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Kidney Supportive Care in Peritoneal Dialysis: Developing a Person-Centered Kidney Disease Care Plan
- Source :
- Kidney Medicine, Vol 4, Iss 2, Pp 100392-(2022)
- Publication Year :
- 2022
- Publisher :
- Elsevier BV, 2022.
-
Abstract
- Individuals receiving peritoneal dialysis (PD)—similar to those receiving hemodialysis (HD)—may experience high mortality coupled with high symptom burden and reduced health-related quality of life (HRQoL). In this context, discussion of the risks, benefits, and tradeoffs of PD and/or other kidney treatment modalities should be explored based on individual goals and preferences. Through these principles, kidney supportive care provides a person-centered approach to kidney disease care throughout the spectrum of kidney failure and earlier stages of chronic kidney disease (CKD). Kidney supportive care is offered in conjunction with life-prolonging therapies including dialysis and kidney transplantation, and is increasingly recognized as an integral part of advancing the care of PD patients. Using "My Kidney Care Roadmap" for shared decision-making (SDM), kidney supportive care guides patients undergoing PD and their clinicians to 1) elicit patient goals, values, and priorities; 2) convey medical prognosis and suitable treatment options; and 3) ask "which of these kidney treatment options will best help me achieve my goals and priorities?" to inform both current and future decisions, including choice of dialysis modalities, time-limited trials, and/or non-dialysis management. Recognizing that patient priorities and choices may evolve, this framework ultimately allows patients to continually reassess their PD care to better achieve goal-directed dialysis.
- Subjects :
- Advance care planning
medicine.medical_specialty
end-stage renal disease
Palliative care
business.industry
medicine.medical_treatment
medicine.disease
Diseases of the genitourinary system. Urology
kidney failure
End stage renal disease
Peritoneal dialysis
Quality of life (healthcare)
Nephrology
end-stage kidney disease
Internal Medicine
medicine
dialysis
RC870-923
Intensive care medicine
business
chronic kidney disease
Kidney transplantation
Dialysis
Kidney disease
Subjects
Details
- ISSN :
- 25900595
- Volume :
- 4
- Database :
- OpenAIRE
- Journal :
- Kidney Medicine
- Accession number :
- edsair.doi.dedup.....37632b1c26376a87aa95924b28b7dcbb