Table 1.

Psychosocial problems experienced during the past 3 years while undergoing maintenance hemodialysis

Impairment of attention

Interference with the blood access needle, e.g., removal of the needle by himself

Interruption of the hemodialysis session, etc.

Impairment of executive function

Sitting in the locker room for 6 h after hemodialysis session

Walking around in hospital for 3 h after hemodialysis session

Amnesia

Forgetfulness

Inability to adhere to his pharmacological therapy

Aphasia

Decrease in conversation

Failure to communicate effectively

Topographical disorientation

Wondering around, unable to return home

Disinhibition

Poor grooming, changing clothes beside the hemodialysis bed

Agnosia

Not able to find what he is looking for; unable to notice items in front of him

Disorientation

Visiting the hospital on the wrong appointment dates for hemodialysis and clinical examinations

Perplexity, conflict, depression

Social isolation, irritability

Reports of trouble with cognitive progression and financial struggle

Family attitude toward the patient

Tendency to avoid intervention