Person-centered peritoneal dialysis prescription and the role of shared decision-making. Issue 3 (May 2020)

• Record Type: Journal Article
• Authors: Blake, Peter G; Brown, Edwina A
• Other Names: Brown Edwina guest-editor.
• Is Part Of: Peritoneal dialysis international. Volume 40:Issue 3(2020)
• Page Start: 302
• Page End: 309
• Publication Date: 2020-05
• Subjects: Patient-centered care -- peritoneal dialysis -- shared decision-making; Peritoneal dialysis -- Periodicals; Continuous ambulatory peritoneal dialysis -- Periodicals; 617.461059
• DOI: 10.1177/0896860819893803
• Languages: English
• ISSNs: 0896-8608

Abstract

Person-centered care has become a dominant paradigm in modern health care. It needs to be applied to people with end-stage kidney disease considering the initiation of dialysis and to peritoneal dialysis (PD) prescription and care delivery. It is relevant to their decisions about goals of care, transplantation, palliative care, and discontinuation of dialysis. It is also relevant to decisions about how PD is delivered, including options such as incremental PD. Shared decision-making is the essence of this process and needs to become a standard principle of care. It requires engagement, education, and empowerment of patients. Patient-reported outcomes and patient-reported experience are also central to person-centered care in PD.