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Related Concept Videos

Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

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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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Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

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Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
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Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
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Updated: Jan 9, 2026

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Kidney failure: screening tools for palliative care needs - systematic review.

Miaomiao Liu1,2, Junxiu Luo3, Yan Zhang1

  • 1Bengbu Medical University, Bengbu, Anhui, China.

BMJ Supportive & Palliative Care
|December 9, 2025
PubMed
Summary

Identifying kidney failure patients needing palliative care is challenging. Current screening tools have limited effectiveness, often relying on mortality prediction rather than symptom assessment.

Keywords:
Palliative Care

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Area of Science:

  • Nephrology
  • Palliative Care
  • Medical Screening

Background:

  • Early integration of palliative care improves outcomes for kidney failure patients.
  • Accurate identification of patients who would benefit most from early palliative care remains a challenge.

Purpose of the Study:

  • To identify and assess the effectiveness of available screening tools for detecting kidney failure patients who may require palliative care.
  • To evaluate the performance of existing screening instruments in identifying palliative care needs.

Main Methods:

  • Systematic literature search of Cochrane Library, Embase, and PubMed up to December 2024.
  • Included studies detailed the development or assessment of palliative care screening tools for adult kidney failure patients.
  • Reviewed 1745 articles, focusing on 22 studies detailing 10 screening instruments.

Main Results:

  • Ten screening instruments were identified; three were specific to kidney failure, seven applied to end-stage disease.
  • Tools varied widely in detecting palliative care needs (5%-86%).
  • Accuracy analysis (8 tools) showed sensitivity from 2%-88% and specificity from 38%-98%.

Conclusions:

  • Existing screening tools for kidney failure patients needing palliative care have restricted effectiveness, primarily relying on mortality prediction.
  • Future tools should incorporate direct assessment of symptom burden, functional status, and other relevant factors alongside mortality risk.