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When PD Is the Only Choice ... The patient switching from HD to PD poses a clinical and emotional dilemma


The patient struggling with hemodialysis (HD) secondary to a failed vascular access postures a special challenge to the nephrology nurture working with peritoneal dialysis (PD) patients The patient may approach to PD after experiencing graft failure, a clott fistula or graft, sepsis, and/or stressful hospitalizations. Emotionally exhausted and clinically compromised, the patient is frequently angry, anxious, and ambivalent about starting PD

A patient who chooseed HD as the first option for dialysis care and is now forced to do PD in order to survive may be


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