Palliative renal dialysis. Medical search. Frequent questions

In January 2013 the Margaret Kerr Unit opened, providing dedicated palliative care facilities. (wikipedia.org)

National data is presented by public/private and care type (acute, geriatric evaluation and management, maintenance care, mental health care, newborn care, palliative care, psychogeriatric care and rehabilitation care). (aihw.gov.au)
This new build hospital consists of six blocks housing services including a 40 single en-suite bedrooms unit for rehabilitation and palliative care patients, a 24 place renal dialysis unit, a health and care centre including modern GP practices as well as an urgent care and treatment centre. (marcocm.com)

Patients with end-stage renal disease can be treated by conservative management, peritoneal dialysis, or haemodialysis - either in form of home haemodialysis or haemodialysis provided in a health-care centre. (biomedcentral.com)
Care at home which includes Peritoneal Dialysis or Home Hemodialysis. (lhsc.on.ca)
Peritoneal Dialysis (PD) and Home Hemodialysis . (lhsc.on.ca)

I drafted a model of Renal Supportive Care, which included an implementation plan, for generalist Palliative Care Needs Rounds. (pepaeducation.com)
He chairs the Coalition for the Supportive Care of Kidney Patients which is a national collaborative engaging health care professionals, payers, patients, and their families to ensure the consistent provision of individualized, patient- centered supportive care-palliative care-to those withadvanced kidney disease. (polst.org)
Most respondents routinely evaluate HRQoL (62%), pain and other symptoms (79%) and were very interested (96%) in improving knowledge about renal supportive care. (amegroups.org)

He supported the need for patient-centered preparation through a recent article from Health Affairs (Sept 2015) called " Medical Myths: Unprepared for the End Stages of End-Stage Kidney Disease " which candidly describes the difficult end of life experience for patient and family after deciding not to start dialysis. (ajkdblog.org)

During the validation phase, patients and staff in dialysis centres and outpatient renal clinics completed the IPOS-r. (biomedcentral.com)
It is a newly renovated facility consisting of a 24-hour state-of-the-art emergency department with a psychiatric unit and observation beds, imaging including a new CT scanner and 3D mammography, expanded renal dialysis, outpatient behavioral health and primary and specialty care clinics. (lifebridgehealth.org)
Unlike the dialysis machines elsewhere in the hospital or in outpatient treatment centers, ICU machines operate continuously, 24 hours a day - unless there are more patients than machines. (npr.org)
AAH also contains a pediatric ward, a neonatal ICU, and a hematology/oncology ward and provides outpatient chemotherapy and renal dialysis services. (cdc.gov)

PEPA's Community of Practice is a space where all PEPA/IPEPA and PEPA Aged Care participants and mentors come together to share their experiences of learning in palliative care. (pepaeducation.com)

Really great to see you 'spreading the word' and using your placement to support your team in providing Primary palliative care. (pepaeducation.com)

Alvin Moss is a Professor of Medicine at the West Virginia University School of Medicine and a clinician, teacher, and researcher in nephrology and palliative medicine. (polst.org)
He led the Renal Physicians Association and American Society of Nephrology workgroup that developed the clinical practice guideline, Shared Decision-Making in the Appropriate Initiation of and Withdrawal from Dialysis. (polst.org)
To do so, a consensus group will be formed comprising of Consultant Nephrologists, a Consultant Geriatrician, a Nephrology Registrar, senior physiotherapists, a senior occupational therapist, senior dialysis nurses and a Sports & Exercise Scientist. (who.int)

When to Stop Dialysis in ESRD? (medpagetoday.com)
Families of patients with end-stage renal disease (ESRD) tended to be more satisfied with end-of-life care when dialysis was discontinued before death, but many may not know this is an option, researchers said. (medpagetoday.com)
Our findings also raise the question of whether reducing barriers to hospice enrollment for those who are receiving dialysis may help to improve the quality of end-of-life care among patients with ESRD. (medpagetoday.com)
Renal cachexia is an important consideration in the person-centred care that is needed in end-stage renal disease (ESRD). (bvsalud.org)
The first speaker Dr. Manjula Kurella Tamura from the Vetarans Affairs Palo Alto Health Care System and Stanford University introduced a broad application of palliative care in "Promoting Palliative Care for Patients with ESRD. (ajkdblog.org)
The take home message from Dr. Tamura's talk: there aren't enough palliative care providers and services to care for the needs of ESRD patients. (ajkdblog.org)
Dr. Alvin "Woody" Moss from West Virginia University addressed the "Ethics of End-of-Life Care in ESRD" in a spirited case-based discussion of shared decision-making in dialysis decision-making. (ajkdblog.org)
The treatment that is most preferred in end-stage renal disease (ESRD) is renal transplantation [ 3 ]. (biomedcentral.com)

Vanessa Grubs, from University of California at San Francisco, and I moderated a lively discussion from four experts addressing palliative care, dialysis decision-making, and transplantation for this unique population. (ajkdblog.org)
Importantly, Dr. Tamura described that palliative care can occur concurrently alongside curative treatments such as dialysis and transplantation. (ajkdblog.org)

More effort is needed to prepare patients undergoing dialysis and their families for end-of-life decision-making, including whether and when to stop dialysis. (medpagetoday.com)
On the other hand, respondents with ≥15 years of experience were more prone to stop dialysis (P=0.01) in patients who became permanently and severely demented. (amegroups.org)

Background Patients with end-stage renal disease undergoing haemodialysis experience a variety of stressors leading to decreased level of quality of life (QoL). (bmj.com)
Individuals with renal cachexia undergoing haemodialysis will be recruited via clinical gatekeepers and their carers will subsequently be invited to participate in the study. (bvsalud.org)
The John Flynn Renal Dialysis Unit is a 15 chair Unit, providing comprehensive haemodialysis treatment for private, DVA, and uninsured clients from all over Australia and overseas. (johnflynnprivate.com.au)

Do they have an Advanced Directive and are you prepared if they need Palliative or Hospice Care? (goodsamhosp.org)
This might include ongoing efforts to elicit patients' goals and values as they pertain to dialysis and other life-prolonging treatments, as well as palliative and hospice care services," Richards and colleagues wrote, "and to formulate a plan for future care that reflects what is most important to each individual. (medpagetoday.com)
BridgingLife is here to provide compassionate hospice care to patients in our communities, with services including palliative care, home and inpatient hospice care and grief support. (lifebridgehealth.org)
she was a member of the American Board of Internal Medicine Primary Palliative Care Committee and the National Quality Forum's "Framework and Preferred Practices for a Palliative and Hospice Care Quality. (polst.org)
A primary distinction between palliative care and hospice care is that the Medicare Part A Hospice Benefit covers patients with a life expectancy of 6 months or less, if the disease progresses along its normal course. (qualityinsights.org)
Hospice care always provides palliative care. (qualityinsights.org)
Dialysis patients can enter hospice and continue dialysis if they have a secondary diagnosis that warrants hospice care. (qualityinsights.org)

Supporting the nephrologists is a team of highly specialised renal nurses who provide safe and comfortable dialysis in a relaxed and friendly environment. (johnflynnprivate.com.au)
Most important of all is the lack of highly specialized dialysis nurses. (npr.org)
Little Haven Palliative Care nurses, GP's, therapists and respite volunteers work together in a team approach. (littlehaven.org.au)

Renal cell carcinoma (RCC) is the most common renal cancer. (msdmanuals.com)
The therapeutic approach to renal cell carcinoma (RCC) is guided by the probability of cure, which is related directly to the stage or degree of tumor dissemination. (medscape.com)
Surgical resection remains the only known effective treatment for localized renal cell carcinoma, and it also is used for palliation in metastatic disease. (medscape.com)
Renal cell carcinoma is an immunogenic tumor, and spontaneous regressions have been documented. (medscape.com)
The study also revealed increased risk of death due to renal cell carcinoma in patients who did not undergo surgical resection of metastasis. (medscape.com)
[ 18 ] A study by Alt et al found that complete resection of multiple renal cell carcinoma metastases may be associated with long-term survival. (medscape.com)
The treatment of metastatic renal cell carcinoma is problematic, and, whenever possible, patients should be directed to approved and controlled clinical trials. (medscape.com)
This applies as well in the adjuvant treatment of surgically resected renal cell carcinoma, for which no therapy has yet been found to offer survival benefit. (medscape.com)
Go to Renal Cell Carcinoma Treatment Protocols , Clear Cell Renal Cell Carcinoma , and Sarcomatoid and Rhabdoid Renal Cell Carcinoma for complete information on these topics. (medscape.com)

They can also opt to discontinue dialysis and enter hospice for their renal disease. (qualityinsights.org)
A request from a competent patient to discontinue dialysis would not be honored by 46% and 63% would probably continue dialysis if a patient become severely demented. (amegroups.org)

Palliative care supports patients and families who are experiencing a potentially life-limiting condition, or an illness that is not responding to curative treatment. (sjog.org.au)

Lessons Learned During the War in Ukraine A new report from the Renal Disaster Relief Task Force sheds light on the consequences of war and disasters on the care and support of people with kidney disease. (medscape.com)
Which patients with end-stage renal disease should not be started on dialysis? (geripal.org)
First two questions contain some symptoms specific to advanced renal disease. (biomedcentral.com)
Results A total of 623 728 patients undergoing dialysis participated in 147 studies in which QoL was assessed by means of two valid questionnaires, including Short-Form 36 (SF-36) and Kidney Disease Quality of Life (KDQOL)-short form V.1.3. (bmj.com)
Care is provided by an interdisciplinary team of highly qualified healthcare professionals and is especially helpful for patients with such chronic and progressive conditions as cardiac disease, respiratory difficulties, cancer, renal difficulties and HIV/AIDS. (goodsamhosp.org)
Scientific evidence tends to focus on measurable psychological, social and quality of life outcomes but there is limited research providing in-depth meaning and understanding of the views of individuals with renal disease who are experiencing renal cachexia. (bvsalud.org)
Care includes working together with you, to slow the progression of chronic kidney disease, thereby delaying the need for dialysis. (lhsc.on.ca)
Before you reach then end stage of renal disease you will be cared for by your Nephrologist in Chronic Kidney Disease (CKD) Clinic (also referred to as a pre-dialysis clinic), which is located at the Kidney Care Centre at Westmount Shopping Centre . (lhsc.on.ca)
Approximately 950 chronic kidney disease (pre-dialysis) patients and 760 end stage kidney disease (on dialysis) patients are currently cared for by many teams in this program. (lhsc.on.ca)
A dietitian can assist you in personalising a nutrition management plan to meet your nutritional requirements or during times of illness, especially for diseases such as heart disease, diabetes, gastrointestinal disorders, renal disease and obesity. (ntfgh.com.sg)
About 20 percent of patients withdraw from dialysis prior to death, and many die from heart disease, infections, and other causes while continuing dialysis. (qualityinsights.org)
Palliative Care & Hospice Palliative Care, also called "comfort care," is primarily directed at providing relief to anyone with a serious, complex illness, whether he/she is expected to recover fully, to live with chronic illness for an extended time, or to experience disease progression. (qualityinsights.org)
Renal Supportive/Palliative Care is gaining gradual recognition as a patient-centered care approach that should be integrated to the traditional disease-centered model of care, mainly in elder patients with advanced chronic kidney disease (CKD). (amegroups.org)
Complementary Therapies are often used in palliative care to provide comfort and relaxation, assist your body to fight disease and to help restore a healthy balance of body, mind and spirit, resulting in a feeling of well-being. (littlehaven.org.au)
Treatment is with surgery for early disease and targeted therapy, an experimental protocol, or palliative therapy for advanced disease. (msdmanuals.com)
Hepatorenal syndrome (HRS) is a functional, reversible form of acute kidney injury in patients with acute or chronic severe liver disease in the absence of any other identifiable causes of renal pathology. (medscape.com)
Renal vasoconstriction starts early in patients with liver disease, even before renal dysfunction is clinically evident. (medscape.com)
The final result is a severely decreased GFR and renal failure in the setting of no structural or intrinsic parenchymal renal disease. (medscape.com)

Complementary Therapies provide a dimension to palliative care which supports and complements existing medical treatments. (littlehaven.org.au)

Maguire and Webb ward, Charlie 'Toole Day Hospital, Oncology Day Ward, Renal Dialysis Unit, Palliative Care, Haematology, Psychiatry, St Luke's hospital service and to self referrals from sufferers or their households. (feng-feng.com)

How can palliative care be integrated into home-based primary care programs? (geripal.org)
The purpose of this study is to evaluate whether primary palliative care is an alternative strategy to specialty palliative care for improving quality of life, symptoms, mood, coping, and end of life outcomes in patients with acute myeloid leukemia (AML). (mayo.edu)
RCC, an adenocarcinoma, accounts for 90 to 95% of primary malignant renal tumors. (msdmanuals.com)

almost 1 in 4 (24%) of same-day acute hospitalisations had a principal diagnosis of Care involving dialysis . (aihw.gov.au)
Susan Nelson serves as medical director of Post-Acute Care, Ochsner Health Network and Chair, Palliative Medicine, Ochsner Health System. (polst.org)

The findings also suggest a need for more systematic efforts to prepare patients undergoing dialysis and their families for end-of-life decision-making, the study authors said, and to inform them about the option of stopping dialysis if their illness progresses or their goals change. (medpagetoday.com)
As activation substantially increases, arterial and renal underfilling ensues and progresses, and HRS develops. (medscape.com)

Patients in the VA have the option of pursuing treatments, such as chemotherapy and dialysis, while they pursue hospice services," Tate and Matlock explained. (medpagetoday.com)

The kidney problems are being seen in patients who don't have advanced diabetes or chronic renal conditions. (npr.org)

Our caregivers do everything possible to ensure you and your family are fully supported when accessing our palliative care services. (sjog.org.au)
Our palliative care services support the physical, psychological, social and spiritual aspects of living with a life-limiting or terminal illness, including providing information, goal setting, and coordinating care. (sjog.org.au)
Good Samaritan Hospital's Palliative Care program can give you and your loved ones a better understanding of the future course of your illness and can help you make decisions regarding your living situation: continuing to live at home, the need for home healthcare services, assisted living, etc. (goodsamhosp.org)
Leah's goal was to provide an in-service to her team, including relevant resources and information so that they can provide an excellent baseline services for palliative and end of life care. (pepaeducation.com)
Indeed, the fact that those who continued dialysis but received hospice services had the highest ratings of care at the end of life suggests there is a lack of a causal link. (medpagetoday.com)
An alternative interpretation would be that people who stopped dialysis or received hospice services were very different than the larger group of people who continued dialysis and did not receive hospice services. (medpagetoday.com)
The John Flynn Renal Unit operates Monday to Saturday and is supported by 24 hour emergency services. (johnflynnprivate.com.au)
Fellows rotate on renal consultative services, chronic dialysis services and have a weekly continuity clinic. (cuanschutz.edu)
Second-year fellows will spend approximately 5-6 months on inpatient services, 3 months on chronic dialysis services, 2-3 months of electives and 2 months of scholarly time. (cuanschutz.edu)

Comorbidities (e.g., renal or hepatic failure). (tri-kobe.org)

Which opioids are safest and most effective in renal failure? (geripal.org)
Statistics revealed that an estimated 2.5-7 million patients with renal failure died in 2010. (bmj.com)

The purpose of this study is to determine if it is feasible to recruit for and deliver the Virtual Dignity Therapy intervention to palliative care patients with advanced cancer and whether the intervention is beneficial in terms of improvement in distress, patient dignity, and quality of life. (mayo.edu)
There are more than 320,000 people receiving dialysis therapy in the United States and over 45 percent are over the age of 60. (qualityinsights.org)
It's called 'continuous renal replacement therapy,' and it's not continuous if you have to take people off and put them back on. (npr.org)

Palliative Care at Good Samaritan Hospital aims to relieve suffering and improve quality of life for patients with advanced illness as well as their families. (goodsamhosp.org)
For more information about palliative care ask your doctor or contact Good Samaritan Hospital at 845.368.5000 Ex. (goodsamhosp.org)
Hear from Sister Susan Evelyn and Father Marty Rooney of the Mission Department and Peg Palermo, RN, Palliative Care Coordinator, St. Anthony Community Hospital, a member of the Westchester Medical Center Health Network. (goodsamhosp.org)
The purpose of this study is to assess the effectiveness and implementation of the Control Tower palliative care algorithm into hospital practice. (mayo.edu)
Ambulances arrive at a hospital in New York City, where concerns are rising about the supply of dialysis equipment for ICU patients. (npr.org)
But now, many hospital workers on the front lines in the metro area have been sounding the alarm that a different piece of lifesaving equipment is in short supply and high demand: dialysis machines. (npr.org)

Conclusion Studies conducted on HRQoL among patients undergoing dialysis recommend useful strategies to clinicians, letting them assess patients' QoL in terms of a wide range of physical, mental and environmental aspects. (bmj.com)
Well-rounded palliative care programs also address mental health and spiritual needs. (qualityinsights.org)

RCC can trigger thrombus formation in the renal vein, which occasionally propagates into the vena cava. (msdmanuals.com)
Dilation of the splanchnic vascular bed from locally produced nitric oxide, carbon monoxide, prostacyclin, and other vasodilatory substances decreases renal perfusion pressure (mean arterial pressure - renal vein pressure) and thus decreases renal blood flow. (medscape.com)

Surgical resection is recommended in selected patients with metastatic renal carcinoma. (medscape.com)

The renal dialysis unit benefited from a major upgrade in June 2011 which included an increase in the number of dialysis machines from six to twelve. (wikipedia.org)
The protein supplement will be individualized for each patient and will be chosen in conjunction with the Renal Dietician based in the dialysis unit. (who.int)

The 2009 American Urological Association guideline for management of the clinical T1 renal mass recommends reviewing all available treatment options and the associated benefits and risks with the patient. (medscape.com)

What do palliative care clinicians need to know about teaching communication? (geripal.org)
The Integrated Palliative Care Outcome Scale-renal (IPOS-r) was developed by the Palliative Care Outcome Scale (POS) team in the United Kingdom as a result of demand from clinicians to merge the IPOS and the POS-renal. (biomedcentral.com)

In this study, we aimed to develop a theoretical framework for a multimodal, integrative, exercise, anti-inflammatory and dietary counselling (MMIEAD) intervention for patients with renal cachexia with reference to how this addresses the underlying causal pathways for renal cachexia, the outcomes anticipated, and how these will be evaluated. (bvsalud.org)
Step 1 included inputs from a workshop to obtain key stakeholder views on the potential development of a multimodal intervention for renal cachexia. (bvsalud.org)
In step 4, we used the body of our research team's cachexia research and wider relevant research to gather evidence on the specific components of the multimodal intervention with reference to how this addresses the underlying causal pathways for renal cachexia. (bvsalud.org)
The results of this study provide a theoretical framework for the forthcoming MMIEAD intervention for those with renal cachexia and in subsequent phases will be used to determine whether this intervention is effective. (bvsalud.org)
Dr. Michael Germain from Baystate Medical Center and Tufts University School of Medicine was tasked with describing "Aggressive Care for Older Dialysis Patients: From Intervention to Rehab. (ajkdblog.org)

After the PEPA training and placement, I am confident and more comfortable to take care of the resident in palliative care, able to understand and manage the sign and symptoms of the deteriorating resident. (pepaeducation.com)
Although dialysis is life-saving, patients on maintenance HD experience multiple physical and emotional symptoms that impact on their well-being [ 8 ]. (biomedcentral.com)

However, given that clinical guidelines relating to renal cachexia are largely absent, this is an unmet care need. (bvsalud.org)

What is a useful strategy for estimating survival for persons with advanced non-cancer related illness in palliative care settings? (geripal.org)
The parent measure IPOS has been validated in a population of palliative care patients with both cancer and noncancer diagnoses, so it is not the best measure for use in renal patients [ 12 ]. (biomedcentral.com)
This summary is reviewed regularly and updated as necessary by the PDQ Supportive and Palliative Care Editorial Board, which is editorially independent of the National Cancer Institute (NCI). (tri-kobe.org)

For my workplace activity I provided in-service education to care staff involving a palliative care overview and a session on recognizing deterioration. (pepaeducation.com)
It is characterized by rapid deterioration of renal function that usually occurs within 2 weeks, with an increase in serum creatinine and BUN levels and a substantial decrease in the glomerular filtration rate (GFR). (medscape.com)

The title of the book is "Evidence-Based Practice of Palliative Medicine" and it's 528 pages is chock-full of useful palliative care topics. (geripal.org)
The editors put together what can be best described as a detailed FAQs (Frequently Asked Questions) on palliative medicine. (geripal.org)
She is a fellow of the American College of Physicians and the American Academy of Hospice and Palliative Medicine as well as an advocate for senior health. (polst.org)

Patients treated with dialysis can live longer, but this survival benefit disappears in frail elderly patients with many comorbidities [ 4 ], and their functional status and independence in daily living activities significantly decrease after starting dialysis [ 5 ]. (biomedcentral.com)

Prior studies in this population have suggested that many patients are unaware of their life expectancy and probable future illness trajectory, and may not even realize that stopping dialysis is an option. (medpagetoday.com)
Palliative care is not dependent on prognosis and is appropriate at any point in an illness. (qualityinsights.org)

The main aim of this review is to let general practitioners and physicians understand what happens to older patients after referral to the renal service. (rcpe.ac.uk)
On behalf of all of our renal program staff, physicians and volunteers we welcome you to the London Health Science Centre Renal Patient Website. (lhsc.on.ca)
The need for training in palliative care for physicians in other specialties: Brazilian nephrologists empowerment (or. (amegroups.org)

Total HRQoL score for patients undergoing dialysis measured by KDQOL was 64.25 (95% CI 55.67 to 72.82). (bmj.com)
Most Participants answered to evaluate pain and quality of life related to health (HRQoL) routinely and have great interest to learn about renal palliative care. (amegroups.org)

To inform guidelines and future renal service planning, there is an urgency to understand individuals' experiences of renal cachexia and the interrelated experiences of the carers in their lives. (bvsalud.org)

Brazilian nephrologists are often unaware of patient autonomy, more prone to withholding than withdrawing dialysis and deem wishes of the family quasi as important as patient preferences in the shared decision making process. (amegroups.org)

Respondents working only in private practice were more willing to continue dialysis in a severely demented patient than those working in a public healthcare system or both (P=0.02). (amegroups.org)

An additional limitation of the study was the lack of detailed information on the clinical context, Richards and colleagues noted, including whether the patient or the family was more involved in the decision-making when dialysis was discontinued. (medpagetoday.com)
Usually, most patients will be managed completely by the renal team, either because the patient requires dialysis or because conservative but specialised care is appropriate. (rcpe.ac.uk)
He reinforced the need for patient-centered care for those who have elected dialysis through highlighting the recent article by Dr. Grubbs " A Palliative Approach to Dialysis Care: A Patient-Centered Transition to the End of Life . (ajkdblog.org)
Dr. Moss argued for changes in existing dialysis metrics to include more patient-centered outcomes such as goals of care, quality of life, symptom management, and completion of advance care planning. (ajkdblog.org)
The Renal Program understands the need for information that focuses on the patient experience. (lhsc.on.ca)
This is why we wanted to partner with you, our patients, to create a renal patient website. (lhsc.on.ca)
This Renal Patient Website has been developed as a resource for you, based on the input of patients just like you who have made or who are making the journey through treatment. (lhsc.on.ca)
Additionally, 87% of respondents would probably withhold dialysis in a permanently unconscious patient and 92% probably would not resuscitate a patient with a Do Not Resuscitate (DNR) order. (amegroups.org)
Among factors that would have importance on a decision to not initiate dialysis, patient preferences (98.2%), advanced dementia (95%), poor clinical conditions (93.7%) and family wishes (92.3%) were top ranked by respondents. (amegroups.org)

According to a national survey conducted in renal clinics in Australia and New Zealand, IPOS-r was the most frequently used measure [ 9 ]. (biomedcentral.com)

Compared with the families of patients who continued with dialysis, the families of those who stopped the treatment before death were modestly more likely to rate end-of-life care as excellent -- 54.9% versus 45.9% -- for a risk difference of 9.o percentage points (95% CI 3.3-14.8), Claire Richards, PhD, RN, of the Veterans Affairs health system in Seattle, and colleagues reported online in JAMA Network Open . (medpagetoday.com)
Dialysis treatment, which is often initiated in a crisis when clinical decision-making tends to be driven by medical necessity, is no exception to this rule," they wrote. (medpagetoday.com)
The retrospective, survey-based study included 3,369 patients who died at a VA treatment facility from October 2009 through September 2015 and who appeared in the U.S. Renal Data System as having received maintenance dialysis. (medpagetoday.com)
The recent increase in dialysis rate can mostly be accounted for by older patients for whom such demanding treatment was previously thought to be contraindicated. (rcpe.ac.uk)
Hence most patients rely on dialysis treatment. (biomedcentral.com)

Anatomy1

Diseases3

Chemicals and Drugs3

Analytical, Diagnostic and Therapeutic Techniques and Equipment12

Psychiatry and Psychology1

Phenomena and Processes3

Disciplines and Occupations2

Anthropology, Education, Sociology and Social Phenomena2

Humanities1

Named Groups1

Health Care13

Dedicated palliative care1

Rehabilitation2

Peritoneal dialysis3

Supportive Care3

Deciding not to start dialysis1

Outpatient4

Learning in palliative care1

Providing Primary palliative care1

Nephrology3

ESRD8

Transplantation2

Stop dialysis2

Haemodialysis3

Hospice Care7

Nurses3

Cell carcinoma9

Discontinue dialysis2

Curative1

Disease18

Therapies1

Oncology1

Primary3

Acute2

Progresses2

Chemotherapy1

Kidney1

Services9

Hepatic1

Failure2

Therapy3

Hospital6

Mental2

Vein2

Surgical1

Unit2

Guideline1

Clinicians2

Intervention5

Symptoms2

Unmet1

Cancer3

Deterioration2

Medicine3

Elderly1

Illness2

Physicians3

HRQoL2

Carers1

Nephrologists1

Severely1

Patient9

Clinics1

Treatment5