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-.
Dialysis may be required for renal failure. In one case series, neonates with ESRD before 28 days of age had 1-year survival of 52% and 5-year survival of 48% with peritoneal dialysis. With less severe childhood disease, edema often is a problem and is managed with sodium restriction and loop diuretics.