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Related Concept Videos

Dialysis01:27

Dialysis

Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Dialysis01:15

Dialysis

Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis

Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...
Peritoneal Dialysis III: Nursing Management01:25

Peritoneal Dialysis III: Nursing Management

Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...

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Related Experiment Video

Updated: Jul 18, 2026

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
07:11

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

Published on: July 19, 2018

Withdrawal from dialysis: a palliative care perspective.

S Chater1, S N Davison, M J Germain

  • 1Edinburgh Cancer Center, Western General Hospital, Edinburgh, Scotland, UK. schater@doctors.org.uk

Clinical Nephrology
|December 5, 2006
PubMed
Summary

Palliative care significantly improved symptom management for patients withdrawing from dialysis, reducing pain, agitation, and dyspnea. This pilot study highlights palliative medicine

Related Experiment Videos

Last Updated: Jul 18, 2026

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
07:11

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

Published on: July 19, 2018

Area of Science:

  • Nephrology
  • Palliative Care
  • Geriatrics

Background:

  • Dialysis withdrawal is a complex decision for patients with end-stage renal disease (ESRD).
  • Symptom burden and psychological distress are common concerns during this transition.
  • The role of palliative care in managing symptoms at dialysis withdrawal requires further investigation.

Purpose of the Study:

  • To evaluate the impact of a palliative care team on symptom management in patients withdrawing from dialysis.
  • To describe survival time, symptom prevalence, and the nature of death in this patient population.

Main Methods:

  • Retrospective chart review of 35 patients who withdrew from dialysis and received palliative care.
  • Data collected included ESRD etiology, comorbidities, dialysis details, survival, withdrawal reasons, competency, symptoms, and death characteristics.
  • Symptom prevalence was analyzed before and after palliative care intervention.

Main Results:

  • Mean survival time post-withdrawal was 10 days.
  • Frequent symptoms included confusion, agitation, pain, and dyspnea; 1/3 had cognitive impairment at withdrawal.
  • Palliative care reduced symptom prevalence: pain (53% to 20%), agitation (68% to 33%), dyspnea (46% to 26%).

Conclusions:

  • Palliative care significantly alleviates symptoms in patients discontinuing dialysis.
  • Opioids and benzodiazepines were crucial in managing symptoms in over 90% of patients.
  • Palliative medicine offers substantial potential to enhance end-of-life care for dialysis patients.