The nature of impairments of memory in patients with end-stage renal disease (ESRD)

Jones, Daniel J. W.; Harris, Judy; Vaux, Emma; Hadid, Rebecca; Kean, Rebecca; Butler, Laurie

doi:10.1016/j.physbeh.2015.05.008

Cited by 8 publications

(8 citation statements)

References 45 publications

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“…In laboratory studies of cognition, ESRD has been associated with multiple impairments (Hart & Kreutzer, 1988), for example, of visual attention (Etgen et al, 2009), executive functioning (Jassal, Devins, Chan, Bozanovic, & Rourke, 2006) and psychomotor speed (Griva et al, 2003). In addition, various aspects of memory have been shown to be impaired: verbal and visual memory (Elias et al, 2009;Kurella, Chertow, Luan, & Yaffe, 2004), working memory (Buchman et al, 2009), episodic memory (Thornton, Shapiro, Deria, Gelb, & Hill, 2007) and conceptual memory (Jones et al, 2015b). However, it is uncertain whether patients are aware of these impairments, and to what extent they impact on everyday life.…”

Section: Introductionmentioning

confidence: 99%

“…Qualitative studies investigating the impact of ESRD have provided substantial, useful data; however, because one of the aims of qualitative research was to provide understanding of the meanings and interpretations of behaviour within the specific sample under study, it is of value to conduct further qualitative research with additional samples in order to establish the extent to which similar themes emerge and new themes are revealed. In this study, we were particularly interested in the fluctuations in cognitive abilities caused by HD, reported to us by patients in quantitative studies of cognition (Jones, Butler, Harris, & Vaux, ; Jones, et al., ). In addition, this study aims to provide an understanding of the patient experience in the UK NHS.…”

Section: Introductionmentioning

confidence: 99%

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Understanding the impact of haemodialysis on UK National Health Service patients’ well‐being: A qualitative investigation

Jones¹,

Harvey

Harris

et al. 2017

Journal of Clinical Nursing

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Aims and objectives While haemodialysis is an effective treatment for end‐stage renal disease, the requirements and restrictions it imposes on patients can be onerous. The aim of this study was to obtain UK National Health Service patients’ perspectives on the challenges arising from haemodialysis with the intention of identifying potential improvements. Background Depression rates are particularly high in those with end‐stage renal disease; however, there is limited insight into the range of stressors associated with haemodialysis treatment within the National Health Service contributing to such high rates, particularly those of a cognitive or psychological nature. Design A qualitative approach was used to obtain rich, patient‐focused data; one‐to‐one semi‐structured interviews were conducted with twenty end‐stage renal disease at a UK National Health Service centre. Methods Patients were interviewed during a typical haemodialysis session. Thematic analysis was used to systematically interpret the data. Codes were created in an inductive and cyclical process using a constant comparative approach. Results Three themes emerged from the data: (i) fluctuations in cognitive/physical well‐being across the haemodialysis cycle, (ii) restrictions arising from the haemodialysis treatment schedule, (iii) emotional impact of haemodialysis on the self and others. The findings are limited to predominantly white, older patients (median = 74 years) within a National Health Service setting. Conclusions Several of the experiences reported by patients as challenging and distressing have so far been overlooked in the literature. A holistic‐based approach to treatment, acknowledging all aspects of a patient's well‐being, is essential if optimal quality of life is to be achieved by healthcare providers. Relevance to clinical practice The findings can be used to inform future interventions and guidelines aimed at improving patients’ treatment adherence and outcomes, for example, improved reliable access to mental health specialists.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Understanding the impact of haemodialysis on UK National Health Service patients’ well‐being: A qualitative investigation

Jones¹,

Harvey

Harris

et al. 2017

Journal of Clinical Nursing

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“…We have herein reported memory disorders and renal disease just in one patient (2%). Jones et al [65], studied the nature of impairments of memory in patients with End-Stage Renal Disease (ESRD). They concluded that the type of processing required by the task (conceptual vs. perceptual) is more important than the type of retrieval (explicit vs. implicit) in memory failures in ESRD patients, perhaps because temporal brain regions are more susceptible to the effects of the illness than are posterior region.…”

Section: Memory Disorders and Renal Diseasesmentioning

confidence: 99%

Clinical Study of Memory Disorders in Aging Patients and Associated Pathology

Oj¹,

CM²,

Lastre³

et al. 2021

J Clin Biomed Invest

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We have observed semantic memory and episodic memory disorders in patients ranging from 40 to 92 years-old (100%), with associated cardiovascular diseases and blood hypertension (82%), sleep disorders (50%), neurobehavioral disorders (44%), such as depression, anxiety, aggression, and vascular demencia, disorders of language (36%), neurosensory disorders (28%), as diminution of visual and hearing acuity, dizziness (26%), Parkinson disease (34%), Alzheimer disease (21%), gait disturbances (10%), vertigo (10%), cervicalgia and cervicogenic headache (10%) trigeminal neuralgia (2%), We found as comorbidities the following non-nervous diseases: metabolic diseases as diabetes (21%) and hypothyroidism (5%), gastrointestinal pathology (21%), such as constipation, loss of sphincter control, and gastritis, arthritis (13%), prostatic hypertrophy (1%) and loss of weight (1%). A detailed discussion of every pathological condition is provided.

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“…During retrieval, they were presented with a series of six category names and had to recall and report any words from the earlier list which belonged in that category (full details of the task provided by Jones et al). 39 Participants also completed the Mini Mental State Examination (MMSE), 40 to screen for moderate to severe cognitive impairment; the Instrumental Activity of Daily Living (IADL), 41 a self-report questionnaire to assess independence; the National Adult Reading Test (NART), 42 a performance-based questionnaire assessing premorbid intelligence; and the Bond-Lader Mood Assessment Scale, 43 a measure of subjective mood.…”

Section: Stimuli and Materialsmentioning

confidence: 99%

A potential barrier to adherence? Memory for future intentions is impaired in hemodialysis patients

Jones

Harris

Butler

et al. 2019

Hemodialysis International

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Introduction: End-stage renal disease (ESRD) has been associated with a range of cognitive deficits, including impaired retrospective memory and attention. Prospective memory (PM) is memory for future intentions, such as remembering to take medication on time. Prospective memory has not been examined in any ESRD patients; yet, the implications upon diet and medication management could potentially have detrimental effects on patient welfare. This is the first study to examine PM in ESRD patients being treated with hemodialysis (HD).Methods: Hemodialysis patients (n = 18) were compared with age-matched and education-matched controls (n = 18) on a boardgame task that emulates a typical week of activities (i.e., grocery shopping, meetings with friends), requiring the participant to remember a series of upcoming tasks. Other measures were also examined, including general cognitive decline, measures of independent living, IQ, and mood.Findings: Patients recalled significantly fewer upcoming events than the control group, suggesting an impairment of PM. No significant relationship was found between PM performance and any other measures, suggesting the difference between groups is likely due to the effects of ESRD, HD treatment, or some associated comorbidity.Discussion: This is the first study to demonstrate a PM deficit in patients undergoing HD treatment. This finding contributes to the current knowledge of the cognitive profile of patients undergoing HD while also highlighting the implications that a PM deficit may have on patient quality of life. The finding may go some way to explaining variances in patients' ability to monitor and adhere to medication and dietary regimes and, ultimately, to live independently. The study also highlights the necessity of viewing treatment for ESRD as a holistic process to maximize patient well-being.

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The nature of impairments of memory in patients with end-stage renal disease (ESRD)

Cited by 8 publications

References 45 publications

Understanding the impact of haemodialysis on UK National Health Service patients’ well‐being: A qualitative investigation

Understanding the impact of haemodialysis on UK National Health Service patients’ well‐being: A qualitative investigation

Clinical Study of Memory Disorders in Aging Patients and Associated Pathology

A potential barrier to adherence? Memory for future intentions is impaired in hemodialysis patients

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