Mr. J has polycystic disease and has recently been told that his condition has progressed to end-stage renal disease (ESRD). As a result, he will need to go on hemodialysis. You have been asked to follow Mr. J's case and help him to assess his vocational status given his diagnosis. As end-stage renal disease progresses and symptoms become more pronounced, you realize that:

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As ESRD progresses and individuals require hemodialysis, there are significant demands on their time and lifestyle changes that can impact their ability to maintain employment. Hemodialysis typically requires several hours, three times a week, and may cause fatigue and other physical symptoms that can interfere with work performance. Additionally, individuals may have to adjust their diet and medication schedules to accommodate dialysis, which can further complicate employment. Therefore, the impact on vocational function increases with the demands of dialysis and lifestyle changes.

Mr J Has Polycystic Disease and Has Recently Been Told