An interdisciplinary approach to dialysis decision-making in the CKD patient with depression.
Depression and depressive symptoms are common in advanced kidney disease and are associated with poor outcomes. For those with CKD not on dialysis, depression may influence how patients cope and prepare for their disease and its management, including decisions about dialysis treatment. Patient self-reported scales exist to better identify depression; how to incorporate these scales into clinical practice and assist with treatment decision-making is less clear. We present a case-based discussion of depressive symptoms in patients with advanced kidney disease not on dialysis. We highlight the contribution of underlying somatic and psychosocial factors in the assessment and management of depression. We further define the role of the interdisciplinary care team, including palliative care and hospice medicine, to assist with symptom management and end-of-life care for CKD patients with depression.
['Schell|Jane O|JO|', 'Bova-Collis|Renee|R|', 'Eneanya|Nwamaka D|ND|']
D000223:Adaptation, Psychological D003657:Decision Making D003863:Depression D003866:Depressive Disorder D006801:Humans D007676:Kidney Failure, Chronic D010166:Palliative Care D010348:Patient Care Team D006435:Renal Dialysis D051436:Renal Insufficiency, Chronic D012947:Social Work
Depression Palliative care Chronic kidney disease End of life Interdisciplinary team