Being told that you have renal failure and need to go on dialysis is indeed a traumatic experience and most, if not all, patients go through various phases of something akin to a grief reaction. In Hospital Kuala Lumpur, support is offered to new patients who are trying to adjust to the diagnosis of end stage renal failure and the reality that they must regularly undergo dialysis treatment. We have social workers that offer counselling and, in certain cases, the liaison psychiatrist is called upon to help patients adjust.
Similarly, support is also offered to patients that are already on some form of renal replacement therapy (RRT), and those that are dealing with depression and other reactions to their condition. Staff of the dialysis units may not be specifically trained as counsellors but experienced staff are an incredible support and source of encouragement to patients.
Another valuable resource to new kidney patients are the ‘veteran’ patients that have gone through similar experiences. Their accounts of how they have lived well with kidney dysfunction for many years carry a lot of weight with new patients. Through informal counselling, they offer compassion and friendship. All these can make a tremendous difference in other patients lives.
- Dato’ Dr Zaki Morad
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