The prevalence of end stage renal disease continues to increase, and dialysis is being offered to older and more medically complex patients. On individual level patients needs different treatment in every case. This article presents the general ethical issues surrounding the dialytic or conservative care of patients with ESRD.
Dialysis effectively treats patients with end-stage renal disease (ESRD), but there are patients who have additional clinical characteristics that draw into question the appropriateness or continuation of such therapy. Not every patient benefits from renal replacement therapy to the same degree. Ethical Framework In Decision Making: Decisions involving the initiation or maintenance of dialysis, particularly among patients who are suboptimal candidates for chronic dialysis therapy, involve several ethical principles, collectively called principalism Principalism :…
