Richard Sawatzky

1 Background Despite the high prevalence of depressive symptoms [1] and some of the poorest quality of life among those living with chronic illnesses [2], mental health concerns remain inadequately addressed and undertreated in people undergoing life-prolonging dialysis treatment [3-5]. Cognitive behavioural therapy (CBT) is a frontline non-pharmacological treatment for depression and has been recommended for depression in adults with chronic physical health problems [6, 7].

All articles published by MDPI are made immediately available worldwide under an open access license. No special permission is required to reuse all or part of the article published by MDPI, including figures and tables. For articles published under an open access Creative Common CC BY license, any part of the article may be reused without permission provided that the original article is clearly cited. For more information, please refer to https://www.mdpi.com/openaccess.

Homecare nurses provide essential healthcare services at home. Changes in the nature of homecare nursing practice, however, suggest that older and frail homecare clients are less likely to have timely access to needed homecare nursing services as acute management takes priority. This has an impact on people's ability to be cared for and to die at home, a reported priority for many Canadians.