Conservative management of patients with end-stage kidney disease

Claire Carswell, Helen Noble, Joanne Reid, Clare McKeaveney

Research output: Contribution to journalArticlepeer-review


The prevalence of end-stage kidney disease is increasing, particularly among older people and those with multiple comorbidities. Typically, patients who develop end-stage kidney disease receive renal replacement therapies such as dialysis; however, this treatment can significantly affect quality of life and may not prolong life in older patients. Therefore, some patients may choose not to undergo dialysis and instead choose conservative management, which involves a palliative approach that focuses on maintaining quality of life and advance care planning. This article details the steps involved in a conservative kidney management pathway for end-stage kidney disease, including symptom management and advance care planning. It also discusses the importance of a palliative approach for patients receiving dialysis.

Original languageEnglish
Article numbere11416
Number of pages8
JournalNursing standard (Royal College of Nursing (Great Britain) : 1987)
Early online date23 Dec 2019
Publication statusEarly online date - 23 Dec 2019
Externally publishedYes

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