It is sometimes right not to provide RRT where it would not enhance the quality and\/or duration of life.<\/p>\n
Such decisions should be made explicitly, after discussion with relevant parties, and recorded.\u00a0 The level of the patient\u2019s involvement should be clear.\u00a0 GPs should always be involved in decisions concerning long term care, but not necessarily in acute illnesses where dialysis is being withheld primarily because of factors other than renal failure itself (e.g. other fatal illness).\u00a0 The views of relatives frequently inform a decision, and discussions should be noted, but relatives cannot make decisions on behalf of a mentally competent adult, or overrule a decision which is medically clearly correct.<\/p>\n
Patients who are uncertain, or who have elected not to have dialysis, should be referred to the conservative care specialist nurse\/team.<\/p>\n
Further information Acknowledgements:\u00a0\u00a0<\/strong> Neil Turner was the main author for this page. The last modified date is shown in the footer.<\/span><\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" It is sometimes right not to provide RRT where it would not enhance the quality and\/or duration of life. Such decisions should be made explicitly, after discussion with relevant parties, and recorded.\u00a0 The level of the patient\u2019s involvement should be clear.\u00a0 GPs should always be involved in decisions concerning long\u2026<\/p>\n
\n<\/span><\/strong>No dialysis and withdrawal from dialysis<\/a> – information for patients from EdRenINFO<\/a>
\nOutcomes analysis for patients receiving RRT in Edinburgh
\nKidney End of Life Coalition<\/a> (Midlothian, but Virginia USA not Scotland)\u00a0has some useful info<\/p>\n