Withdrawal from dialysis: Why and when ?

Mohan V Bhojaraja, Pankaj Singhai, MM Sunil Kumar, M SreelathaIndian Journal of Palliative Care 2021 27(5):30-32
Patients with end-stage kidney diseases may request for withdrawal of dialyses for many reasons. Healthcare practitioners frequently puzzled by ethical dilemma of respecting patient's wishes and beneficence of continuing dialysis. Shared decision-making and negotiating goal of care help in decision-making in patients' interests. Proactive identification guidelines that may be used for screening help in weighing options of dialysis and conservative care during progressive decline of clinical condition. Proactive identification guidelines may be used for screening. It helps in weighing options of dialysis versus conservative care during progressive decline of clinical condition. An individualized, patient-centred discussion, rather than disease-oriented, approach may be adapted.

Source: Indian Journal of Palliative Care - May 30, 2021 Category: Palliative Care Authors: Mohan V Bhojaraja Pankaj Singhai MM Sunil Kumar M Sreelatha Source Type: research