Hospice Care in Conservative Kidney Management.

Alexandra E Bursic, Jane O Schell

Journal: Seminars in nephrology 2023;43(1):151398

PMID: 37524007

Full Text on Elsevier Science View on PubMed

Abstract

Hospice care offers multidisciplinary expertise to optimize symptom management and quality of life for patients with limited life expectancy and help ensure that patients receive care that reflects their personal goals and values. Many patients receiving conservative kidney management (CKM) and their loved ones can benefit from the additional support that hospice provides, particularly as symptom burdens and functional status worsen over the last few months of life. We provide an overview of hospice services and how they may benefit patients receiving CKM, describe the evolution of optimal CKM strategies and collaboration between nephrology and hospice clinicians over the course of disease progression, and explore challenges to effective hospice care delivery for patients with chronic kidney disease and how to address them.

Address: Renal-Electrolyte Division, University of Pittsburgh Medical Center, Pittsburgh, PA. Electronic address: [email protected].; Renal-Electrolyte Division, University of Pittsburgh Medical Center, Pittsburgh, PA; Section of Palliative Care and Medical Ethics, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.

DOI: 10.1016/j.semnephrol.2023.151398

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MeSH Terms: Humans, Hospice Care, Hospices, Kidney Failure, Chronic, Quality of Life, Palliative Care, Kidney