[Dialectic of the daily life of patients with chronic kidney failure: the unavoidable and the casual].

: The objective of this study was to understand the social reality of patients' daily life with chronic renal failure in hemodialysis. To understand this phenomenon from the theoretical-methodological referential of the historic and dialectic materialism. The interviews were performed with 18 patients submitted to analysis of speech procedure revealing dialectics subjects. These subjects were analyzed regarding the categories: health-disease process; possibility x reality and need x casualness. These patients, considered hemodialysis as a treatment unavoidable and the transplant casual, thus, between this dialectic relationship there is the nursing which needs to extend its comprehension on thr arduous, sad, difficult and monotonous reality and the possibilities o transformation.