holley, 2011). In PD, the clearance of metabolic waste is slower but more continuous (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; Lew & Piraino, 2005; Sinnakirouchenan & …show more content…
Often this leaves the patient constantly thinking about fluid and nutrition intake and thirst (Hardy et al., 2014). In comparison, with PD there are fewer restrictions on diet and fluid intake (Lemone et al., 2013). A negative of PD is that is can cause weight gain and a reduction of protein levels leading to a lack of energy and malnutrition, often affecting their mental state (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; LeMone et al., 2013; Lew & Piraino, 2005; Sinnakirouchenan & Holley, 2011). Both dialysis options pose issues with body image disturbances, however with the PD catheter, it can often be hidden under clothes whereas the AVF is more noticeable (Griva et al., 2014; Sinnakirouchenan & Holley, 2011). Side effects of HD and PD can affect the patient psychosocially as well (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; Lew & Piraino, 2005; Sinnakirouchenan & Holley, 2011). Generally, PD promotes a more normal lifestyle at home and work compared to HD thus a greater quality of life (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; Lew & Piraino, 2005; Sinnakirouchenan &
Both of these dialysis options have similar and different psychosocial issues associated with them. Psychosocially, dialysis requires constant thinking and planning ahead (Griva et al., 2014; Hardy et al., 2014; Lai, Loh, Mooppil, Krishnan & Griva, 2012; Lew & Piraino, 2005). Most people on dialysis are able to maintain jobs however for this to occur it requires considerable help from health care professionals, family and their workplace (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; Lew & Piraino, 2005; Sinnakirouchenan & Holley, 2011). Often patients feel lethargic, powerlessness over treatment, constantly not feeling well leading to high rates of depression (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; …show more content…
One of the main psychosocial issues with both dialysis options is how time consuming it is (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; Lew & Piraino, 2005; Sinnakirouchenan & Holley, 2011). In HD, a main advantage is that there are four dialysis-free-days a week compared to PD which requires daily dialysis (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; Lew & Piraino, 2005; Sinnakirouchenan & Holley, 2011). In PD, the clearance of metabolic waste is slower but more continuous (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; Lew & Piraino, 2005; Sinnakirouchenan & …show more content…
Often this leaves the patient constantly thinking about fluid and nutrition intake and thirst (Hardy et al., 2014). In comparison, with PD there are fewer restrictions on diet and fluid intake (Lemone et al., 2013). A negative of PD is that is can cause weight gain and a reduction of protein levels leading to a lack of energy and malnutrition, often affecting their mental state (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; LeMone et al., 2013; Lew & Piraino, 2005; Sinnakirouchenan & Holley, 2011). Both dialysis options pose issues with body image disturbances, however with the PD catheter, it can often be hidden under clothes whereas the AVF is more noticeable (Griva et al., 2014; Sinnakirouchenan & Holley, 2011). Side effects of HD and PD can affect the patient psychosocially as well (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; Lew & Piraino, 2005; Sinnakirouchenan & Holley, 2011). Generally, PD promotes a more normal lifestyle at home and work compared to HD thus a greater quality of life (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; Lew & Piraino, 2005; Sinnakirouchenan &