Article: Sources of Uncertainty and Coping Strategies Used by Family Members of Individuals Living with End Stage Renal Disease.

Living with end stage renal disease (ESRD) is a dynamic experience characterized by periods of stability, instability, and regained stability during the course of the illness trajectory. Increasing numbers of patients being are being diagnosed with ESRD, related in part to an aging population, and will continue to escalate as the 21st century unfolds (Schaubel, Morrison, Desmeules, Parsons, & Fenton, 1999). ESRD provokes enormous physical and psychological changes in patients. Among the physiological and psychological stressors experienced by these patients, uncertainty about the future has been ranked as a major source of stress (Ferrans & Powers, 1993; Gurklis & Menke, ...

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