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Access to Hospice

  • 1 Debra Hain, PhD, is Associate Professor, Florida Atlantic University, Christine E. Lynn College of Nursing, and Nurse Practitioner, Cleveland Clinic Florida, Department of Nephrology.
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An aging ESRD population with complex medical issues demands our attention. As nephrologists, we must seek to discover the best ways to achieve quality care and quality of life for these individuals and their families within a cost-constrained health care environment.

Older adults with ESRD have the option of withholding dialysis or withdrawing from dialysis when the burden outweighs the potential benefits. In these situations hospice care is one intervention that supports quality care, quality of life, and reduced health care costs through symptom management, spiritual and psychosocial support, and avoidance of unnecessary hospitalizations. Hospice care, however, continues to be