Title |
A Palliative Approach to Dialysis Care: A Patient-Centered Transition to the End of Life
|
---|---|
Published in |
Clinical Journal of The American Society of Nephrology, August 2014
|
DOI | 10.2215/cjn.00650114 |
Pubmed ID | |
Authors |
Vanessa Grubbs, Alvin H. Moss, Lewis M. Cohen, Michael J. Fischer, Michael J. Germain, S. Vanita Jassal, Jeffrey Perl, Daniel E. Weiner, Rajnish Mehrotra |
Abstract |
As the importance of providing patient-centered palliative care for patients with advanced illnesses gains attention, standard dialysis delivery may be inconsistent with the goals of care for many patients with ESRD. Many dialysis patients with life expectancy of <1 year may desire a palliative approach to dialysis care, which focuses on aligning patient treatment with patients' informed preferences. This commentary elucidates what comprises a palliative approach to dialysis care and describes its potential and appropriate use. It also reviews the barriers to integrating such an approach into the current clinical paradigm of care and existing infrastructure and outlines system-level changes needed to accommodate such an approach. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 14 | 28% |
Mexico | 4 | 8% |
Canada | 3 | 6% |
Brazil | 1 | 2% |
Turkey | 1 | 2% |
Indonesia | 1 | 2% |
Malaysia | 1 | 2% |
Italy | 1 | 2% |
United Kingdom | 1 | 2% |
Other | 7 | 14% |
Unknown | 16 | 32% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 32 | 64% |
Practitioners (doctors, other healthcare professionals) | 9 | 18% |
Scientists | 7 | 14% |
Science communicators (journalists, bloggers, editors) | 1 | 2% |
Unknown | 1 | 2% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Canada | 1 | <1% |
Unknown | 162 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 21 | 13% |
Researcher | 19 | 12% |
Student > Ph. D. Student | 14 | 9% |
Student > Bachelor | 14 | 9% |
Other | 13 | 8% |
Other | 43 | 26% |
Unknown | 39 | 24% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 60 | 37% |
Nursing and Health Professions | 34 | 21% |
Social Sciences | 6 | 4% |
Biochemistry, Genetics and Molecular Biology | 3 | 2% |
Psychology | 3 | 2% |
Other | 7 | 4% |
Unknown | 50 | 31% |