Current issues of the formation of rehabilitation programs patients on hemodialysis

Rehabilitation is a strategic direction in medicine aimed at reducing or eliminating the consequences of diseases and injuries. A current challenge in rehabilitation science is developing approaches to address functional limitations in patients with stage 5 chronic kidney disease on dialysis (CKD 5D). In dialysis patients, the rehabilitation process reveals several factors that limit daily functioning, activity, and autonomy, thereby reducing the quality of life for this patient group. To ensure effective restoration of a patient’s activity and participation in renal replacement therapy, it is essential to correctly define rehabilitation goals. The optimal structuring and formulation of these goals are of fundamental importance for the effectiveness of medical rehabilitation. The main rehabilitation targets, which serve as the basis for goal selection, include lack of functional resources in the cardiorespiratory system; mobility impairments; impaired postural balance and motor control; biomechanical and orthopedic disorders of the musculoskeletal system; emotional status; adherence to rehabilitation.