Supportive Care for the Renal Patient

Supportive Care for the Renal Patient Second Edition provides a comprehensive, evidence-based overview of supportive care for the nephrology patient. An international group of contributors emphasise 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 new edition includes two new chapters on conservative management of advanced kidney disease (AKD) and dialysis in the very elderly. The chapters covering non pain symptoms, advance care planning, quality of life, psychological and psychiatric consideration and end-of-life care have also be completely revised to include new evidence and current thinking. This book will be of particular interest to palliative care practitioners; nephrologists, who increasingly need to know more about palliative care; nurse practitioners, dialysis nurses, social workers, dieticians, and psychiatric consultants. Chapters describe the continuum of palliative care from the start of the patient's illness, through dialysis and to the end of life Chapters are focused around case histories to link theory to actual patient experiences Ethical considerations are included in each chapter to broaden discussion A multi-professional group of contributors provide different perspectives on management and care New to this edition Two new chapters on conservative management of advanced kidney disease (AKD) and dialysis in the very elderly All chapters have been updated since the previous edition Chapters on non pain symptoms, advance care planning, quality of life, psychological and psychiatric consideration and end of life care, the concept of supportive care, planning a renal palliative care programme and initiating and withdrawal from dialysis have been fully revised and updated Edited by Edwina Brown , Consultant Nephrologist, Imperial College Kidney and Transplant Institute, Hammersmith Hospital, London, UK, E. Joanna Chambers , Consultant in Palliative Medicine, Richard Bright Renal Unit, Southmead Hospital, Bristol, UK, and Michael Germain , Professor of Medicine, Tufts University, Massachusetts, USA CONTENTS Alvin Moss: Introduction to ethical case analysis 1: David Ansell, S. Risdale and Fergus Caskey: Changing patterns of renal replacement therapy 2: E. Joanna Chambers and Edwina Brow: The concept of supportive care for the renal patient 3: Maria Da Silva-Gane and Lewis M. Cohen: Planning a renal palliative care programme and its components 4: Sara N. Davison, Jean L. Holley and Jane Seymour: Advance care planning in patients with end stage renal disease 5: Terry Feest: What determines a good outcome?: the selection of patients for renal replacement therapy 6: Fredric O. Finkelstein and Susan H. Finkelstein: Health related quality of life and the patient with chronic kidney disease 7: Fliss Murtagh and Steven Weisbord: Symptoms in renal disease: their epidemiology, assessment and management 8: Sara N. Davison, E. Joanna Chambers and Charles J. Ferro: Management of pain in renal failure 9: Daniel Cukor, Eileen M. Farrell, Lewis M. Cohen and Paul L. Kimmel: Psychological and psychiatric considerations in patients with advanced renal disease 10: Chris Davies and Ira Byock: Spiritual care of the renal patient 11: Alastair Hutchison and Helen Hurst: Support of the home dialysis patient 12: Part 1 - Lionel U. Mailloux, Part 2 - Tom Sensky and Celia Eggeling: Initiation, withdrawal and withholding of dialysis: Part 1: Clinical; Part 2: Communicating with patients and family 13: Fliss Murtagh and Neil Sheerin: Conservative management of end stage kidneyd disease 14: Edwina A. Brown: End stage renal disease in the older person 15: Ken Farrington and E. Joanna Chambers: Death and end of life care in advanced kidney disease ABOUT THE SUPPORTIVE CARE SERIES Supportive care is the multidisciplinary holistic care of patients with chronic and life-limiting illnesses and their families - from the time around diagnosis, through treatments aimed at cure or prolonging life, and into the phase currently acknowledged as palliative care. It involves recognising and caring for the side-effects of active therapies as well as patients' symptoms, co-morbidities, psychological, social and spiritual concerns. It also values the role of family carers and helps them in supporting the patient, as well as attending to their own special needs. Unlike traditional palliative care, which grew from the terminal care of cancer patients, supportive care is not restricted to dying patients nor to cancer. This series covers the support of patients with a variety of long-term conditions, who are currently largely managed by specialist medical teams in hospital and by primary care teams in community settings. Each volume therefore provides a practical guide to the supportive care of patients at all stages of illness. Series Editor: Sam H. Ahmedzai