Abstract
There is wide scope for psychologists to contribute to secondary prevention in non-reversible medical conditions such as end-stage renal disease (ESRD): reducing further avoidable health deterioration through enhancing patients' adjustment and adherence to medical advice and treatment. Two phases in patients' journeys are particularly significant, their transition from the pre-dialysis clinic to dialysis-based renal replacement therapy (RRT) and their assessment for transplantation. We devised structured interviews with patients in these stages aimed at identifying and addressing illness acceptance issues and barriers to future adherence, delivered through clinics run in parallel with nursing and medical colleagues. They have broadened our understanding of both staff and patient concerns about transition to RRT or listing for transplants and provided a context for both brief preventive and further follow-up work. Key to enhancing psychological preparedness has been exploring the meaning ascribed to the forthcoming change and patients' personal health beliefs, in the context of their broader life situation, values and goals.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
