| Autor: |
Kok, Joanne, McKellar, Christine |
| Předmět: |
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| Zdroj: |
Renal Society of Australasia Journal; Jul2023, Vol. 19 Issue 1, p41-41, 1/2p |
| Abstrakt: |
Introduction/background: Kidney supportive care is increasingly recognised as an integral part of advancing the care for peritoneal dialysis (PD) patients. This presentation reports a case study on a PD patient where renal supportive care was introduced. Case description: Mr A, aged 82 years, has been on automated PD for 6 years. He began to struggle on PD 2 years ago with increased symptom burden including itch, breathlessness and memory decline. His PD clearance was declining despite an increased prescription. He declined haemodialysis and wished to remain on PD. His carer reported carer stress and limited options to accessing personal care and carer respite at home. The PD team recognised carer, symptom and treatment burden and referred him to the renal supportive care clinic for support and future planning. Through the renal supportive team, the PD unit collaborated with the palliative care team and provided Mr A with an inpatient admission. The main purpose was to manage his symptoms as well as providing respite. Mr and Mrs A reported a positive experience with care they received. Discussion: This is a pilot collaboration between the inpatient palliative unit and the PD team. The case study highlights the frailty, treatment and carer burden for home dialysis patients. A multidisciplinary approach explored opportunities which provided non-acute admissions to support PD patients with symptom management. Conclusion: Quality of life assessments and end of life discussions should be embedded in PD practice. Shared decision making and collaborative practice improve patient outcomes and satisfaction. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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