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Dialysing the Elderly Patient with Congestive Heart Failure: What Is Important to Know?

  • Andrew DavenportEmail author
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Abstract

The number of elderly patients surviving with increasing and more complex co-morbidity, especially in affluent countries, continues to grow exponentially. Elderly patients with the combination of chronic kidney disease stage 5 and congestive heart failure (CHF) have an increased risk of death. They should, if possible, be empowered to choose between conservative supportive care and dialysis. In countries without well-developed supportive palliative care programs, greater numbers of elderly patients with high co-morbidity scores, including CHF, withdraw from dialysis within the first few months of starting treatment [1]. This is particularly true for haemodialysis (HD). It is worth noting that a 4 h HD session may well expand into 8–10 h day, with the patient feeling too exhausted to do anything but to simply go to straight to bed on final arrival at home [2].

Keywords

Haemodialysis Peritoneal dialysis Heart failure Conservative management 

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.UCL Center for Nephrology, University College London Medical School, Royal Free HospitalLondonUK

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