# Noncompliance With Treatment Regimens in a Patient With End-Stage Renal Disease: Complications, Socioeconomic Factors, and Management

## TL;DR

This case study explores a patient with kidney failure who struggles to follow treatment, leading to hospital visits and highlighting socioeconomic challenges.

## Contribution

The paper introduces a multidisciplinary approach to managing noncompliance in ESRD patients, emphasizing socioeconomic factors.

## Key findings

- Noncompliance with hemodialysis and medications led to frequent hospitalizations.
- Socioeconomic factors significantly impact treatment adherence in ESRD patients.
- A multidisciplinary approach is proposed to address noncompliance and improve outcomes.

## Abstract

In this case study, we examine a 27-year-old African American patient with a past medical history of hypertension, heart failure with mid-range ejection fraction (EF), and end-stage renal disease (ESRD) on hemodialysis, secondary to focal segmental glomerulosclerosis (FSGS). The patient has demonstrated noncompliance with his medications and hemodialysis, resulting in multiple emergency department visits and hospital readmissions. This report explores his medical challenges and evaluates strategies to improve care through a multidisciplinary, multisystem approach. Additionally, we examine the socioeconomic factors contributing to his noncompliance and discuss their broader implications for the healthcare system.