Format

Send to

Choose Destination
See comment in PubMed Commons below
Clin J Am Soc Nephrol. 2014 Dec 5;9(12):2203-9. doi: 10.2215/CJN.00650114. Epub 2014 Aug 7.

A palliative approach to dialysis care: a patient-centered transition to the end of life.

Author information

1
Division of Nephrology, University of California, San Francisco, San Francisco, California; Division of Nephrology, San Francisco General Hospital, San Francisco, California; grubbsv@medsfgh.ucsf.edu.
2
Section of Nephrology, Department of Medicine, West Virginia University School of Medicine, Morgantown, West Virginia;
3
Department of Psychiatry, Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts;
4
Division of Nephrology, Jesse Brown Veterans Affairs Medical Center, University of Illinois Hospital and Health Sciences Center, Chicago, Illinois;
5
Division of Nephrology, Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts;
6
Division of Nephrology, University Health Network and.
7
Division of Nephrology, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada;
8
Division of Nephrology, Tufts Medical Center, Boston, Massachusetts; and.
9
Division of Nephrology, University of Washington, Seattle, Washington.

Abstract

As the importance of providing patient-centered palliative care for patients with advanced illnesses gains attention, standard dialysis delivery may be inconsistent with the goals of care for many patients with ESRD. Many dialysis patients with life expectancy of <1 year may desire a palliative approach to dialysis care, which focuses on aligning patient treatment with patients' informed preferences. This commentary elucidates what comprises a palliative approach to dialysis care and describes its potential and appropriate use. It also reviews the barriers to integrating such an approach into the current clinical paradigm of care and existing infrastructure and outlines system-level changes needed to accommodate such an approach.

KEYWORDS:

dialysis; end of life; palliative care

PMID:
25104274
PMCID:
PMC4255391
DOI:
10.2215/CJN.00650114
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire Icon for PubMed Central
    Loading ...
    Support Center