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Related Experiment Video

Updated: May 9, 2025

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats

Published on: April 4, 2025

New Paradigms in Nephrology Nursing.

¹Nursing, Hospital Dr. Nélio Mendonça, Serviço de Saúde da Região Autónoma da Madeira (SESARAM) Entidade Pública Empresarial Regional Autónoma da Madeira (EPERAM), Funchal, PRT.

|May 1, 2025

Summary

Elderly patients with advanced chronic kidney disease (CKD) may suffer on dialysis. Conservative treatment and palliative care offer better quality of life and symptom management for frail patients.

Keywords:

cardio-renal syndrome chronic kidney disease (ckd)conservative kidney management frail patients nursing care

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Area of Science:

Nephrology
Palliative Care
Geriatric Medicine

Background:

Aging populations and improved healthcare increase the number of elderly, frail patients with end-stage chronic kidney disease (CKD).
In Portugal, dialysis (hemodialysis and peritoneal dialysis) remains the primary treatment for advanced CKD, even in vulnerable patients.
Dialysis in fragile patients often fails to improve quality of life or survival, leading to suffering and treatment abandonment.

Purpose of the Study:

To highlight the limitations of dialysis in frail, elderly CKD patients.
To advocate for conservative treatment and specialized palliative care in nephrology.
To introduce a new nursing consultation model for conservative treatment and cardiorenal syndrome (CRS).

Main Methods:

Review of current treatment paradigms for advanced CKD in Portugal.
Analysis of the benefits of conservative treatment and palliative care.
Implementation of a specialized nursing consultation for conservative treatment and CRS.

Main Results:

Conservative treatment offers comprehensive care without dialysis, focusing on preserving renal function and managing symptoms.
Palliative care, including assisted peritoneal ultrafiltration for CRS, can improve patient well-being and empowerment.
The new nursing consultation provides personalized monitoring for conservative treatment and CRS patients.

Conclusions:

A paradigm shift towards conservative treatment and integrated palliative care is crucial for frail CKD patients.
Nephrology nursing must expand its role beyond technical dialysis procedures to include conservative and palliative approaches.
Palliative care is essential for chronic, advanced conditions, not just terminal illnesses.