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Hi, I am looking for someone to write an article on assisted peritoneal dialysis Paper must be at least 1000 words. Please, no plagiarized work!
Hi, I am looking for someone to write an article on assisted peritoneal dialysis Paper must be at least 1000 words. Please, no plagiarized work! these newer guidelines have recognized that lower levels of clearance are adequate in those patients where the kidney output has reduced over time.
In the article by Pastan and Bailey, there is a very comprehensive review of the problem of ESRD, with the detailed analysis of PD and HD, their indications, contraindications. They talk about concentration of dialysate fluids, the changing trends of duration of dialysis and the recommendations, which have been updated over time. Finally a review of the complications and costs of the techniques has been mentioned. This is an excellent article to understand dialysis.
Dimkovic and Oreopoulos have done a thorough literature review of chronic peritoneal dialysis in the elderly. They discuss various issues related to morbidity and complications, important issues like quality of life, hospitalization and survival data and organizational issues, that mention caretaker issues, psychological issues, and issues related to nursing homes
In the study by Collins etal. A prospective analytical, observational, qualitative and quantitative analysis was carried out on patients enrolled in Medicare, and who were more than 67 years of age, and entered into the ESRD programme. This is a purely observational study, and thus in the absence of intervention, leads to a reduction in the significance of the analysis. The authors have been systematic, with their approach, with clear goals and methodology of observation and followup. They noted that the results with PD were much inferior in relation to kidney function tests in the PD group, except that in the 1st year of diabetics, where they were marginally better.
In the study by Oreopoulos and Blake, the authors perform a literature search, and come up with scathing remarks on the attitudes of physicians in not giving due information to their patients and in fact choosing the therapy for them. They studied the reasons that lead nephrologists favor PD or hemodialysis (HD) and concluded that PD use may continue to decrease over time because factors such as diabetes, obesity, malnourishment, living alone, and substance abuse (which are associated with not choosing PD), are increasing in the US incident ESRD population.
