Symptom Management of the Patient with CKD: The Role of Dialysis

Clinical journal of the American Society of Nephrology: CJASN

Valerie Jorge Cabrera⁴ 

[1] and..;and..*Department of Medicine, Section of Nephrology, Yale University, New Haven, Connecticut;and..†Yale New Haven Health System–Performance Management, New Haven, Connecticut..*Department of Medicine, Section of Nephrology, Yale University, New Haven, Connecticut;*Department of Medicine, Section of Nephrology, Yale University, New Haven, Connecticut

关键词: initiation of dialysis;    uremic symptoms;    Anorexia;    Cognition Disorders;    Decision Making;    depression;    Fatigue;    Humans;    nephrology;    Palliative Care;    Pruritus;    quality of life;    renal dialysis;    Sleep Wake Disorders;    Renal Insufficiency;    Chronic;   

DOI  :  10.2215/CJN.01650216

学科分类：泌尿医学

来源: American Society of Nephrology

【 摘 要 】

As kidney disease progresses, patients often experience a variety of symptoms. A challenge for the nephrologist is to help determine if these symptoms are related to advancing CKD or the effect of various comorbidities and/or medications prescribed. The clinician also must decide the timing of dialysis initiation. The initiation of dialysis can have a variable effect on quality of life measures and the alleviation of uremic signs and symptoms, such as anorexia, fatigue, cognitive impairment, depressive symptoms, pruritus, and sleep disturbances. Thus, the initiation of dialysis should be a shared decision–making process among the patient, the family and the nephrology team; information should be provided, in an ongoing dialogue, to patients and their families concerning the benefits, risks, and effect of dialysis therapies on their lives.

【 授权许可】

CC BY