Conservative management of patients with end-stage kidney disease.
advance care planning
end of life care
nursing care
palliative care
signs and symptoms
symptom management
Journal
Nursing standard (Royal College of Nursing (Great Britain) : 1987)
ISSN: 2047-9018
Titre abrégé: Nurs Stand
Pays: England
ID NLM: 9012906
Informations de publication
Date de publication:
03 Jun 2020
03 Jun 2020
Historique:
accepted:
13
05
2019
pubmed:
24
12
2019
medline:
1
1
2022
entrez:
24
12
2019
Statut:
ppublish
Résumé
The prevalence of end-stage kidney disease is increasing, particularly among older people and those with multiple comorbidities. Typically, patients who develop end-stage kidney disease receive renal replacement therapies such as dialysis; however, this treatment can significantly affect quality of life and may not prolong life in older patients. Therefore, some patients may choose not to undergo dialysis and instead choose conservative management, which involves a palliative approach that focuses on maintaining quality of life and advance care planning. This article details the steps involved in a conservative kidney management pathway for end-stage kidney disease, including symptom management and advance care planning. It also discusses the importance of a palliative approach for patients receiving dialysis.
Identifiants
pubmed: 31867916
doi: 10.7748/ns.2019.e11416
pii: e11416
doi:
Types de publication
Journal Article
Langues
eng
Pagination
43-50Informations de copyright
© 2019 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.
Déclaration de conflit d'intérêts
None declared