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Volume 15, Number 1, pages 25 - 32

Home hemodialysis and the caregivers' experience: A critical analysis

By Patty Quinan, RN, BScN, MN(c), CNeph(C)

Abstract

The caregivers' role is often unrecognized and invisible. Caregivers are usually female and, in most situations, the caregiver is the patient's spouse or life par tner. Caregivers often experience emotional stress, anxiety, depression and worsening health, and caregivers of individuals with end stage renal disease also report feelings of isolation and overwhelming exhaustion. The caregivers' role has changed over the years and there is an urgent need for additional ser vices to assist the elderly in shouldering the burden of caregiving through counselling, education, social suppor t, home care and respite care. Health care professionals need to develop an awareness of the caregivers' exper ience when caring for individuals with end stage renal disease, and nurses, in particular, need to develop practices that are sensitive to the patients' and the families' needs.

Author Affiliation(s): Patty Quinan, RN, BScN, MN(c), CNeph(C), is Clinical Practice Leader - Dialysis Access at the Humber River Regional Hospital, Toronto, Ontario.