Psychiatric patients, dialysis, kidney transplant: Case report and discussion

Yuval Melamed, Osnat Klein, Georgina Bzura, Boris Finkel, Avi Bleich, Jack Bernheim

Research output: Contribution to journalArticlepeer-review

Abstract

Psychiatric patients' coping capacity with various life situations is limited due to their mental illness. This difficulty is even more pronounced when dealing with severe physical conditions such as kidney failure, the need for dialysis and kidney transplant. In the past, similar to patients who suffered from additional physical conditions, patients with major psychiatric disorders, long-term psychotic illness such as schizophrenia, were not considered candidates for dialysis treatment. Although these attitudes have changed, there is still concern that psychiatric patients would find it difficult to cooperate with the long-term treatment required following kidney transplant, and that lack of careful adherence to medication regimens could lead to rejection of the implant. This article describes five mentally ill individuals who suffer from terminal kidney failure, and illustrates the dilemma associated with dialysis and kidney transplant in psychiatric patients. Close cooperation between the psychiatric staff and the nephrology team can lead to the hoped for outcomes.

Original languageEnglish
Pages (from-to)310-313
Number of pages4
JournalHarefuah
Volume144
Issue number5
StatePublished - 2005
Externally publishedYes

Keywords

  • Compliance
  • Dialysis
  • Kidney failure
  • Kidney transplant
  • Major psychiatric disorders
  • Nephrology

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