Winchester J F, Rakowski T A
Department of Medicine, Georgetown University Medical Center, Washington, DC 20007, USA.
Clin Geriatr Med. 1998 May;14(2):255-65.
The older patient with renal disease presents the nephrologist with a formidable problem list: treatment of end-stage renal disease (ESRD) in these patients can be viewed as a continuum in the management of several diseases at one time. The older ESRD patient with complex medical problems is a challenge to the health care team, clearly requiring the cooperation of physician, nurse, dialysis technician, social worker, dietician, physical medicine specialist, and a host of other subspecialists. The outcomes, however, are gratifying, in that a satisfactory and enjoyable autumn of life is attainable for many.
对这些患者的终末期肾病（ESRD）治疗可视为同时管理多种疾病的一个连续过程。患有复杂医疗问题的老年ESRD患者对医疗团队来说是一项挑战，显然需要医生、护士、透析技术员、社会工作者、营养师、物理医学专家以及许多其他专科医生的合作。然而，结果是令人满意的，因为许多患者能够迎来一段满意且愉快的晚年生活。
