Journal of Gerontological Nursing. This article gives an overview of the renal complications experienced by elderly diabetic patients. They do not usually met the criteria for renal transplant, therefore the method of treatment is hemodialysis. Nurses must be aware of age-related physiological changes associated with chronic renal failure and its affect on dialysis. Changes occur slowly in the elderly and must be monitored closely.
Cardiovascular changes make it necessary to take precautions against hypotension.
Blood pressure must be watched closely, as hypotension can also cause visual complications. Monitoring blood sugar levels is necessary as well for detection of hyperglycemia. Nurses must help the patient realize the importance of compliance to a strict diet low in protein and high in carbohydrates to avoid more aggressive hemodialysis treatment. Accurately assessing and establishing baseline data will help identify pathological changes easier. In this way, the nurse can better care for their patient with chromic renal failure.