Kidney Supportive Care: Core Curriculum 2020

Gelfand, Samantha L.; Scherer, Jennifer S.; Koncicki, Holly M.

doi:10.1053/j.ajkd.2019.10.016

Cited by 63 publications

(75 citation statements)

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“…Since the implementation of this ESKD prospective payment system, more EKSD patients have begun, remained on, or switched to home-based peritoneal dialysis. 36,37 Under the Advancing American Kidney Health initiative, CMS is promoting new care models to incentivize and encourage greater in-home dialysis by 2025. 38 If more patients receive dialysis at home, we may see a continued rise in home deaths in the ESKD population.…”

Section: Discussionmentioning

confidence: 99%

“…39 Increased awareness of the high symptom burden and mortality among these patients has also resulted in greater acceptance of active medical management of kidney failure without dialysis, or conservative care. 37 Patients receiving conservative care are more likely to die at home or in a hospice than those receiving dialysis. 40 Better management of CKD/ESKD through improved care coordination, greater preventive efforts to avert hospitalizations, and promotion of serious illness conversations may have also helped facilitate more home deaths.…”

Section: Discussionmentioning

confidence: 99%

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Trends in Place of Death for Individuals With Deaths Attributed to Advanced Chronic or End-Stage Kidney Disease in the United States

Cross

Lakin

Mendu

et al. 2021

Journal of Pain and Symptom Management

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Trends in Place of Death for Individuals With Deaths Attributed to Advanced Chronic or End-Stage Kidney Disease in the United States

Cross

Lakin

Mendu

et al. 2021

Journal of Pain and Symptom Management

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“…Palliative care needs to be integrated in the routine care to achieve better health outcomes, greater patient satisfaction, and improvement in the quality of life, by participation in shared decision-making and care plan prioritized by the patient and family preferences. [ 4 5 ]…”

Section: Discussionmentioning

confidence: 99%

Psychosocial burdens of a renal transplant recipient with COVID-19

Haokip¹,

Rathore²,

Kumar³

et al. 2020

Indian J Palliat Care

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The impact of COVID-19 on transplant recipients is yet to be fully understood. Apart from the physical implications, little has been discussed regarding the psychosocial burden it exerts on the already chronically ill patients. Here, we discuss a case of a 40-year-old male who received kidney transplantation 2 years ago and has tested positive for COVID-19. At the time of admission, he presented with mild symptoms and subsequently developed fever for which he had been managed conservatively. However, a comprehensive approach addressing psychosocial, emotional, and spiritual domains from a palliative care physician's perspective is often overlooked, whether in times of COVID-19 or not and this report aims to identify and assess such gaps.

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“…Although this often involves stopping dialysis (or not initiating dialysis in some patients with kidney failure), the term encompasses several domains that include symptom management (physical, psychological and spiritual), expert communication (prognosis sharing and shared decision making), interdisciplinary team support (nephrologist, palliative care specialist, nurse, dietitian, chaplain, social worker) and end-of-life care (use of hospice, maximize dignity and bereavement support). 78 Due to unavailability of various KRT modalities, various forms of CKM are often practiced in many LMICs with or without the appropriate professionals. It is important for kidney caregivers to be accustomed with CKM in order to provide total care for most patients who are unable to afford KRT.…”

Section: Conservative Care Options For Kidney Failure Treatmentmentioning

confidence: 99%

<p>Current Management Strategies of Chronic Kidney Disease in Resource-Limited Countries</p>

Ameh¹,

Ekrikpo²,

Bello³

et al. 2020

IJNRD

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The incidence and prevalence of chronic kidney disease (CKD) and kidney failure continues to increase worldwide, especially in resource-limited countries. Many countries in this category already have a massive burden of communicable diseases, as well as socioeconomic and socio-demographic challenges. The rising CKD burden and exorbitant economic cost associated with treatment are mainly responsible for the alarming mortality rate associated with kidney disease in these regions. There is often poor risk factor (diabetes and hypertension) and CKD awareness in these countries and limited availability and affordability of treatment options. Given these observations, early disease detection and preventive measures remain the best options for disease management in resource-limited settings. Primary, secondary and tertiary preventive strategies need to be enhanced and should particularly include measures to increase awareness, regular assessment to detect hypertension, diabetes and albuminuria, options for early referral of identified patients to a nephrologist and options for conservative kidney management where kidney replacement therapies may not be available or indicated. Much is still needed to be done by governments in these regions, especially regarding healthcare funding, improving the primary healthcare systems and enhancing non-communicable disease detection and treatment programs as these will have effects on kidney care in these regions.

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Kidney Supportive Care: Core Curriculum 2020

Cited by 63 publications

References 0 publications

Trends in Place of Death for Individuals With Deaths Attributed to Advanced Chronic or End-Stage Kidney Disease in the United States

Trends in Place of Death for Individuals With Deaths Attributed to Advanced Chronic or End-Stage Kidney Disease in the United States

Psychosocial burdens of a renal transplant recipient with COVID-19

<p>Current Management Strategies of Chronic Kidney Disease in Resource-Limited Countries</p>

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