Indian Journal of Palliative Care
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Year : 2021  |  Volume : 27  |  Issue : 5  |  Page : 30--32

Withdrawal from dialysis: Why and when?


1 Department of Nephrology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India
2 Department of Palliative Medicine and Supportive Care, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India
3 Department of Palliative Medicine, Trivandrum Institute of Palliative Science, Thiruvananthapuram, Kerala, India
4 Department of Nephrology, Government Medical College, Kozhikode, Kerala, India

Correspondence Address:
Pankaj Singhai
Department of Palliative Medicine and Supportive Care, Kasturba Medical College, Manipal - 576 104, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpc.ijpc_66_21

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Patients with end-stage kidney diseases may request for withdrawal of dialyses for many reasons. Healthcare practitioners frequently puzzled by ethical dilemma of respecting patient's wishes and beneficence of continuing dialysis. Shared decision-making and negotiating goal of care help in decision-making in patients' interests. Proactive identification guidelines that may be used for screening help in weighing options of dialysis and conservative care during progressive decline of clinical condition. Proactive identification guidelines may be used for screening. It helps in weighing options of dialysis versus conservative care during progressive decline of clinical condition. An individualized, patient-centred discussion, rather than disease-oriented, approach may be adapted.






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