Decision-making around commencing dialysis

Document Type

Article

Publication Title

Indian Journal of Palliative Care

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.

First Page

S6

Last Page

S10

DOI

10.4103/ijpc.ijpc_61_21

Publication Date

1-1-2021

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