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Healthcare 2015, 3(4), 1174-1193; doi:10.3390/healthcare3041174

Spirituality in Renal Supportive Care: A Thematic Review

1
Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin 9054, New Zealand
2
Department of Preventive & Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin 9054, New Zealand
3
Hammond Care and Northern Clinical School, University of Sydney, Sydney 2065, Australia
4
Department of Medicine, Dunedin School of Medicine, University of Otago, Dunedin 9054, New Zealand
*
Author to whom correspondence should be addressed.
Academic Editor: Helen Noble
Received: 21 September 2015 / Revised: 27 October 2015 / Accepted: 3 November 2015 / Published: 16 November 2015
(This article belongs to the Special Issue Supportive and Palliative Care in Renal Disease)
View Full-Text   |   Download PDF [158 KB, uploaded 25 November 2015]

Abstract

Chronic kidney disease is marked by a reduced life expectancy and a high symptom burden. For those who reach end-stage renal disease, the prognosis is poor, and this combined with the growing prevalence of the disease necessitates supportive and palliative care programmes that will address people’s psychosocial, cultural and spiritual needs. While there is variation between countries, research reveals that many renal specialist nurses and doctors are reluctant to address spirituality, initiate end-of-life conversations or implement conservative treatment plans early. Yet, other studies indicate that the provision of palliative care services, which includes the spiritual dimension, can reduce symptom burden, assist patients in making advanced directives/plans and improve health-related quality of life. This review brings together the current literature related to renal supportive care and spirituality under the following sections and themes. The introduction and background sections situate spirituality in both healthcare generally and chronic kidney disease. Gaps in the provision of chronic kidney disease spiritual care are then considered, followed by a discussion of the palliative care model related to chronic kidney disease and spirituality. Chronic kidney disease spiritual needs and care approaches are discussed with reference to advanced care planning, hope, grief and relationships. A particular focus on quality of life is developed, with spirituality named as a key dimension. Finally, further challenges, such as culture, training and limitations, are explicated. View Full-Text
Keywords: renal supportive care; end-of-life; spirituality; religion; palliative care; chronic kidney disease renal supportive care; end-of-life; spirituality; religion; palliative care; chronic kidney disease
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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Egan, R.; Wood, S.; MacLeod, R.; Walker, R. Spirituality in Renal Supportive Care: A Thematic Review. Healthcare 2015, 3, 1174-1193.

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