Surveyed family members rated end-of-life care higher when dialysis was discontinued before death or when hospice services were provided along with dialysis treatments, according to a published study.
“Many of the technological advances in medicine during the last half century have profoundly altered the nature of the dying process and the timing of death,” Claire A. Richards, PhD, RN, postdoctoral fellow at Health Services Research & Development, Veterans Affairs Puget Sound Health Care System in Seattle, and colleagues wrote. “In many instances, treatments intended to prolong life have the ‘double effect of prolonging life and prolonging dying.’ The more widespread availability of technologies, such as dialysis, mechanical ventilation, artificial nutrition and other life-sustaining interventions, can delay death but also raise ethically challenging questions about the value of life and whether and when to withhold or stop these treatments.”
This activity is supported by educational grants from Merck & Co., Inc. and Shire.
This activity is supported by an educational grant from Ultragenyx.
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