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Nefrología (Madrid)

On-line version ISSN 1989-2284Print version ISSN 0211-6995


LEIVA-SANTOS, Juan P. et al. Renal supportive care and palliative care: revision and proposal in kidney replacement therapy. Nefrología (Madr.) [online]. 2012, vol.32, n.1, pp.20-27. ISSN 1989-2284.

Patients with chronic kidney disease may receive sustained renal supportive care and renal palliative care (RPC) starting with the diagnosis of the disease, throughout the various stages of renal replacement therapy (RRT), the cessation of the RRT, and in the decision of whether to provide conservative treatment or non-initiation of RRT. This article reviews the literature on the development of RPC and the models proposed. We describe how organ failure differs compare to other areas of palliative care (PC). We describe important training components in RPC for the resident nephrologist and we approach the management of pain and symptom control, communication skills and other psychological and ethical aspects in the renal patient. We conclude a palliative care approach may have a profitable impact on the quality of life for chronic renal patients and their families as well as optimizing the complex renal patient's treatment.

Keywords : Renal Palliative Care; Opioids and Renal Failure; Renal Palliative Care and Organization.

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