Indian Journal of Palliative Care
Open access journal 
  Print this page Email this page   Small font sizeDefault font sizeIncrease font size Users online: 388  
     Home | About | Feedback | Login 
  Current Issue Back Issues Editorial Board Authors and Reviewers How to Subscribe Advertise with us Contact Us Analgesic Prescription  
  Navigate Here 
 »   Next article
 »   Previous article
 »   Table of Contents

 Resource Links
 »   Similar in PUBMED
 »  Search Pubmed for
 »  Search in Google Scholar for
 »Related articles
 »   Citation Manager
 »   Access Statistics
 »   Reader Comments
 »   Email Alert *
 »   Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded10    
    Comments [Add]    

Recommend this journal


Year : 2021  |  Volume : 27  |  Issue : 5  |  Page : 3--5

Developing supportive care services for patients with kidney failure: An idea whose time has come

George Institute for Global Health India, New Delhi; Prasanna School for Public Health, Manipal Academy of Higher Education, Manipal, Karnataka, India; School of Public Health, Imperial College, London, UK; International Society of Nephrology, Brussels, Belgium

Correspondence Address:
Vivekanand Jha
The George Institute for Global Health, 308-9, Elegance Tower, Jasola, New Delhi - 110 025, India.

Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijpc.ijpc_105_21

Rights and Permissions

The number of patients developing kidney failure is increasing globally including in India. Dialysis is not the most optimal treatment for a number of these patients such as the elderly, the frail and those with multiple comorbidities and limited life expectancy. Moreover, some patients may prefer not to undergo dialysis. Supportive care focused on symptom management and improving the quality of life is a legitimate treatment option in these situations. It can be delivered alongside dialysis or to patients who choose to receive only conservative care and is being increasingly recognised as an integral component of holistic kidney care. Kidney care provider ecosystem needs to become aware of the principles of the principles of shared decision making, advanced care planning, understanding how to provide emotional, spiritual and information support to the patient and their families and when needed bereavement care. Supportive care facilities are underdeveloped in most low resource settings including in India. There is a need to develop capacity in this area so that our patients can derive the benefit of the full range of treatment options for kidney disease.


Print this article     Email this article

Online since 1st October '05
Published by Wolters Kluwer - Medknow