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Patients on dialysis are in a situation of abject dependence on a machine, a procedure and a group of qualified medical professionals for the rest of his/her life. No other medical condition has such a degree of dependence for the maintenance treatment of a chronic illness. Dialysis is a procedure which is stressful for the patient in the event of inadequate education and preparation with regard to pre-end stage renal disease (ESRD). There is also a considerable restraint on the selection of foods and fluids.
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