When someone comes across a diagnosis of chronic kidney disease, this person usually feels lost, insecure, and fearful, as if slowly and irregularly walking on a track which he or she doesn’t know. Reality will change and the person needs to forcefully and quickly, adapt to a frame of references with new priorities and new obligations.
This is also a significant and therefore very intense moment of crisis for families, where they are put to the test (Rolland 1994). With the evolution and prognosis of the disease, the people affected by it will need to readjust to a new reality which is very demanding and which will inevitably shake their structure and give it new meanings and representations. This is the reality in which we invest on a daily basis, in which we get involved; not only with the patients that are in treatment, but also with their families.
With all the technicians aware of this challenge, Social Work is based on a Systemic model: Intervening with users (patients?) and families, in close articulation with the interdisciplinary team and in direct articulation with the community.
In our current practice, we carry out psychosocial accompaniment to the patients and their families, building a life project which is adjusted to their new life condition.
Satisfying needs implies a concerted work which is, above all, based in empowering the patient and the family on their skills and at the same time, triggers the external resources needed to empower the individual in the face of illness and treatment and consequent social reintegration.