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

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.