End-of-life care in end-stage renal disease: renal and palliative care.

F. E. Murtagh, E. Murphy, K. A. Shepherd, P. Donohoe, P. M. Edmonds

Research output: Contribution to journalArticlepeer-review

22 Citations (Scopus)


The numbers of patients with end-stage renal disease are growing, with a disproportionate increase among those who are elderly, dependent and with multiple co-morbidities. More of these patients are choosing to be managed conservatively, without dialysis. Palliative provision for these patients within UK renal services is limited, but the recent National Service Framework for Renal Services (Department of Health, 2005) has promoted service development. However, few models of service provision have been described. This article describes a retrospective review of a new service for conservatively-managed patients with end-stage renal disease. The range and complexity of the health needs of this population is demonstrated, and an example of service development described. A model of the stages of the conservative pathway and appropriate interventions was developed. The absence of research evidence prevented development of formal audit standards, and highlighted the urgent need for evaluation of models of care.

Original languageEnglish
Pages (from-to)8-11
Number of pages4
JournalBritish journal of nursing (Mark Allen Publishing)
Issue number1
Publication statusPublished - 1 Jan 2006
Externally publishedYes


  • dialysis
  • renal nursing
  • terminal care nursing
  • terminal care services

ASJC Scopus subject areas

  • Nursing(all)


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