Adolescents with chronic renal failure face unique problems often best understood by peers with the same condition. An adolescent peer support group can be a valuable tool to foster peer relationships and enhance self-esteem. Moreover, nurses can learn to be effective group leaders.
Hemodialysis of the infant or small child with chronic renal failure is often considered technically difficult or impossible. At Children's Hospital, however, chronic hemodialysis has proved to be safe and effective, and a vital component in the overall care of these complex patients. Although the ultimate goal is renal transplantation, chronic hemodialysis can provide an excellent primary or alternative treatment when peritoneal dialysis has failed or is not an option.