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
Rok vydání: 2020
Předmět:
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