New Drugs and Drug News: The 411 and Implications for Palliative Care (TH313)

Abstract

describe the role of the palliative care consultant caring for patients with kidney disease, provide prognostic tools, and provide a framework for engaging in discussions of treatment decisions. Content. The session includes an overview of the kidney disease trajectory and describes common triggers for palliative care consultation. Three common triggers for palliative care involvement along this trajectory will be explored and discussed: (a) discussions of dialysis initiation and withholding in seriously ill patients, (b) symptom management and medication strategies for patients both receiving and not receiving dialysis, and (c) end-of-life issues including dialysis withdrawal and dialysis access failure. We present a framework to elicit patient values and goals specifically addressing kidney disease treatment plans. This framework includes communicating the risks and benefits of dialysis in seriously ill patients and negotiating a care plan which may include withholding dialysis, withdrawing dialysis, or a time-limited treatment trial. Conclusion. By the end of the session, the palliative care provider will have gained new tools and understanding in caring for seriously ill patients with kidney disease. Participants will have an understanding of the unique challenges in treatment decision making; be able to list common symptoms patients experience, including treatment-related issues specific to certain symptoms; and gain an understanding of the prognostic factors and outcomes for different treatment paths. The palliative care provider will have the skill set to communicate care goals and treatment decisions with seriously ill patients with kidney disease.