By E. Joanna Chambers, Edwina Brown, Michael Germain

This ebook offers a finished, evidence-based evaluation of supportive take care of the nephrology sufferer. a global staff of members emphasize the continuum of palliative care from the time of analysis via to end-of-life care and the problems surrounding withdrawal of dialysis. The e-book addresses the mental effect of the affliction, the significance of regarding the sufferer in making judgements approximately their care, moral concerns, the position of the kinfolk and the multidisciplinary team.This booklet may be of specific curiosity to palliative drugs and discomfort specialists; nephrologists; who more and more want to know extra approximately palliative care; nurse practitioners; dialysis nurses, social staff, dieticians, and psychiatric specialists.

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1993). Worldwide demographics and future trends of the management of renal failure in the elderly. Kidney Int. , 41: S18–S26. 23. , Warwick, G. (2001). Outcome of renal replacement therapy in the very elderly. Nephrol. Dial. , 16: 128–33. 24. , Alvarez-Grande, J. (2001). Is the loss of health-related quality of life during renal replacement therapy lower in elderly patients than in younger patients. Nephrol. Dial. , 16: 1675–80. 25. , et al. (2000). Clinical outcomes, quality of life, and costs in the North Thames Dialysis Study of elderly people on dialysis: a prospective cohort study.

J. 313: 466. 15. , Siegler, M. (1998). Dialysis decision making in Canada, the United Kingdom, and the United States. Am. J. , 31: 12–18. 16. S. (1997). Diabetes and hypertension in Britain’s ethnic minorities: implications for the future of renal services. Br. , J. 314: 209–13. 17. P. (1996). The need and demand for renal replacement therapy in ethnic minorities in England. J. Epidemiol. Community Health, 50: 334–9. 18. United States Renal Data System (USRDS) (2002). org 19. H. (1994). Trends in the incidence of end-stage renal failure due to hypertension and vascular disease in Australia, 1972–1991.

End-stage renal disease in Canada: prevalence projections to 2005. Can. Med. , J. 160: 1557–63. 41. M. (2000). Modelling the future dialysis requirements under various scenarios of organ availability in Australia. Nephrology, 5: 243–9. 42. J. (2001). Forecast of the number of patients with end-stage renal disease in the United States to the year 2010. J. Am. Soc. , 12: 2753–8. 13 This page intentionally left blank Chapter 2 The concept of supportive care for the renal patient Gary S. Reiter and Joanna Chambers The utility of living consists not in the length of days, but in the use of time: a man may have lived long, and yet lived but little.

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