Next Article in Journal
Effectiveness of a Lifestyle Intervention in Patients with Type 2 Diabetes: The Physical Activity and Nutrition for Diabetes in Alberta (PANDA) Trial
Previous Article in Journal
Comparison of Very Low Energy Diet Products Available in Australia and How to Tailor Them to Optimise Protein Content for Younger and Older Adult Men and Women
Previous Article in Special Issue
Advance Care Planning among People Living with Dialysis
Article Menu

Export Article

Open AccessReview
Healthcare 2016, 4(4), 72; doi:10.3390/healthcare4040072

Symptom Management in Patients with Stage 5 CKD Opting for Conservative Management

Royal Free Hampstead NHS Foundation Trust, London NW3 2QG, UK
Academic Editor: Helen Noble
Received: 30 October 2015 / Revised: 13 September 2016 / Accepted: 15 September 2016 / Published: 22 September 2016
(This article belongs to the Special Issue Supportive and Palliative Care in Renal Disease)
View Full-Text   |   Download PDF [187 KB, uploaded 22 September 2016]

Abstract

Chronic kidney disease (CKD) stages 3–5 now affects 8.5% of adults in the United Kingdom; with 4% of patients expected to reach stage 5 CKD. Increasing numbers of older patients are contributing to the growth of demand of kidney services. With the exception of transplantation, dialysis has been the main form of renal replacement therapy (RRT) for advanced CKD. This elderly population is usually too frail and has many other co-existing medical complaints or co morbidities to undergo transplantation. Dialysis is an invasive treatment, and some frail elderly patients can experience many dialysis related symptoms. An alternative option for these patients is to choose conservative management (CM) of their stage 5 CKD. These patients often have complex supportive and palliative care needs. The frequency, severity and distress caused by symptoms related to stage 5 CKD are often under recognized and under treated. There is a need for early identification and management of symptoms as they present in patients with stage 5 CKD being managed conservatively. Symptom assessment should be focused on anticipating, identifying and alleviating any symptoms. This needs to be incorporated into the regular practice of those managing CM patients. View Full-Text
Keywords: stage 5 chronic kidney disease; conservative management; supportive care; palliative care; symptom management stage 5 chronic kidney disease; conservative management; supportive care; palliative care; symptom management
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).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Johnston, S. Symptom Management in Patients with Stage 5 CKD Opting for Conservative Management. Healthcare 2016, 4, 72.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Healthcare EISSN 2227-9032 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top