Related Experiment Video
Updated: Jul 23, 2025
06:27
A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
Published on: July 20, 2022
2.6K
Perceived Life Expectancy Among Dialysis Recipients: A Scoping Review
Hannah Beckwith1,2, Amarpreet Thind1,2, Edwina A Brown1,2
1Renal Department, Imperial College Healthcare NHS Trust, London, United Kingdom.
Kidney Medicine
|July 17, 2023
Summary
Patients on dialysis often have overly optimistic life expectancy beliefs, differing significantly from healthcare providers. These perceptions influence care preferences, highlighting the need for open prognosis discussions.
Area of Science:
- Nephrology
- Geriatrics
- Palliative Care
Background:
- Prognostic understanding impacts end-of-life care quality.
- Dialysis patients' life expectancy expectations are not well understood.
Purpose of the Study:
- To explore life expectancy perceptions among dialysis recipients.
- To identify factors influencing these perceptions.
Main Methods:
- A scoping review was conducted.
- Searched multiple databases (Medline, Embase, PsycINFO, HMIC, ProQuest).
- Included studies on self-estimated life expectancy in end-stage kidney disease.
Main Results:
- Significant mismatches exist between patient and provider life expectancy estimates.
- Patient estimates were generally higher than healthcare professionals'.
- Perceived life expectancy influenced preferences for palliative versus life-extending care.
Conclusions:
- Dialysis patients often maintain optimistic prognostic expectations.
- Transparent discussions about prognosis are crucial for informed decision-making and quality of life.
Related Concept Videos
01:27Dialysis
369
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...
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...
369
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
44
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
44
01:25Chronic Kidney Disease I: Introduction
41
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage kidney disease (ESKD). At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate...
41
01:25Hemodialysis III: Nursing Management
50
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...
50
01:25Peritoneal Dialysis III: Nursing Management
50
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...
50
01:28Kidney Transplant I: Introduction
29
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
29