The patient struggling with hemodialysis (HD) secondary to a failed vascular access postures a special challenge to the nephrology fester working with peritoneal dialysis (PD) patients The patient may arrive to PD after experiencing graft failure.

The patient struggling with hemodialysis (HD) secondary to a failed vascular access postures a special challenge to the nephrology fester working with peritoneal dialysis (PD) patients The patient may arrive 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 electeded HD as the first option for dialysis care and is now forced to do PD in order to survive may be