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Geriatric Medicine Principles in Conservative Kidney Management: Frailty, Functional Assessments, and Selective
Peter Hedderich1, Luis Ng Sueng2, Hesham Shaban3
1Department of Hospice and Palliative Medicine, Henry Ford Health, Detroit, MI.
Seminars in Nephrology
|August 3, 2023
Summary
Conservative kidney management offers a nondialytic approach for advanced chronic kidney disease. Geriatric principles like frailty assessment and deprescribing enhance patient care and outcomes.
Area of Science:
- Geriatric Medicine
- Nephrology
Background:
- Conservative kidney management (CKM) is a vital nondialytic treatment for advanced chronic kidney disease (CKD).
- CKM focuses on delaying disease progression, managing symptoms, and providing psychosocial support.
- Geriatric medicine principles are increasingly relevant to CKM.
Purpose of the Study:
- To review the application of geriatric medicine principles in conservative kidney management.
- To highlight the utility of functional and frailty assessments in CKM.
- To discuss the role of selective deprescribing in CKM.
Main Methods:
- Literature review of conservative kidney management and geriatric principles.
- Analysis of how geriatric syndromes impact CKD patients.
- Examination of deprescribing strategies in the context of CKM.
Main Results:
- Geriatric assessments, including frailty and functional status, are crucial for tailoring CKM.
- Selective deprescribing can optimize medication regimens for CKD patients undergoing CKM.
- Integrating physical, psychological, and social factors improves CKM efficacy.
Conclusions:
- Functional and frailty assessments are key components of effective conservative kidney management.
- Selective deprescribing is an important intervention within CKM.
- A holistic, geriatric-focused approach enhances conservative kidney management for advanced CKD.
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