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Developing Supportive Care Services for Patients with Kidney Failure: An Idea Whose Time Has Come.
Vivekanand Jha1,2,3,4
1George Institute for Global Health India, New Delhi, India.
Indian Journal of Palliative Care
|June 30, 2021
Summary
Kidney failure is rising globally. Supportive care, focusing on quality of life and symptom management, offers a vital alternative or complement to dialysis for many patients, especially in India.
Area of Science:
- Nephrology
- Palliative Care
- Public Health
Background:
- Global increase in kidney failure necessitates exploring alternatives to dialysis.
- Dialysis may not be optimal for elderly, frail, or comorbid patients with limited life expectancy.
- Patient preference for non-dialytic treatment options is a significant consideration.
Discussion:
- Supportive care, emphasizing symptom management and quality of life, is a valid treatment option.
- It can be integrated with dialysis or offered as conservative care.
- Holistic kidney care increasingly recognizes supportive care's integral role.
Key Insights:
- Shared decision-making and advanced care planning are crucial for implementing supportive care.
- Emotional, spiritual, and informational support are vital for patients and families.
- Bereavement care is an essential component of comprehensive kidney care.
Outlook:
- Supportive care infrastructure is underdeveloped in low-resource settings like India.
- Developing capacity in supportive care is essential to offer a full spectrum of kidney disease treatments.
- Enhanced supportive care can improve patient outcomes and quality of life in kidney disease management.
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