Implementing Advance Care Planning for dialysis patients: HIGHway project.

ABSTRACT:

Background

Patients undergoing hemodialysis have a high mortality rate and yet underutilize palliative care and hospice resources. The Shared Decision Making-Renal Supportive Care (SDM-RSC) intervention focused on goals of care conversations between patients and family members with the nephrologist and social worker. The intervention targeted deficiencies in communication, estimating prognosis, and transition planning for seriously ill dialysis patients. The intervention showed capacity to increase substantially completion of advance care directives. The HIGHway Project, adapted from the previous SDM-RSC, scale up training social workers or nurses in dialysis center in advance care planning (ACP), and then support them for a subsequent 9-month action period, to engage in ACP conver

SUBMITTER: Rodriguez de Sosa G 

PROVIDER: S-EPMC9286956 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature