Supportive Care for the Renal Patient(Supportive Care Series)

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This book provides a comprehensive, evidence-based overview of supportive care for the nephrology patient. An international group of contributors emphasize the continuum of palliative care from the time of diagnosis through to end-of-life care and the issues surrounding withdrawal of dialysis. The book addresses the psychological impact of the disease, the importance of involving the patient in making decisions about their care, ethical considerations, the role of the family ...
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Overview


This book provides a comprehensive, evidence-based overview of supportive care for the nephrology patient. An international group of contributors emphasize the continuum of palliative care from the time of diagnosis through to end-of-life care and the issues surrounding withdrawal of dialysis. The book addresses the psychological impact of the disease, the importance of involving the patient in making decisions about their care, ethical considerations, the role of the family and the multidisciplinary team.

This book will be of particular interest to palliative medicine and pain consultants; nephrologists; who increasingly need to know more about palliative care; nurse practitioners; dialysis nurses, social workers, dieticians, and psychiatric consultants.

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Editorial Reviews

Doody's Review Service
Reviewer: Mony Fraer, MD, FACP, FASN (University of Iowa Hospitals and Clinics)
Description: This book appears to be the first to address not only chronic kidney disease, but also the patient as a whole and as a person with a final goal of improving quality of life. It also emphasizes the need for a multidisciplinary team approach in order to achieve this goal.
Purpose: Patients with chronic kidney disease (CKD) suffer from depression, anxiety, sexual dysfunction, and chronic pain, problems that are usually perceived as secondary by the caretakers. This book addresses these problems comprehensively.
Audience: This book is written for nephrologists, nurses, and social workers who take care of CKD patients. The social workers will find useful the chapters on palliative care programs, advanced directives and advance care planning, and support of the home dialysis patients.
Features: Many subjects covered in this book are not formally taught to nephrologists, including initiation and withdrawal of dialysis, end of life care, the time-limited trial of dialysis, evaluation of a request to stop dialysis, and the palliative care option. A special emphasis is placed on the spiritual care and the psychological aspects of renal disease. The chapters are constructed around case scenarios, making the reading more interesting and providing a connection with the problems encountered in real life. Out of all the excellent tables in the book, the ones that I found very helpful were: "Guidelines for the care of patients with end-stage renal disease (ESRD) who are in the last days of life in hospital" and the ones that outline the management of dialysis and ESRD-related symptoms.
Assessment: This is a valuable and useful book. It addresses topics not formally taught and often neglected in the nephrology community. The authors are experts in the field. I initially misjudged the book by an apparently unappealing title, but I found it to be extremely interesting and useful. I think it should be included in the core curriculum of every nephrology program.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780198516163
  • Publisher: Oxford University Press, USA
  • Publication date: 12/1/2004
  • Series: Supportive Care Series , #3
  • Pages: 296
  • Product dimensions: 9.50 (w) x 6.70 (h) x 0.90 (d)

Meet the Author

Southmead Hospital, Bristol

Tufts University School of Medicine

Charing Cross Hospital, London

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Table of Contents

Introduction to ethical case analysis
1 Changing patterns of renal replacement therapy 1
2 The concept of supportive care for the renal patient 15
3 Planning a renal palliative care programme and its components 27
4 Advance directives and advance care planning in patients with end-stage renal disease 35
5 What determines a good outcome? : the selection of patients for renal replacement therapy 45
6 Health-related quality of life in chronic renal failure 63
7 (Part 1) Symptoms of renal disease : dialysis related symptoms 75
7 (Part 2) Symptoms of renal disease : the treatment and palliation of symptoms due to co-morbidity in end-stage renal disease 95
8 Management of pain in renal failure 105
9 Psychological and psychiatric considerations in patients with advanced renal disease 155
10 Sexual dysfunction in patients with chronic kidney disease 177
11 Spiritual care of the renal patient 191
12 Support of the home dialysis patient 207
13 Initiation and withdrawal of dialysis 221
14 A multidisciplinary approach to end-of-life care 231
15 End of life 247
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