Delivering peritoneal dialysis for the multimorbid, frail and palliative patient. Issue 3 (May 2020)

• Record Type: Journal Article
• Authors: Brown, Edwina A; Hurst, Helen
• Other Names: Brown Edwina guest-editor.
• Is Part Of: Peritoneal dialysis international. Volume 40:Issue 3(2020)
• Page Start: 327
• Page End: 332
• Publication Date: 2020-05
• Subjects: Frailty -- palliative -- peritoneal dialysis -- quality of life; Peritoneal dialysis -- Periodicals; Continuous ambulatory peritoneal dialysis -- Periodicals; 617.461059
• DOI: 10.1177/0896860819893558
• Languages: English
• ISSNs: 0896-8608

Abstract

Peritoneal dialysis (PD) is only one component of care for older multimorbid, frail and/or palliative patients. Goals of care should be determined for all patients by shared decision-making at the start of during time on PD. Burden of PD should be minimized by individualizing the prescription by allowing for residual renal function and tailored to what is acceptable to the patient. PD facilities should develop the care pathways needed for this group of patients including integration with local geriatric, palliative care and social services