Chronic kidney disease: the diagnosis of a "unique" chronic disease.

Chronic kidney disease (CKD) is more than a chronic disease. CKD is a "unique" chronic disease. To sustain life on hemodialysis, an individual must become an expert self-manager while coping with the numerous stressors related to both the treatment regimen and to the chronic disease itself This article addresses and discusses those unique stressors and challenges related to the diagnosis of CKD requiring dialysis. Some of the stressors that will be highlighted include the associated partnering with technology needed for hemodialysis and how acculturation relates to this environment. Further discussion will include the complex treatment plan associated with hemodialysis including the psychosocial adaptations required by individuals to adjust to the treatment regimen, the time commitment for dialysis, the vascular access, and the impact that hemodialysis and the treatment plan has on family members.