Although the Reflection Circle is a basic structure for reflection, not all groups or group members are comfortable or interested in speaking up in this environment right away. Being creative and using a variety of activities helps to gain the participants' interest and can foster comfort and familiarity in the group.
If polyuria is present, patients should be asked about the age at onset, rate of onset (eg, abrupt vs gradual), and any recent clinical factors that may cause polyuria (eg, IV fluids, tube feedings, resolution of urinary obstruction, stroke, head trauma, surgery). Patients should be asked about their degree of thirst.
Therefore, the metabolic toxins excreted declines obviously. Therefore, in some cases, the patients with Chronic Renal Failure may experience polyuria. In this case, the urine osmotic pressure and specific gravity has obvious decline. In severe case, the patients with Chronic Renal Failure may stay in dehydration.