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Adjustment demands through diagnosis and treatment of end stage renal disease Open Access


Other title
kidney disease
adjustment demands
occupational therapy
end stage renal disease
Type of item
Degree grantor
University of Alberta
Author or creator
Dhillon, Karen JK
Supervisor and department
Dr. Shaniff Esmail (Department of Occupational Therapy)
Examining committee member and department
Dr. Patricia Campbell (Department of Medicine/Nephrology)
Dr. Yagesh Bhambhani (Department of Occupational Therapy)
Faculty of Rehabilitation Medicine

Date accepted
Graduation date
Master of Science
Degree level
End Stage Renal Disease (ESRD) is a chronic illness that results when the kidneys are no longer able to function to maintain life. Upon cessation of kidney function, patients must undergo life long medical treatment involving dialysis or transplantation to survive. Patients face an adverse situation as both the disease and treatment are life threatening, and there is no cure. Despite the numerous advancements in treating ESRD, a myriad of stressors affect patients’ lives that require significant adjustment. Adjustment is a construct that is not well defined in the literature, or understood from a patient’s perspective. For the purpose of this study, adjustment will be explored in terms of adjustment demands patients face as they progress through diagnosis and treatment of ESRD. No research has been found on adjustment demands faced by recipients of kidney transplants in Canada. Additionally, no research has been done in Occupational Therapy and adjustment in patients with ESRD. This was a qualitative study utilizing a phenomenological approach. Study results stress the need for individualized holistic care, education and support.
License granted by karen dhillon ( on 2011-12-13T01:56:44Z (GMT): Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of the above terms. The author reserves all other publication and other rights in association with the copyright in the thesis, and except as herein provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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