Palliative Care in End-Stage Renal Disease: Illness Trajectories, Communication, and Hospice Use

@article{citeulike:2806704, abstract = {Palliative care is comprehensive, interdisciplinary care focusing on pain and symptom management, advance-care planning and communication, psychosocial and spiritual support, and, in end-stage renal disease (ESRD), the ethical issues in dialysis decision making. End-of-life care is one aspect of palliative care and incorporates all of the previously mentioned components as well as hospice and bereavement care. ESRD patients and their families are appropriate candidates for palliative care because of their high symptom burden, shortened survival, and significant comorbidity. The usual pattern of illness trajectory in ESRD is a progressive decline punctuated by episodes of acute deterioration prompted by sentinel events like limb amputation or myocardial infarction. Such events provide opportunities for advance-care planning and communication between providers and patients and families. Although communication is an integral component of palliative care, little is understood about effective provider-patient communication, especially in estimating and discussing prognosis. Palliative care has much to offer toward improving the quality of dialysis patients' lives as well as planning for and improving the quality of their deaths. The palliative care issues of illness trajectory, communication, and hospice use among ESRD patients will be reviewed.}, author = {Holley, Jean L. }, booktitle = {Mental Health and Quality of Life in Chronic Kidney Disease}, citeulike-article-id = {2806704}, doi = {10.1053/j.ackd.2007.07.002}, journal = {Advances in Chronic Kidney Disease}, month = {October}, number = {4}, pages = {402--408}, posted-at = {2008-05-17 10:45:41}, priority = {2}, title = {Palliative Care in End-Stage Renal Disease: Illness Trajectories, Communication, and Hospice Use}, url = {http://dx.doi.org/10.1053/j.ackd.2007.07.002}, volume = {14}, year = {2007} }

TY - JOUR ID - citeulike:2806704 L3 - citeulike-article-id:2806704 TI - Palliative Care in End-Stage Renal Disease: Illness Trajectories, Communication, and Hospice Use T2 - Mental Health and Quality of Life in Chronic Kidney Disease JF - Advances in Chronic Kidney Disease VL - 14 IS - 4 SP - 402 EP - 408 N2 - Palliative care is comprehensive, interdisciplinary care focusing on pain and symptom management, advance-care planning and communication, psychosocial and spiritual support, and, in end-stage renal disease (ESRD), the ethical issues in dialysis decision making. End-of-life care is one aspect of palliative care and incorporates all of the previously mentioned components as well as hospice and bereavement care. ESRD patients and their families are appropriate candidates for palliative care because of their high symptom burden, shortened survival, and significant comorbidity. The usual pattern of illness trajectory in ESRD is a progressive decline punctuated by episodes of acute deterioration prompted by sentinel events like limb amputation or myocardial infarction. Such events provide opportunities for advance-care planning and communication between providers and patients and families. Although communication is an integral component of palliative care, little is understood about effective provider-patient communication, especially in estimating and discussing prognosis. Palliative care has much to offer toward improving the quality of dialysis patients' lives as well as planning for and improving the quality of their deaths. The palliative care issues of illness trajectory, communication, and hospice use among ESRD patients will be reviewed. AU - Holley, Jean PY - 2007/10// UR - http://dx.doi.org/10.1053/j.ackd.2007.07.002 ER -