Affiliation:
1. Home Dialysis Fellow, University Health Network
2. Director, Peritoneal Dialysis Program, University Health Network
Abstract
Patients with end-stage kidney disease vary significantly in comorbidities and frailty, prompting consideration of a palliative approach to care in the sickest cohort. Peritoneal dialysis offers a unique opportunity to provide renal replacement therapy by offering modified dialysis prescriptions, particularly in patients with cardiorenal syndrome, hepatorenal syndrome and cognitive decline. By developing comfort and expertise in this area, in addition to replacing traditional dialysis parameters with clinical assessment, peritoneal dialysis serves as a good opportunity to use patient-centred goals of care to manage kidney disease patients at the end of life, minimise their symptom burden and maximise their quality of life.