IT’S NOT JUST DIALYSIS OR DEATH: CONSIDERATIONS WHEN STARTING, STOPPING, AND FORGOING DIALYSIS

Plenary Symposia

  • Date:
  • Time: 4:00pm - 5:30pm
  • Track: Clinical Practice
  • CME/CE: 1.5

Moderator: Elizabeth K. Vig, MD, MPH

This session will explore the challenges when deciding whether or not to initiate dialysis, ways to support those who forgo dialysis, when to consider stopping dialysis, and ways to enable patients on dialysis to receive hospice services.  It will include a videotaped interview by Dr. Liu with her patient Howard Russell, as they discuss his experience and decision-making process on starting dialysis. Learning Objectives: (1) identify dialysis outcomes for older patients, including patient characteristics that may affect those outcomes; (2) explain aspects of conservative care for those who elect not to initiate dialysis; (3) describe three indications to prompt a discussion of the option of discontinuing dialysis; and (4) discuss ways to promote concurrent dialysis and hospice services.

Words of Wisdom
Christine (Chris) K. Liu, MD, MS

Saying 'No' to Dialysis
Susan Wong, MD, MS 

Hospice Plus Dialysis:  Why is it so Hard?
Molly A. Feely, MD, FAAHPM, FACP