• 1.

    Schell JO, Holley JL. Opportunities to improve end-of-life care in ESRD. Clin J Am Soc Neph 2013; 8:202830.

  • 2.

    Russell JS, et al.. Providing supportive care to patients with kidney disease. Neph News & Issues 2016; 30:2830.

  • 3.

    Saran R, et al.. US Renal Data System 2016 Annual Data Report: Epidemiology of kidney disease in the United States. Am J Kidney Dis 2017; 69 (suppl 1):S1S688.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Schmidt RJ, Weaner BB, Long D. The power of advance care planning in promoting hospice and out-of-hospital death in a dialysis unit. J Palliative Med 2015; 18:6266.

    • Crossref
    • Search Google Scholar
    • Export Citation

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.
Restricted access

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

Save