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Palliative care for acute kidney injury patients in the intensive care unit
Patients with acute kidney injury (AKI) in the intensive care unit (ICU) are often suitable for palliative care due to the high symptom burden. The role of palliative medicine in this patient population is not well defined and there is a lack of established guidelines to address this issue. Because...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305526/ https://www.ncbi.nlm.nih.gov/pubmed/30596033 http://dx.doi.org/10.5527/wjn.v7.i8.148 |
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author | Krishnappa, Vinod Hein, William DelloStritto, Daniel Gupta, Mona Raina, Rupesh |
author_facet | Krishnappa, Vinod Hein, William DelloStritto, Daniel Gupta, Mona Raina, Rupesh |
author_sort | Krishnappa, Vinod |
collection | PubMed |
description | Patients with acute kidney injury (AKI) in the intensive care unit (ICU) are often suitable for palliative care due to the high symptom burden. The role of palliative medicine in this patient population is not well defined and there is a lack of established guidelines to address this issue. Because of this, patients in the ICU with AKI deprived of the most comprehensive or appropriate care. The reasons for this are multifactorial including lack of palliative care training among nephrologists. However, palliative care in these patients can help alleviate symptoms, improve quality of life, and decrease suffering. Palliative care physicians can determine the appropriateness and model of palliative care. In addition to shared decision-making, advance directives should be established with patients early on, with specific instructions regarding dialysis, and those advance directives should be respected. |
format | Online Article Text |
id | pubmed-6305526 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-63055262018-12-28 Palliative care for acute kidney injury patients in the intensive care unit Krishnappa, Vinod Hein, William DelloStritto, Daniel Gupta, Mona Raina, Rupesh World J Nephrol Minireviews Patients with acute kidney injury (AKI) in the intensive care unit (ICU) are often suitable for palliative care due to the high symptom burden. The role of palliative medicine in this patient population is not well defined and there is a lack of established guidelines to address this issue. Because of this, patients in the ICU with AKI deprived of the most comprehensive or appropriate care. The reasons for this are multifactorial including lack of palliative care training among nephrologists. However, palliative care in these patients can help alleviate symptoms, improve quality of life, and decrease suffering. Palliative care physicians can determine the appropriateness and model of palliative care. In addition to shared decision-making, advance directives should be established with patients early on, with specific instructions regarding dialysis, and those advance directives should be respected. Baishideng Publishing Group Inc 2018-12-17 2018-12-17 /pmc/articles/PMC6305526/ /pubmed/30596033 http://dx.doi.org/10.5527/wjn.v7.i8.148 Text en ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Minireviews Krishnappa, Vinod Hein, William DelloStritto, Daniel Gupta, Mona Raina, Rupesh Palliative care for acute kidney injury patients in the intensive care unit |
title | Palliative care for acute kidney injury patients in the intensive care unit |
title_full | Palliative care for acute kidney injury patients in the intensive care unit |
title_fullStr | Palliative care for acute kidney injury patients in the intensive care unit |
title_full_unstemmed | Palliative care for acute kidney injury patients in the intensive care unit |
title_short | Palliative care for acute kidney injury patients in the intensive care unit |
title_sort | palliative care for acute kidney injury patients in the intensive care unit |
topic | Minireviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305526/ https://www.ncbi.nlm.nih.gov/pubmed/30596033 http://dx.doi.org/10.5527/wjn.v7.i8.148 |
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