| Theme | Geriatric nephrology and dialysis | |
|---|---|---|
| Title | Problems in determining suitability for introducing dialysis therapy and its continuation or withdrawal once dialysis has been started in elderly end stage renal failure patients | |
| Publish Date | 2015/09 | |
| Author | Seiji Ohira | Sapporo Kita Clinic |
| [ Summary ] | In recent years, approximately 70 % of the patients being introduced to dialysis for renal failure consist of elderly people 65 years old or older. In many cases, these elderly people have other co-morbid conditions in addition to renal failure. The affects of dialysis on the patient's residual kidney function, ADL and QOL will need to be considered carefully by care providers as well as the patient and family when contemplating introduction to dialysis. In cases where severe conditions in cardiopulmonary function, etc. exist, the chances of the patient getting the full benefits of dialysis therapy are limited. After a decision not to initiate dialysis (dialysis withholding), naturally, adequate conservative therapy must be undertaken immediately. Even after starting dialysis, if the burden on the patient outweighs any benefits they receive, we need to be aware that conditions can occur for which withdrawal of treatment must be considered. |
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