Supportive Care Program in CKD: from dream to reality

Autor: Ana Farinha, Patrícia Valério, Lina Borges, Ana Lourenço
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Revista Portuguesa de Nefrologia e Hipertensão, Vol 35, Iss 4, Pp 219-223 (2021)
Druh dokumentu: article
ISSN: 0872-0169
2183-1289
DOI: 10.32932/pjnh.2021.12.153
Popis: The number of older and frail patients has greatly increased in nephrology departments. Traditional treatment options have become inappropriate because they seem unable to achieve goals such as quality of life. Principles from palliative care have been brought to chronic kidney disease management with good results; thus a new way to approach these patients has been reported. In Portugal, in 2011, Direcção Geral de Saúde published a guideline to substantiate supportive care as an option, for certain patients, in certain circumstances. The best evidence known at the time was stated and the conditions that should be met were regulated, but limited information was given about practical implementation of what. In this article we describe our experience with a supportive care program from planning to the implementation steps, since 2015. We reflect on the flowchart, the barriers, the conquests, and the data up to the end of 2020.
Databáze: Directory of Open Access Journals