Caring for Patients with CRF: Rewards and Benefits

Abstract

Patients with CRF usually progress through different stages before they reach ESRD and require special medical, social and psychological care and support during the pre-ESRD and following renal replacement therapy (RRT). Early referral of patients with CRF has the advantage of receiving adequate management and regular followup, with significant reduction in cardiovascular morbidity and mortality, attending an education program, prepared psychologically, participate in the decision of type of RRT, preemptive kidney transplantation, early creation of dialysis access, and adequate training in selected modality of RRT. During the early stages of commencement of RRT, psychological support and social care with rehabilitation program are mandatory. The degree of involvement and interaction must be individualized according to the needs of patient and type of RRT. A multidisciplinary team is crucial for implementation of a variety of strategies to help staff intervene more effectively in meeting the care needs of CRF patients.

Effect of blood purification on serum miR‐126 and VEGF levels in the process of atherosclerosis in uremic patients under maintenance hemodialysis

“…Uremia, literally “urine in the blood”, is a serious clinical complication of chronic kidney disease or end‐stage renal failure, leading to fluid, electrolyte, and hormone imbalances, as well as metabolic abnormalities [1]. Patients with uremia usually suffer from an unfavorable prognosis with many complications, and they incur high disease‐related costs, imposing heavy burdens on human health systems [2,3].…”

Bilateral photoplethysmography analysis for arteriovenous fistula dysfunction screening with fractional‐order feature and cooperative game‐based embedded detector

“…However, stenosis, failure and infection of an AVA lead to thrombosis, intimal hyperplasia and aneurysmal deformability, which results in repeated puncturing of the AVA. Volume flow thresholds of <600 ml/min and <400-500 ml/min are, respectively, considered to demonstrate a dysfunctional AVF or AVG [1,2]. Haemodialysis treatment often results in access stenosis, infection and associated complications, including hypotension and sickness.…”

Advances in Hemodialysis Techniques

“…Quality management of dialysis patients is best achieved by implementation of "pre-dialysis care" [16], and care improvement at "post dialysis" stage [17]. Post-dialysis care should ensure strict control of infection [18,19] and predominance of arterio-venous fistula (avoidance of indwelling catheters for vascular access) [20].…”