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The management of chronic renal failure by dialysis and
transplantation has now become an established form of treatment in
many parts of the world. However, these forms of treatment have
brought with them problems in relation to the selection of
patients, economics, clinical problems such as hypertension,
encephalopathy, anaemia and renal bone disease, and psychological
and social problems. The management of haemodialysis has changed
over the years with developments in dialysers, vascular access and
the duration of dialysis. Although the overall survival from renal
trans plantation has changed little in the past four or five years,
there are hopes of improvements in relation to tissue typing and
enhancement. Perhaps the most important aspect in the management of
chronic renal failure is the multi-disciplinary approach. Nursing
and medical staff work closely with dialysis technicians,
engineers, dietitians, local authority per sonnel, social workers
and with the relatives of the patients. The symposium was planned
to draw together representatives from all disciplines involved in
the care of patients with chronic renal failure. One of the most
relevant sessions was that in which two patients with chronic renal
failure described their experience."
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