The absence of disease is the goal of preventive medicine, which is achieved either by stopping a disease before it starts or by stopping a disease and avoiding its consequences once it has started. The individual, primary care providers, and government entities can all practice preventive medicine. Numerous illnesses have been cured in the past by taking care of the person. The current obstacle in preventive medicine is encouraging each person to practice self-prevention. Several strategies for accomplishing this goal are outlined, many of which call for the primary care physician's active involvement. Dialysis patients' preventive care includes both basic medical care issues and issues unique to dialysis, which are covered in detail in earlier chapters. Aspects of general medical preventative care that are relevant to patients on chronic dialysis are covered in this chapter. Some of these problems will depend on the patient's state following a transplant.
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