Psychological aspects of home care for the patient with end-stage renal disease1
Lilian Gonsalves-Ebrahim, M.D.
Department of Psychiatry, The Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, OH 44106
Increased utilization of home therapy for end-stage renal disease has a profound effect on patients and their families. Common psychological problems faced by patients on home hemodialysis are reviewed and specific problems associated with continuous ambulatory peritoneal dialysis (CAPD) are discussed, such as marital discord, body image, and depression. Illustrative cases are presented and treatment suggestions are offered.