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Withdrawal from Dialysis and Palliative Care for Severely Ill Dialysis Patients in terms of Patient-Centered Medicine
المؤلفون المشاركون
Ogihara, Nao
Ishikawa, Hideaki
Sakamoto, Junichi
Tsukushi, Saori
المصدر
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-12-04
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
We treated a dementia patient with end stage chronic kidney disease (CKD).
The patient also had severe chronic heart disease and suffered from untreatable respiratory distress during the clinical course of his illness.
We therefore initiated peritoneal dialysis therapy (PD) as renal replacement therapy, although we had difficulties continuing stable PD for many reasons, including a burden on caregivers and complications associated with PD therapy itself.
Under these circumstances we considered that palliative care prior to intensive care may have been an optional treatment.
This was a distressing decision regarding end-of-life care for this patient.
We were unable to confirm the patient’s preference for end-of-life care due to his dementia.
Following sufficiently informed consent the patient’s family accepted withdrawal from dialysis (WD).
We simultaneously initiated nonabandonment and continuation of careful follow-up including palliative care.
We concluded that the end-of-life care we provided would contribute to a peaceful and dignified death of the patient.
Although intensive care based on assessment of disease is important, there is a limitation to care, and therefore we consider that WD and palliative care are acceptable options for care of our patients in the terminal phase of their lives.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ishikawa, Hideaki& Ogihara, Nao& Tsukushi, Saori& Sakamoto, Junichi. 2013. Withdrawal from Dialysis and Palliative Care for Severely Ill Dialysis Patients in terms of Patient-Centered Medicine. Case Reports in Nephrology،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-496725
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ishikawa, Hideaki…[et al.]. Withdrawal from Dialysis and Palliative Care for Severely Ill Dialysis Patients in terms of Patient-Centered Medicine. Case Reports in Nephrology No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-496725
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ishikawa, Hideaki& Ogihara, Nao& Tsukushi, Saori& Sakamoto, Junichi. Withdrawal from Dialysis and Palliative Care for Severely Ill Dialysis Patients in terms of Patient-Centered Medicine. Case Reports in Nephrology. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-496725
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-496725
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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