Renal supportive care in older patients with diabetes and end stage chronic kidney disease – a case presentation

Roxana Adriana Stoica (a)(h), Georgiana Diţu (b), Grigorina Mitrofan (b), Anca Pantea Stoian (b)(h), Cornelia Niţipir (d)(h), Dan Nicolae Păduraru (e)(h), Răzvan Hainăroșie (f)(h), Cristian Serafinceanu (g)(h)

a): MD, diabetes, nutrition and metabolic disease, lecturer
b): MD, diabetes, nutrition and metabolic disease, National Institute of Diabetes, Nutrition and Metabolic Diseases “NC Paulescu”, Bucharest, Romania
c): MD, PhD, diabetes, nutrition and metabolic disease, senior lecturer
d): MD, PhD, oncology, senior lecturer, Clinic of Medical Oncology, Elias University Emergency Hospital
e): MD, surgery, lecturer
f): MD, PhD, otorynolaringology, senior lecturer, “Prof. Dr. D. Hociotă” Institute of Phonoaudiology and Functional ENT Surgery, Bucharest Romania
g): MD, PhD, diabetes, nutrition and metabolic disease, professor, National Institute of Diabetes, Nutrition and Metabolic Diseases “NC Paulescu”, Bucharest, Romania
h): “Carol Davila University”, Medicine and Pharmacy Faculty, Bucharest, Romania

Abstract

Renal Supportive Care (RSC) is a concept that is applied in two categories of patients with end stage chronic kidney disease (ESRD) – patients receiving dialysis that have a high symptom burden and patients that are conservatively treated. RSC respects the principles of palliative care and includes nutrition, psychological counselling, symptomatic treatment, maintaining physical function and independence. We present the case of a 77 year-old man with ESRD whom we offered palliative care respecting his informed decision of refusing haemodialysis.

Key words: Renal Supportive Care, RSC, end stage chronic kidney disease, ESRD

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