• Br J Nurs · Apr 2008

    Supportive and palliative care for the patient with end-stage renal disease.

    • Helen Noble.
    • Barts and the London NHS Trust, and City University, London.
    • Br J Nurs. 2008 Apr 24;17(8):498-504.

    AbstractAs the numbers of patients presenting with end-stage renal disease (ESRD) increases, more are opting to withdraw from dialysis, often due to increased suffering and poor prognosis related to other comorbidities. Concurrently, other renal patients are deciding to forgo dialysis, recognizing that the burden of frequent dialysis may outweigh likely survival and quality-of-life benefits. Renal nursing is concerned with the health needs of individuals and their carers who are experiencing a progressive decline in renal function or who have lost renal function completely, and there is a focus on the provision of renal replacement therapy such as haemodialysis. As more patients decide to withdraw from, or not to embark on, dialysis, an enhanced approach to assessment and control of symptoms, as well as supportive management is required, including effective and high-quality palliative care. There is a necessity for renal nurses to change from disease management through interventions of a physiological nature to that of providing support and symptom management. This article discusses the supportive and palliative nursing care needs of a population largely unheard in the literature - patients with ESRD - and highlights the need for further patient and carer-centred research in this area.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…

What will the 'Medical Journal of You' look like?

Start your free 21 day trial now.

We guarantee your privacy. Your email address will not be shared.