Next Article in Journal
The Use of Best Practice in the Treatment of a Complex Diabetic Foot Ulcer: A Case Report
Next Article in Special Issue
Symptom Management in Patients with Stage 5 CKD Opting for Conservative Management
Previous Article in Journal
Incidence and Risk Factors of Thromboembolism with Multiple Myeloma in the Presence of Death as a Competing Risk: An Empirical Comparison of Statistical Methodologies
Previous Article in Special Issue
Spirituality in Renal Supportive Care: A Thematic Review

Advance Care Planning among People Living with Dialysis

Department of Family Medicine and Community Health, University of Minnesota Medical School, 1035 University Drive, Duluth, MN 55812, USA
Essentia Institute of Rural Health, 407 East Third Street, Duluth, MN 55805, USA
Author to whom correspondence should be addressed.
Academic Editor: Helen Noble
Healthcare 2016, 4(1), 17;
Received: 31 October 2015 / Revised: 5 February 2016 / Accepted: 23 February 2016 / Published: 3 March 2016
(This article belongs to the Special Issue Supportive and Palliative Care in Renal Disease)
Purpose: Recent nephrology literature focuses on the need for discussions regarding advance care planning (ACP) for people living with dialysis (PWD). PWD and their family members’ attitudes toward ACP and other aspects of late-life decision making were assessed in this qualitative study. Methodology: Thirty-one interviews were completed with 20 PWD over the age of 70 (mean dialysis 34 months) and 11 family members, related to life experiences, making medical decisions, and planning for the future. Interviews were recorded, transcribed and analyzed. Findings: Four themes regarding ACP emerged from this secondary analysis of the interviews: how completing ACP, advance directives (AD), and identifying an agent fit into PWD experiences; PWD understanding of their prognosis; what gives PWD lives meaning and worth; and PWD care preferences when their defined meaning and worth are not part of their experience. These PWD and family members revealed that ACP is ongoing and common among them. They did not seem to think their medical providers needed to be part of these discussions, since family members were well informed. Practical implications: These results suggest that if health care providers and institutions need AD forms completed, it will important to work with both PWD and their family members to assure personal wishes are documented and honored. View Full-Text
Keywords: advance care planning; advance directives; end-stage-renal-disease; dialysis; end-of-life care advance care planning; advance directives; end-stage-renal-disease; dialysis; end-of-life care
MDPI and ACS Style

Elliott, B.A.; Gessert, C.E. Advance Care Planning among People Living with Dialysis. Healthcare 2016, 4, 17.

AMA Style

Elliott BA, Gessert CE. Advance Care Planning among People Living with Dialysis. Healthcare. 2016; 4(1):17.

Chicago/Turabian Style

Elliott, Barbara A., and Charles E. Gessert. 2016. "Advance Care Planning among People Living with Dialysis" Healthcare 4, no. 1: 17.

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

Article Access Map by Country/Region

Back to TopTop