The needs of older people with advanced chronic kidney disease choosing supportive care: a review
Date
2012
Authors
Moustakas, J.
Bennett, P.N.
Nicholson, J.
Tranter, S.
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Journal article
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Renal Society of Australasia Journal, 2012; 8(2):70-75
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Abstract
Aim: To explore primary research related to the needs of older people with advanced chronic kidney disease (ACKD) who have chosen supportive care as their treatment of choice. Method: Databases including Medline, PubMed, CINAHL and Cochrane Interwiley Science Database were searched using the keywords: "supportive care", "conservative management", "palliative", "terminal care", "end-stage kidney disease", "elderly", "older person", "symptoms", "renal", "decision-making" and "education". Articles were limited to English full text articles dating from 1995 to 2011. Articles chosen investigated supportive care, the older person, education and decision-making. Results: Twelve articles met the inclusion criteria and were reviewed by one nephrology nurse clinician and one nurse researcher. Eight studies were quantitative (survey, case note audit, comparative studies, tool development) and four were qualitative (interviews, focus groups). Three themes were revealed and developed: shared decision-making, perception of quality of life (QOL), and educational resource requirements. Conclusion: This review revealed a growing body of research regarding the challenges of the older person with ACKD. More research is required exploring the educational needs of the older person with ACKD to contribute to their improved clinical care.
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Copyright 2012 Renal Society of Australasia