Renal palliative care

被引：74

作者：

Cohen, Lewis M.

Moss, Alvin H.

Wetsbord, Steven D.

Germain, Michael J.

机构：

[1] Baystate Med Ctr, Renal Palliat Care Initiat, Springfield, MA 01199 USA

[2] W Virginia Univ, Robert C Byrd Hlth Sci Ctr, Nephrol Sect, Morgantown, WV 26506 USA

[3] W Virginia Univ, Robert C Byrd Hlth Sci Ctr, Ctr Hlth Eth & Law, Morgantown, WV 26506 USA

[4] VA Pittsburgh Healthcare Syst, Renal Sect, Pittsburgh, PA USA

[5] VA Pittsburgh Healthcare Syst, Ctr Hlth Equ Res & Promot, Pittsburgh, PA USA

[6] Univ Pittsburgh, Sch Med, Renal Electrolyte Div, Pittsburgh, PA USA

来源：

JOURNAL OF PALLIATIVE MEDICINE | 2006年 / 9卷 / 04期

关键词：

D O I：

10.1089/jpm.2006.9.977

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Patients with chronic kidney disease have a shortened life expectancy and carry a high symptom burden. Clinicians need sophisticated expertise in pain and symptom management and skills in communication to meet the many needs of this population. This article reviews the literature and discusses prognosis, ethical and legal considerations, symptoms, treatment, and end-of-life issues. The field of nephrology is shifting from an exclusive focus on increasing survival to one that provides greater attention to quality of life. There is an opportunity to integrate many of the advances of palliative medicine into the comprehensive treatment of these patients.

引用

页码：977 / 992

页数：16

共 124 条

[1] Insidious intoxication after morphine treatment in renal failure:: Delayed onset of morphine-6-glucuronide action [J].