Family dynamics are the patterns of relating, or interactions, between family members. Each family system and its dynamics are unique, although there are some common patterns. All families have some helpful and some unhelpful dynamics.
According to USRDS data from. 2006,nearlyonehalfofincidentdialysispatientsin. the United States are senior citizens, with the me-. dian age at dialysis initiation at 64.4 yr old.1 Fur-. thermore,theelderlyarethefastest-growinggroup. of incident dialysis patients, meaning that this me-.
ideally the decision to initiate dialysis is made long after consideration of the patient for kidney transplantation and after the patient has already chosen his or her dialysis modality and has an appropriate functioning access in place