Factors influencing patients with stage 5 chronic kidney disease to opt for conservative management: a practitioner research study

摘要: Aims and objectives.  This study explored decision-making experiences of patients with stage 5 chronic kidney disease when opting for conservative management their renal failure. Background.  Dialysis is an invasive treatment, some older patients, there associated treatment burden dialysis-related symptoms. An alternative choice management, but little known about those who make this decision how they are supported through the process. Design.  Qualitative practitioner research study. Method.  Data were generated from nine patients’ naturally occurring clinic consultations a clinical nurse specialist between May 2010 – July 2010. Interviews transcribed verbatim findings fed back at three multi-disciplinary meetings to check relevance resonance. Common themes identified codes applied. Results.  Patients reported age having travel times week hospital dialysis as reasons not opt treatment. Others felt well without wanting upset ‘status quo’ or loved ones. Most equipped following explanation discussion in clinic. Conclusions.  give numerous including old age, limitations, feeling be burden, appear content decision. One-to-one discussions helpful during process presenting opportunity advancing nursing roles service. Relevance practice.  Understanding refusing assists supporting until death. There developing practice meet multi-faceted needs group.