Employment perspectives of children with chronic kidney disease
DOI:
https://doi.org/10.6016/ZdravVestn.2925Keywords:
chronic renal insufficiency, children, childhood onset, employment, socioeconomic statusAbstract
The employment of patients with childhood onset of chronic kidney disease (CKD) is influenced by the entire course of disease during childhood as well as later in adulthood. Frequent school absenteeism, weaker neurocognitive functioning and physical health problems contribute to lower academic achievement and educational level and to emotional problems such as low self-esteem, loneliness, anxiety and depression. Young adults with CKD are less independent and achieve fewer developmental milestones and later than their healthy peers. Lower educational level and frequent episodes of sick leave make them less attractive for potential employers. Among the most important predictors of the quality of life and employment are the age at which end-stage kidney disease occurs and the available treatment modality (kidney transplant vs dialysis). Despite their disabilities, most patients feel capable of working and want to be employed. It is reasonable to keep raising the awareness of educators and employers about the limitations of CKD and to provide help to the patients when searching for employment.
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