Advance care planning in elderly chronic dialysis patients.

Jean Lake Holley

Research output: Contribution to journalReview article

Abstract

Despite the usefulness of advance directives, most dialysis patients do not complete them. Current views of the advance care planning process emphasize that development of a specific written advance directive is only one small part of the process. Patients and families use advance care planning discussions to plan for death, achieve control over their health care, and strengthen relationships. Studies of chronic dialysis patients have shown that discussions about end-of-life care occur within the patient-family and not the patient-physician relationship. Successful advance care planning requires that dialysis care providers incorporate end-of-life care wishes and palliative care into the overall health care plans for their patients. This review focuses on the past impediments to achieving useful advance directives among dialysis patients and their families and provides some suggestions to improving this important aspect of dialysis patient care.

Original languageEnglish (US)
Pages (from-to)565-568
Number of pages4
JournalInternational urology and nephrology
Volume35
Issue number4
DOIs
StatePublished - 2003

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Advance Care Planning
Dialysis
Advance Directives
Terminal Care
Delivery of Health Care
Physician-Patient Relations
Palliative Care
Patient Care

ASJC Scopus subject areas

  • Nephrology
  • Urology

Cite this

Advance care planning in elderly chronic dialysis patients. / Holley, Jean Lake.

In: International urology and nephrology, Vol. 35, No. 4, 2003, p. 565-568.

Research output: Contribution to journalReview article

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