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-.
The guidelines also recommended dialysis initiation at an average urea and creatinine clearance of 6 ml/min/1.73 m2, regardless of symptomatology. The 2006 US National Kidney Foundation guidelines recommended dialysis initiation at eGFR <15 ml/min/1.73 m2.