Ryan Louise, Brown Edwina
Imperial College Renal and Transplant Centre, London, UK.
Imperial College London, London, UK and consultant nephrologist, Imperial College Renal and Transplant Centre, London, UK
Clin Med (Lond). 2020 Mar;20(2):139-141. doi: 10.7861/clinmed.2019-0416.
The number of frail patients reaching end-stage kidney disease is increasing. They have a high level of comorbidity and symptom burden which need to be considered when making management plans. For those who choose renal replacement therapy, it is important to establish goals and ceilings of care and to provide holistic care focusing on optimising quality of life. Advance care planning is the process of documenting the patient's preferences for their treatment in the event they lose capacity to make decisions about their treatment.
进入终末期肾病的虚弱患者数量正在增加。他们有高度的合并症和症状负担，在制定管理计划时需要加以考虑。对于那些选择肾脏替代治疗的患者，确定护理目标和上限并提供以优化生活质量为重点的整体护理非常重要。预先护理计划是记录患者在失去对其治疗做出决策能力时对治疗的偏好的过程。
