PEDIATRICS Vol. 48 No. 6 December 1971, pp. 939-945
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RETURN TO THE LAND OF THE LIVING: AN APPROACH TO THE PROBLEM OF CHRONIC HEMODIALYSIS

Robert Nordan Ph.D.1, Richard Ostendorf A.B.1, and John P. Naughton M.D.1

1 Children's Division, Department of Psychiatry, The Abraham Lincoln School of Medicine, Chicago, Illinois; and the Division of Rehabilitation Medicine, The George Washington University Medical Center, Washington, D.C.

An extremely withdrawn 15-year-old boy, on chronic hemodialysis and with a severe hearing loss, was involved in a team-directed rehabilitation program in order to reverse his increasing deterioration. Various professionals–teacher, nutritionist, speech therapist, psychologist, physical therapist, occupational therapist, social worker, medical student–all cooperated in a program of total involvement for the boy and his family. Within a few weeks the patient began to "return" from his state of withdrawal, and rather dramatic changes occurred in his medical, physical, and psychological condition.

Submitted on February 22, 1971
Accepted on May 11, 1971