Abstract：
:Palliative care begins with establishing goals of care based on estimated prognosis in end-stage renal disease (ESRD). Patients with ESRD are increasingly characterized by older age and multiple comorbid illnesses, and have a mortality rate 8 times higher than the general Medicare population. Dialysis patients are appropriate for palliative care because of their high mortality rate and high symptom burden. More patients and families are choosing not to start or withdraw dialysis for multiple reasons, particularly in patients older than 60 years. Advance directives and resuscitation directives are important in ensuring compassionate and goal-directed palliative care of ESRD patients. Drug toxicities are avoidable by using appropriate drugs at the correct doses and dosing intervals.
journal_name
Prim Carejournal_title
Primary careauthors
Werb Rdoi
10.1016/j.pop.2011.03.009subject
Has Abstractpub_date
2011-06-01 00:00:00pages
299-309, ixissue
2eissn
0095-4543issn
1558-299Xpii
S0095-4543(11)00022-4journal_volume
38pub_type
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