Advances
in Chronic Kidney Disease, Jan 2016, vol. 23, no. 1, p. 51-56
Raghavan,
Divya, Holley, Jean L
Palliative or
supportive care should be routine for conservatively managed CKD patients.
Decision-making about dialysis or conservative management requires patients and
families be given information on prognosis, quality of life on dialysis, and
options for supportive care. Advance care planning is the process by which
these issues can be explored. Patients with ESRD have a high symptom burden, which needs to be addressed in
any treatment plan. Common symptoms include pain, fatigue, insomnia, pruritus,
anorexia, and nausea. Recommendations for management are discussed in
the article.