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Advance Care Planning in Patients With Chronic Kidney Disease
Author(s) -
Davison Sara N.
Publication year - 2012
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/sdi.12039
Subject(s) - medicine , intensive care medicine , advance care planning , kidney disease , chronic renal failure , palliative care , nursing
Poor communication and failure to establish goals of care result in unnecessary admissions to hospital, invasive procedures, suffering, and prolongation of the dying process for many CKD patients. Comprehensive CKD care requires systematic integration of advance care planning (ACP). This report describes an approach to ACP for patients with CKD, discusses essential aspects of how to facilitate these conversations, and briefly reviews the empirical evidence supporting the value of ACP.