The nephrologist's critical role in patient education.

Nephrologists have a unique role in assisting patients' adaptation to chronic kidney disease and in preparing them for the complex decisions that are necessary in end-stage renal disease (ESRD). Using a chronic disease model patients with chronic kidney disease (CKD) must learn to accept some responsibility for their care and learn self-management skills such as adhering to treatment plans and accurately reporting symptoms. Nephrologists are well positioned to offer patients realistic hope that can enable them to form positive attitudes regarding their illness. Informed patients who are actively involved in decisions regarding their care will likely be more adherent to medical recommendations, be more satisfied, and have better outcomes.