Decision‑making around Commencing Dialysis

Rao, Indu Ramachandra and Rao, Krithika S (2021) Decision‑making around Commencing Dialysis. Indian Journal of Palliative Care, 7. pp. 6-10. ISSN 0973-1075

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Abstract

The decision regarding dialysis initiation is complex. Awareness that renal replacement therapy should not be regarded as default therapy for every patient with advanced renal failure is necessary. Decision to initiate dialysis and modality should be individualized in a shared decision‑making process involving the treating nephrologist and the patient. Patients should receive predialysis education early in the course of chronic kidney disease so as to help prepare them well in advance for this eventuality. Withholding dialysis may be a reasonable option in a certain subset of patients, especially elderly patient with multiple co‑morbid illnesses. Comprehensive conservation care should be offered in all patients where the decision to not dialyze is taken

Item Type: Article
Uncontrolled Keywords: Dialysis; End‑stage kidney disease; Palliative care; Renal supportive care; Shared decision‑making
Subjects: Medicine > KMC Manipal > Cardiology
Medicine > KMC Manipal > Nephrology
Depositing User: KMC Library
Date Deposited: 08 Sep 2021 10:32
Last Modified: 08 Sep 2021 10:32
URI: http://eprints.manipal.edu/id/eprint/157262

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