Location: Dinwoodie Lecture Theatre, Cicely Saunders Institute, Denmark Hill Campus
Advance care planning for people with chronic kidney disease
Speaker: Dr Josephine Clayton, Associate Professor of Palliative Care Medicine, University of Sydney/Consultant Physician in Palliative Medicine
Abstract: Recent guidelines have emphasised the importance of providing better support for communication and decision-making about end-of-life issues for people with chronic kidney disease and their families. Advance care planning (ACP) provides a potential solution by promoting discussion between patients, families and healthcare teams regarding values, goals for care, prognosis and end-of-life issues, as well as facilitating documentation of the patient’s wishes for end-of-life care. However, research suggests that ACP may not be widely implemented in renal units.
In this paper Josephine will present findings from a recent systematic integrative review of the literature on this topic. In addition she will present findings from an Australian national survey of renal clinicians’ views. The aim of this survey was to describe current practice and barriers to ACP from the perspective of renal clinicians in Australia. Implications for clinical practice and future research will be discussed.
About the speaker: Josephine is a consultant physician in palliative medicine for HammondCare’s palliative and supportive care service, based at Greenwich and Royal North Shore Hospitals in Sydney, Australia. She is a busy clinician as well as contributing to research and teaching in her role as associate professor of palliative care, Sydney Medical School, University of Sydney. Josephine leads a research programme regarding communication about end-of-life issues, including the development and evaluation of patient- and clinician-based interventions for improving communication. She has a strong interest in teaching communication skills relevant to the care of patients with life-limiting illnesses.
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