Related Experiment Video
Updated: Jul 11, 2026
08:50
5/6th Nephrectomy in Combination with High Salt Diet and Nitric Oxide Synthase Inhibition to Induce Chronic Kidney Disease in the Lewis Rat
Published on: July 3, 2013
ASN Kidney Health Guidance on Conservative Management in People with Kidney Failure
Susan P Y Wong1, Jane O Schell2, Alexandra E Bursic3
1Department of Medicine, University of Washington, VA Puget Sound Health Care System, Seattle, Washington.
Journal of the American Society of Nephrology : JASN
|March 18, 2026
Summary
Conservative management offers holistic, whole-person care for kidney failure, prioritizing quality of life and independence. This approach involves customized care, symptom management, and support through end-of-life, guided by shared decision-making.
Area of Science:
- Nephrology
- Palliative Care
- Geriatrics
Background:
- Chronic kidney disease (CKD) and kidney failure necessitate comprehensive care planning.
- Traditional treatment pathways may not align with all patients' quality of life preferences.
- Conservative management offers an alternative for patients prioritizing independence and symptom control.
Purpose of the Study:
- To provide evidence-based clinical guidance for conservative management in kidney failure.
- To outline best practices for delivering conservative care across the CKD trajectory.
- To support healthcare professionals in integrating conservative management into practice.
Main Methods:
- This guidance synthesizes evidence on conservative management components.
- It emphasizes shared decision-making and interdisciplinary collaboration.
- Practical strategies for implementation are detailed.
Main Results:
- Conservative management integrates customized CKD care, symptom management, and care transition support.
- It is defined by patient-centered, shared decision-making and teamwork.
- Implementation requires adapting to practice-specific logistics and resources.
Conclusions:
- Conservative management is a holistic, patient-centered approach for kidney failure.
- It empowers patients who wish to avoid burdensome life-prolonging therapies.
- Effective delivery relies on interdisciplinary collaboration and tailored care strategies.
Related Concept Videos
01:16Kidney Transplant III: Nursing Management
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...
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
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...
01:20Acute Kidney Injury V: Interprofessional Care
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...
01:22Acute Kidney Injury VI: Nursing Management
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
01:28Chronic Kidney Disease III: Interprofessional Care
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...
01:18Chronic Kidney Disease IV: Nursing Management
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 fluid...