19 documents found, page 1 of 2

Bridging the Gap: Mental Health in Hemodialysis Patients

Conservative Care Management in Chronic Kidney Disease: A Value for the Money?

Abstract End stage kidney disease (ESKD) is a potentially fatal disease that can be treated by one of three modalities: dialysis (hemodialysis or peritoneal dialysis) and kidney transplantation. Either of these options represents a heavy burden on health systems. Kidney transplantation has its own financial framework. Dialysis care, provided by public or private institutions is funded, since 2008, by a prospect...

Communication in Chronic Kidney Disease

Abstract In the 21st century, chronic kidney disease has become a leading cause of mortality and suffering. In Portugal, the prevalence of chronic kidney disease was estimated at 20.9%, higher than the world and European average. End‑stage renal disease requiring dialysis is a significant condition with a high disease burden, morbidity, and mortality rate. Effective communication plays an important role in faci...

Chronic Kidney Disease: Supportive and Conservative Care in Portugal in 2023

Abstract Introduction : Elderly patients with chronic kidney disease (CKD) present a higher risk of becoming frail, a consequence of several comorbidities and worse functional status. This condition does not necessarily improve with the initiation of dialysis. Conservative care offers an option to treat elderly and/or frail patients with advanced CKD, which focuses on improving the patient’s quality of life, ac...

Advance Care Planning in End‑Stage Renal Disease

Abstract Patients with end‑stage renal disease (ESRD) have high morbidity and mortality rates compared to age‑matched individuals. The treatment for ESRD typically involves renal replacement therapies such as dialysis or kidney transplant. Despite the high comorbidity and frailty presented by the patients with ESRD, many of these individuals do not discuss their end‑of‑life preferences with loved ones or health...

How do our Dialysis Patients Die?

ABSTRACT Introduction: Elderly patients are the most frequent patients admitted to dialysis units. Relatively little is known about standards on endof-life (EOL) care among dialysis patients. From international literature, these patients are exposed to more aggressive treatments at EOL than patients with cancer or other chronic diseases and palliative referral is infrequent. This study aims to describe some end...

Palliative Care Competencies in Nephrology: A Scoping Review

ABSTRACT Introduction: There is a growing need to train nonpalliative physicians in palliative care, as it is increasingly recognized by the medical profession. Political and opinion leaders are also becoming aware of the urgent and growing need for palliative care education. Objective: The aim of this study is to provide an overview of the information available in the literature on the topic of palliative care...

Supportive Care in Chronic Kidney Disease: Is it an Option?

ABSTRACT Supportive care in patients with chronic kidney disease refers to the application of palliative medicine principles and practices in nephrology. The main purpose is to reduce suffering by managing symptoms, helping with decision making and providing holistic support to the patient and family/caregiver in clinical, social, spiritual or nutritional distress, with a multidisciplinary team. We present the ...

To Do Or Not to Do Dialysis? That is the Question

ABSTRACT Currently, patients older than 75 years are the fastest-growing group starting dialysis worldwide. However, the benefits of dialysis become doubtful among frail older patients and conservative kidney management (CKM) has emerged as a feasible therapeutic strategy for some patients, with a focus on quality of life and comfort. Even though it is a challenge to recognize which is the most suitable therape...

Palliative interventions in outpatient dialysis network

Chronic kidney disease (CKD) is a burdensome disease that has been successfully managed with dialysis. But even if dialysis can prolong patients' survival in certain circumstances, it also brings a high burden of physical and psychosocial symptoms, poor outcomes, and high costs of care. Fragile patients may not benefit from starting dialysis. In this way, Palliative Care (PC) should be integrated into CKD care ...