[Living with chronic renal insufficiency].

In Spain today there are some 27,000 patients suffering from chronical renal insufficiency to such an extent that they require treatment which artificially performs their kidney functions or have had a kidney transplant. The basic artificial renal function therapies are hemodialysis and peritoneal dialysis. Both therapies, which are usually well-tolerated although not exempt from complications, allow patients to have an acceptable rehabilitation and quality of lifestyle. Theoretically, a kidney transplant is the ideal solution; however, the lack of donor organs, organ rejection and patients; particular circumstances place limits on this therapeutic option. Nevertheless, whatever therapy is chosen, patients must make adaptions in their life style to include following a diet, administering prescribed drugs, applying specific hygienic practices, and the like. All of these require the patient to have an appropriate educational support structure.