Scientific publications
Nomenclature in Palliative and Kidney Supportive Care: Not Just at the End-of-Life. Scientific Publication
Lina Nitola-Mendoza 1 , Miguel Sánchez-Cárdenas 2 , Néstor Rodriguez-Chitiva 3 , José María Mora Gutiérrez 4 , Rosely Rodriguez-Pena 3 , Gregorio Romero-González 5 , Monserrat Bleda Pérez 1 , Paula Cuenca Casbas 1 , Agnès Calsina-Berna 6 , Margarita Álvaro-Pardo 1 , Virginia Granados Casas 1 , Paula Garrido Ballart 1 , Patricia Beroiz Groh 7 , Jordi Bover 3 , Ramón Miralles Basseda 7 , Juan Pablo Leiva-Santos 8 , Alberto Alonso-Babarro 9 , Joaquim Julià-Torras 10
Abstract
The multidimensional view of disease is fundamental in the care of complex diseases such as chronic kidney disease (CKD). It is appropriate to define and unify concepts that allow the different professionals involved in care to provide a multidisciplinary approach tailored to the needs of each individual.
Given the increasing incidence of CKD worldwide and the fact that the disease may progress at different rates, there is a need to establish personalized, comprehensive approaches for each patient and their families at an earlier stage.
This approach goes beyond the simple control of uremic symptoms or congestion and consists of addressing not only symptomatic but also functional, social and coping problems at an early stage, facilitating decision making both in the CKD and in acute situations, potentially irreversible or interventions that do not improve life expectancy.
To ensure excellence in care, it is important to assess indicators of palliative care and kidney support, such as the presence of advance and shared care planning, the inclusion of psychosocial, ethical, spiritual and bereavement care.
This enables the provision of comprehensive, humanized, and high-quality care for patients and their families. Palliative and kidney care is not just about patients in the last days of life. Defining, unifying, and evaluating the concepts will allow them to be applied in a timely manner at each specific moment of the CKD trajectory.
CITATION Nefrologia (Engl Ed). 2024 Jul-Aug;44(4):475-485. doi: 10.1016/j.nefroe.2024.07.005
Our authors
