Comprehensive Conservative Care in End‑Stage Kidney Disease

Shenoy, Srinivas Vinayak and Shetty, Lakshmitha (2021) Comprehensive Conservative Care in End‑Stage Kidney Disease. Indian Journal of Palliative Care, 27. pp. 11-3. ISSN 0973-1075

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Abstract

In patients with end‑stage kidney disease (ESKD), when there maybe situations where dialysis does not offer benefits in terms of survival or health‑related quality of life, dialysis should not be viewed as the default therapy. Such patients can be offered comprehensive conservative care as an alternative to dialysis. Conservative (nondialytic) management of ESKD includes careful attention to fluid balance, treatment of anemia, correction of acidosis and hyperkalemia, blood pressure, and calcium/phosphorus metabolism management and dietary modification.Individualized symptom management and supportive care are crucial to maximize the quality of life. We propose that model of comprehensive conservative care in ESKD should manage both diseases as well as provide supportive care. Facilitating implementation of comprehensive conservative care requires coordination between nephrology and palliative care at patient, professional, administrative, and social levels to maximize benefit with the motto to improve the overall quality of life

Item Type: Article
Uncontrolled Keywords: Conservative care; End‑stage kidney disease; Palliative care
Subjects: Allied Health > MCOAHS Manipal > Physiotherapy
Medicine > KMC Manipal > Nephrology
Depositing User: KMC Library
Date Deposited: 08 Sep 2021 10:33
Last Modified: 08 Sep 2021 10:33
URI: http://eprints.manipal.edu/id/eprint/157281

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