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Healthcare 2015, 3(4), 1075-1085; doi:10.3390/healthcare3041075

Ageing Renal Patients: We Need More Collaboration between Geriatric Services and Nephrology Departments

Centre for Nephrology, Royal Free Hospitals NHS Foundation Trust, Pond Street, London NW3 2QG, UK
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Academic Editor: Helen Noble
Received: 6 September 2015 / Revised: 21 October 2015 / Accepted: 21 October 2015 / Published: 30 October 2015
(This article belongs to the Special Issue Supportive and Palliative Care in Renal Disease)
View Full-Text   |   Download PDF [96 KB, uploaded 30 October 2015]

Abstract

There has been a significant increase in the number of frail older patients diagnosed with advanced chronic kidney disease (CKD) over the past thirty years. These elderly patients have high levels of comorbidity, and as a consequence the face of renal medicine is changing—There is an increasing need to focus on traditionally geriatric areas of expertise such as falls prevention and rehabilitation, and to shift our emphasis onto improving patient well-being rather than longevity. Over the past decade, many nephrologists have found that they are already acting as de facto “amateur geriatricians”. This denies patients both the benefits of specialist geriatric assessment, and equally importantly denies them access to the wider geriatric multidisciplinary team. This article describes the prevalence and underlying causes of the so-called “Geriatric Giants” in patients with advanced CKD, and discusses possible improvements in care that closer working with geriatricians could bring. View Full-Text
Keywords: geriatrics; nephrology; multidisciplinary working; patient-centred care; quality of life geriatrics; nephrology; multidisciplinary working; patient-centred care; quality of life
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Alston, H.; Burns, A. Ageing Renal Patients: We Need More Collaboration between Geriatric Services and Nephrology Departments. Healthcare 2015, 3, 1075-1085.

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