Advance Care Planning in CKD/ESRD: An Evolving Process
Clinical Journal of the American Society of Nephrology, 06/26/2012
Holley JL et al. – The changing health circumstances and illness trajectory characteristic of ESRD mandate that advance care planning discussions adapt to a patient’s situation and therefore must be readdressed at appropriate times and intervals. The options of withholding and withdrawing dialysis add ESRD–specific issues to advance care planning in this population and are events each nephrologist will at some time confront. Advance care planning is important throughout the spectrum of ESRD and is a part of nephrology practice that can be rewarding to nephrologists and beneficial to patients and their families.