Curriculum „Palliative nephrologische Betreuung“

Abstract

Palliativmedizinische Aspekte wie Dialysevorenthalt und -abbruch, Einleitung einer konservativen Therapie sowie kooperative Betreuung am Lebensende sind zunehmend Teil der nephrologischen Regelversorgung geworden. Die entsprechende Wissensvermittlung palliativmedizinischer Grundsätze fehlt bislang in Aus- und Weiterbildung. In diesem Konsensuspapier wird für das nephrologische Team eine strukturierte kurrikuläre Weiterbildung zu den Grundprinzipien einer palliativen Betreuung vorgeschlagen.

Perceptions and attitudes toward kidney supportive care among Elderly dialysis patients and medical staff in China：A Qualitative Study

“…In recent years, there has been a gradual increase in the research on kidney supportive care with more emphasis on alleviating the pain of the disease and improving the quality of life in late stage [13,14] .With the development of patients' prognostic awareness, palliative consciousness and shared decision making, kidney supportive care(KSC)provides a new treatment option for patients with ESRD.KSC is primarily for patients with advanced kidney disease for all causes or for any type of dialysis, who may have acute kidney injury or have undergone kidney replacement therapy [15] . It is a primary palliative care method jointly provided by nephrologists and nurses, palliative care specialists and multidisciplinary teams, with the main purpose of alleviating clinical pain, improving quality of life at the end of life, and providing symptombased supportive care for patients with advanced renal disease [16] .The kidney supportive care includes the decision to withdraw from dialysis based on shared decision-making with the patient and family, followed by the provision of active clinical symptom management, detailed prognosis communication, advanced care planning and end-of-life care palliative planning, and comprehensive psychosocial and spiritual support [11,17] .…”