Dialysing the Elderly Patient with Congestive Heart Failure: What Is Important to Know?
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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 . 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 .
KeywordsHaemodialysis Peritoneal dialysis Heart failure Conservative management
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