End-of-life care for patients on haemodialysis

Mitesh Patel, Jyoti Baharani

  • Abstract

    Many patients with chronic illness will require end-of-life (EOL) care. This is the case with many patients who suffer from chronic kidney disease. When patients start haemodialysis (HD), the nuances of care for kidney disease take over. Often, when these patients reach the EOL, this is not always recognised, resulting in poor EOL care and often inappropriate continuation of dialysis. This paper discusses the reasons for unsatisfactory EOL care for patients on HD alongside the frameworks of palliative care currently in the UK for patients on HD. EOL does not appear suddenly in most patients on HD; it is a failing of care not to recognise it.

  • Contributors

    Mitesh Patel, Jyoti Baharani

    Affiliations

    Correct at article publish date

    1 Academic FY2, Birmingham Heartlands Hospital, Birmingham, UK
    2 Consultant Nephrologist, Department of Nephrology, Birmingham Heartlands Hospital, Birmingham, UK

    Author notes

    Correspondence to Dr Jyoti Baharani, jyoti.baharani@heartofengland.nhs.uk.

    Original publishing information

    • Publisher: St Christopher's Hospice
    • Publish date: 01/11/2015
    • ePub Date: 09/11/2015
    • Volume: 5
    • Issue: 1

    Permissions: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/2015

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