In patients with advanced chronic kidney disease, receiving high intensity care before death was linked with lower family satisfaction with care, while receiving palliative and hospice care was associated with greater family satisfaction.
Drug-Induced Kidney Disease | Nephrotoxicity
Drug-induced nephrotoxicity is caused by nephrotoxic drugs or toxins which damage kidneys and can lead to nephritis or renal toxicity. The causative drug must be identified and its use must be avoided which can otherwise lead to high levels of toxins and severe damage to kidneys.
Drug-induced nephrotoxicity is caused by nephrotoxic drugs or toxins which damage kidneys and can lead to nephritis or renal toxicity. The causative drug must be identified and its use must be avoided which can otherwise lead to high levels of toxins and severe damage to kidneys.
‘Patients who received more intensive patterns of care had lower family ratings of overall quality of care, whereas those who received palliative care and hospice services had higher ratings.’
Previous research has shown that despite their limited life expectancy and high symptom burden, patients with advanced CKD often receive relatively aggressive care towards the end of life directed at life prolongation. To examine how patterns of care at the end of life for patients with advanced CKD relate to their families' perceptions of their care, Claire Richards, PhD, RN (Department of Veterans Affairs and University of Washington School of Public Health) and her colleagues analyzed information from a survey administered to 5,435 bereaved family members of patients with advanced CKD who died in Department of Veterans Affairs' facilities between 2009 and 2015. The analysis revealed that 54% of patients spent 2 or more weeks in the hospital in the last 90 days of life, 34% received an intensive procedure in the last 30 days, 47% were admitted to the intensive care unit in the last 30 days, 36% were receiving hospice services at the time of death, and 38% received a palliative care consultation in the last 90 days. Most patients (55%) had not been treated with dialysis, 12% had received acute dialysis, and 34% had received maintenance dialysis. Patients treated with acute or maintenance dialysis had more intensive patterns of end-of-life care than those not treated with dialysis.
After adjusting for patient and facility characteristics, receiving more intensive patterns of end-of-life care and receiving maintenance (but not acute) dialysis were associated with lower overall family ratings of care, whereas receiving palliative care and hospice services was associated with higher ratings.
Quiz on Kidney Stones
Kidney stones or calculus produces the most severe form of pain in humans. The pain has often been described to be worse than childbirth, broken bones, gunshot wounds, burns, or surgery. Once you form a kidney stone you are always susceptible to another stone. Take this quiz to find out how much do you know about stone disease. Once you complete find out how you fared compared to others who have taken the quiz.
Kidney stones or calculus produces the most severe form of pain in humans. The pain has often been described to be worse than childbirth, broken bones, gunshot wounds, burns, or surgery. Once you form a kidney stone you are always susceptible to another stone. Take this quiz to find out how much do you know about stone disease. Once you complete find out how you fared compared to others who have taken the quiz.
Source-Eurekalert
New Treatment Improves Survival in Late-stage Chronic Kidney Disease
New, cost-effective treatment was found to be safe and improves kidney and patient survival in people with late-stage chronic kidney disease.
New, cost-effective treatment was found to be safe and improves kidney and patient survival in people with late-stage chronic kidney disease.
Premature Birth May Up Chronic Kidney Disease in Later Life
Preterm birth risk: Premature babies are at a higher risk of developing chronic kidney disease (CKD) in later life, reveals a new study.
Preterm birth risk: Premature babies are at a higher risk of developing chronic kidney disease (CKD) in later life, reveals a new study.
