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Changes in life expectancy and increases in incidences of hypertension, diabetes, and cardiac disease all correlate with a higher number of patients diagnosed with chronic kidney disease (CKD) (Elliott, 2012).

The United States population is rising with the number of older adults expected to increase. In 2010, the number of adults older than 65 years of age was 13% of the population, whereas projections for 2020 predict a rise to 16.1% of the population (U.S.

Department of Health and Human Services [DHHS], 2010).

Medical treatment appropriately suited to enhance life experiences and survival in the older adult requiring renal replacement therapy is an area of increasing debate among nephrology professionals (Mallappallil, Patel, & Friedman, 2012).

The initiation of peritoneal dialysis as a treatment option has been used less often d