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Pediatric Nephrology

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20.03.2019 | Educational Review

Psychosocial considerations and recommendations for care of pediatric patients on dialysis

verfasst von: Michelle A. Clementi, Cortney Taylor Zimmerman

Erschienen in: Pediatric Nephrology | Ausgabe 5/2020

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Abstract

Dialysis treatment has evolved to enable children to live longer and transition to adulthood. Thus, the focus of care shifts to a consideration of pediatric patients’ quality of life and psychosocial functioning across childhood, adolescence, and young adulthood. Despite well-documented concerns in various domains (including depression/anxiety, self-esteem and social functioning, behavior problems, and academic and cognitive functioning), limited literature exists regarding psychosocial guidelines for children and adolescents undergoing dialysis. This article aims to address this gap by providing a review of the pediatric literature examining psychosocial functioning in patients treated with dialysis, as well as recommendations for specific psychosocial concerns. Overall recommendations for care include screening for anxiety and depression, referral to pediatric psychologists for evidence-based intervention, utilization of child life specialists, opportunities to promote social functioning, neuropsychological evaluation and school programming, ongoing support in preparing for transition to adult care, and periodic measure of quality of life. Together, these suggestions promote a holistic approach to patient-centered care by supporting both physical and psychosocial well-being.

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Titel: Psychosocial considerations and recommendations for care of pediatric patients on dialysis
verfasst von: Michelle A. Clementi
Cortney Taylor Zimmerman
Publikationsdatum: 20.03.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Nephrology / Ausgabe 5/2020
Print ISSN: 0931-041X
Elektronische ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-019-04227-5

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Psychosocial considerations and recommendations for care of pediatric patients on dialysis

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