RSC Primary Palliative Care Skills for Nephrology Teams: A Recommended Model
Basic management of pain and symptoms Basic management of depression and anxiety Basic discussions about prognosis Discussion and development of goals of treatment Resuscitation status discussion and precise documentation of what can and cannot be offered (for example, high-flow oxygen but not bag mask ventilation and intubation). Palliative care structures in paediatric nephrology are often insu
- Basic management of pain and symptoms
- Basic management of depression and anxiety
- Basic discussions about prognosis
- Discussion and development of goals of treatment
- Resuscitation status discussion and precise documentation of what can and cannot be offered (for example, high-flow oxygen but not bag mask ventilation and intubation).
Palliative care structures in paediatric nephrology are often insufficient. Barriers to establishing a palliative care approach in conservative care in ESKD include [69]:
- Insufficient expertise
- Lack of training regarding end-of-life care and death
- Lack of adequate funding
- Lack of time
- Lack of cooperation with specialised palliative care teams
- Lack of in-house palliative care structures.
Evolving RSC teams should prioritise training in complex communication, strengthening interdisciplinary support systems and further palliative care education [66].
Wearne, N., Krause, R., Davidson, B., and Brennan, F., 2020. Renal palliative and supportive care in South Africa – A consensus statement. African Journal of Nephrology, 23(1), pp.86-107.