Renal-Electrolyte Division, University of Pittsburgh Medical Center, Pittsburgh, PA.
Renal-Electrolyte Division, University of Pittsburgh Medical Center, Pittsburgh, PA; Section of Palliative Care and Medical Ethics, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Semin Nephrol. 2023 Jan;43(1):151398. doi: 10.1016/j.semnephrol.2023.151398. Epub 2023 Jul 29.
Hospice care offers multidisciplinary expertise to optimize symptom management and quality of life for patients with limited life expectancy and help ensure that patients receive care that reflects their personal goals and values. Many patients receiving conservative kidney management (CKM) and their loved ones can benefit from the additional support that hospice provides, particularly as symptom burdens and functional status worsen over the last few months of life. We provide an overview of hospice services and how they may benefit patients receiving CKM, describe the evolution of optimal CKM strategies and collaboration between nephrology and hospice clinicians over the course of disease progression, and explore challenges to effective hospice care delivery for patients with chronic kidney disease and how to address them.
临终关怀提供多学科专业知识，以优化预期寿命有限的患者的症状管理和生活质量，并确保患者得到符合其个人目标和价值观的护理。许多接受保守肾脏管理 (CKM) 的患者及其家属可以从临终关怀提供的额外支持中受益，特别是在生命的最后几个月中症状负担和功能状态恶化时。我们提供了临终关怀服务的概述，以及它们如何使接受 CKM 的患者受益，描述了在疾病进展过程中最佳 CKM 策略和肾脏病学与临终关怀临床医生之间的合作的演变，并探讨了为慢性肾脏病患者提供有效临终关怀服务的挑战以及如何解决这些挑战。
