A pilot study on the perspectives of hemodialysis room nurses on promoting advance directives
Hu li za zhi The journal of nursing 2010 Aug; 57(4): 59-67
Previous studies have shown that patients with end-stage renal disease experience a lower than optimal quality of dying and achieve a lower rate of advance directives (ADs) completion. Patients are frequently unaware of their option to withdraw from dialysis and also believe their physicians would oppose such a decision. Where there are inherent difficulties for medical staff in discussing end-of-life (EOL) issues with patients, patients on dialysis often develop a trusting, almost familial relationship with their nurses, who play a vital role in assisting patient and family to make EOL care decisions.
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