کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3848654 | 1598309 | 2011 | 9 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
When Enough Is Enough: The Nephrologist's Responsibility in Ordering Dialysis Treatments
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کلمات کلیدی
Chronic kidney disease (CKD) - بیماری مزمن کلیه (CKD)end-stage renal disease (ESRD) - بیماری کلیوی مرحله پایانی (ESRD)Withholding treatment - درمان باقیماندهDialysis - دیالیزElderly - سالمندیEthics - فلسفه اخلاقConservative management - مدیریت محافظه کارPalliative care - مراقبت تسکینیSupportive care - مراقبت حمایتی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای کلیوی
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چکیده انگلیسی
For more than 20 years, nephrologists have been reporting that they are increasingly being expected to dialyze patients whom they believe may receive little benefit from dialysis therapy. During this time, there has been substantial research about the outcomes of patients of differing ages and comorbid conditions requiring dialysis and the development of clinical practice guidelines for dialysis decision making based on research evidence, ethics, and the law. The importance of palliative medicine to the care of the patient throughout the continuum of kidney disease also has been recognized, and its application has been described. This article summarizes these advances and provides an approach for decision making and treatment for patients who are not likely to benefit from dialysis therapy.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: American Journal of Kidney Diseases - Volume 58, Issue 1, July 2011, Pages 135-143
Journal: American Journal of Kidney Diseases - Volume 58, Issue 1, July 2011, Pages 135-143
نویسندگان
Michael J. MD, Sara N. MD, Alvin H. MD,