This study aimedto analyzing the perception of the elderly in pre-dialysis treatment about the care provided by his family. Qualitative research with ten elderly in pre-dialysis treatment followed in an outpatient clinic of uremia in southern Brazil. It was used the semi-structured interview as technical data collection and content analysis thematic modality for analysis. The results revealed that the care provided by family happens in different ways. The elderly perceive that family feels

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... nsible and cares for him arranging ways to provide care, which may interfere their autonomy. The elderly also consider that family could offer more care if they could reorganize themselves, so the distance and other activities not harm the family's presence in old age. It concluded that family involvement is important to meet the pre-dialysis treatment of the elderly and aging needs.The effort of family keeps the contact with elderly and help in care of treatment and other demands. Nurses should encourage communication between family members, provide guidance and discuss the possibilities of family reorganization for the care and preservation of the autonomy and independence of the elderly.