| Theme | How to Correspond to Chronic Dialysis Patients in End-of-Life Stage | |
|---|---|---|
| Title | Decision making for withdrawal from dialysis | |
| Publish Date | 2009/09 | |
| Author | Fumika Taki | Division of Nephrology, Department of Medicine, St. Luke's International Hospital |
| Author | Yasuhiro Komatsu | Division of Nephrology, Department of Medicine, St. Luke's International Hospital |
| [ Summary ] | Palliative care is one of the most integral components of patient management for the nephrologists. When we observe patients in terminal states, we must formulate their prognoses and judge theirdialysis needs. The guideline termed "Shared decision-making in the appropriate initiation of and withdrawal from dialysis" is a tool for decisionmaking related to end of life care. Cultural norms and personal opinions must be considered when establishing end of life protocols for Japanese patients. | |