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End-of-life care for patients on haemodialysis
  1. Mitesh Patel1,
  2. Jyoti Baharani2
  1. 1Academic FY2, Birmingham Heartlands Hospital, Birmingham, UK
  2. 2Consultant Nephrologist, Department of Nephrology, Birmingham Heartlands Hospital, Birmingham, UK
  1. Correspondence to Dr Jyoti Baharani, jyoti.baharani{at}heartofengland.nhs.uk.

Abstract

Many patients with chronic illness will require end-of-life (EOL) care. This is the case with many patients who suffer from chronic kidney disease. When patients start haemodialysis (HD), the nuances of care for kidney disease take over. Often, when these patients reach the EOL, this is not always recognised, resulting in poor EOL care and often inappropriate continuation of dialysis. This paper discusses the reasons for unsatisfactory EOL care for patients on HD alongside the frameworks of palliative care currently in the UK for patients on HD. EOL does not appear suddenly in most patients on HD; it is a failing of care not to recognise it.

  • Advance care planning
  • End of life care
  • Renal failure

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