Opportunities to Improve Shared Decision Making in Dialysis Decisions for Older Adults with Life-Limiting Kidney Disease: A Pilot Study
Autor: | Nathan D. Baggett, Jennifer L. Tucholka, Amy Zelenski, Margaret L. Schwarze, Daniel A. Fox, Kathryn Schueller, Christopher J. Zimmermann, Toby C. Campbell, Sara K. Johnson, Maureen Wakeen, Anne Buffington, Roy A Jhagroo |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Palliative care medicine.medical_treatment Decision Making Pilot Projects Disease urologic and male genital diseases Doctor patient communication 03 medical and health sciences 0302 clinical medicine Renal Dialysis 030502 gerontology Life limiting medicine Humans Intensive care medicine General Nursing Dialysis Aged business.industry Original Articles General Medicine medicine.disease Anesthesiology and Pain Medicine 030220 oncology & carcinogenesis Kidney Failure Chronic 0305 other medical science business Decision Making Shared Kidney disease |
Zdroj: | J Palliat Med |
ISSN: | 1557-7740 1096-6218 |
DOI: | 10.1089/jpm.2019.0340 |
Popis: | Background: Lack of awareness about the life-limiting nature of renal failure is a significant barrier to palliative care for older adults with end-stage renal disease. Objective: To train nephrologists to use the best case/worst case (BC/WC) communication tool to improve shared decision making about dialysis initiation for older patients with limited life expectancy. Design: This is a pre-/postinterventional pilot study. Setting/Subjects: There were 16 nephrologists and 30 patients of age 70 years and older with estimated glomerular filtration rate (eGFR) |
Databáze: | OpenAIRE |
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