The primary care provider’s role in providing supportive and palliative care for patients in chronic renal failure

Primary care providers are at the core of providing supportive and palliative care to patients with chronic kidney disease in South Africa. Although dialysis is not always needed, and sometimes not appropriate, for all patients with end-stage kidney disease, there is always supportive and palliative...

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Main Authors: René Krause, Nicola Wearne, Tsepo Motsohi, Bianca Davidson
Format: Article
Language:English
Published: AOSIS 2020-12-01
Series:South African Family Practice
Subjects:
Online Access:https://safpj.co.za/index.php/safpj/article/view/5238
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author René Krause
Nicola Wearne
Tsepo Motsohi
Bianca Davidson
author_facet René Krause
Nicola Wearne
Tsepo Motsohi
Bianca Davidson
author_sort René Krause
collection DOAJ
description Primary care providers are at the core of providing supportive and palliative care to patients with chronic kidney disease in South Africa. Although dialysis is not always needed, and sometimes not appropriate, for all patients with end-stage kidney disease, there is always supportive and palliative care that can be provided to patients and families to improve outcomes. This article explores the referral pathways, renal preservation, supportive and palliative care and, finally, health system interventions that can improve comprehensive care. The integration of renal supportive and palliative care is a relatively new concept in the paradigm of care and will require advocacy and research to ensure all South African patients have access throughout the trajectory of illness.
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publishDate 2020-12-01
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series South African Family Practice
spelling doaj-art-cd6785bc733f490b829bfe8becf118282025-08-20T03:06:52ZengAOSISSouth African Family Practice2078-61902078-62042020-12-01621e1e410.4102/safp.v62i1.52384104The primary care provider’s role in providing supportive and palliative care for patients in chronic renal failureRené Krause0Nicola Wearne1Tsepo Motsohi2Bianca Davidson3School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape TownDepartment of Internal Medicine, Faculty of Health Sciences, University of Cape Town, Cape TownSchool of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape TownDepartment of Internal Medicine, Faculty of Health Sciences, University of Cape Town, Cape TownPrimary care providers are at the core of providing supportive and palliative care to patients with chronic kidney disease in South Africa. Although dialysis is not always needed, and sometimes not appropriate, for all patients with end-stage kidney disease, there is always supportive and palliative care that can be provided to patients and families to improve outcomes. This article explores the referral pathways, renal preservation, supportive and palliative care and, finally, health system interventions that can improve comprehensive care. The integration of renal supportive and palliative care is a relatively new concept in the paradigm of care and will require advocacy and research to ensure all South African patients have access throughout the trajectory of illness.https://safpj.co.za/index.php/safpj/article/view/5238chronic kidney diseasechronic renal failureend-stage kidney diseasepalliative careprimary care
spellingShingle René Krause
Nicola Wearne
Tsepo Motsohi
Bianca Davidson
The primary care provider’s role in providing supportive and palliative care for patients in chronic renal failure
South African Family Practice
chronic kidney disease
chronic renal failure
end-stage kidney disease
palliative care
primary care
title The primary care provider’s role in providing supportive and palliative care for patients in chronic renal failure
title_full The primary care provider’s role in providing supportive and palliative care for patients in chronic renal failure
title_fullStr The primary care provider’s role in providing supportive and palliative care for patients in chronic renal failure
title_full_unstemmed The primary care provider’s role in providing supportive and palliative care for patients in chronic renal failure
title_short The primary care provider’s role in providing supportive and palliative care for patients in chronic renal failure
title_sort primary care provider s role in providing supportive and palliative care for patients in chronic renal failure
topic chronic kidney disease
chronic renal failure
end-stage kidney disease
palliative care
primary care
url https://safpj.co.za/index.php/safpj/article/view/5238
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