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Article |

Rehabilitation in Chronic Renal Failure

George Dunea, MD
JAMA. 1980;243(13):1371. doi:10.1001/jama.1980.03300390055028.
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This book is edited by the late Dr Samuel B. Chyatte, himself a sufferer from end-stage renal disease, who died in July 1978 after about three years of treatment with maintenance hemodialysis. The first three chapters deal with the cause, pathophysiology, and general treatment of chronic renal failure, including the principles of dialysis, transplantation, and dietary management. Then follows a chapter written by the editor himself, in which rehabilitation is described as the complex process of achieving psychological, vocational, and societal adjustment, ideally through the efforts of a team that includes the rehabilitation physician, the physical and occupational therapist, the social worker, the psychiatrist or psychologist, and the vocational rehabilitation counselor. There are detailed discussions of the overall physical and psychological evaluation and management of the dialysis patient, with special emphasis on counseling and vocational rehabilitation, on dietary management, and on problems peculiar to children and adolescents.

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