TY - JOUR
T1 - Withdrawal from dialysis
T2 - Why and when?
AU - Bhojaraja, Mohan
AU - Singhai, Pankaj
AU - Sunil Kumar, M.
AU - Sreelatha, M.
N1 - Publisher Copyright:
© 2021 Wolters Kluwer Medknow Publications. All rights reserved.
PY - 2021
Y1 - 2021
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85110409850&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85110409850&partnerID=8YFLogxK
U2 - 10.4103/ijpc.ijpc_66_21
DO - 10.4103/ijpc.ijpc_66_21
M3 - Review article
AN - SCOPUS:85110409850
SN - 0973-1075
VL - 27
SP - S30-S32
JO - Indian Journal of Palliative Care
JF - Indian Journal of Palliative Care
IS - 5
ER -