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NDT Advance Access originally published online on January 11, 2008
Nephrology Dialysis Transplantation 2008 23(3):789-791; doi:10.1093/ndt/gfm874
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.For Permissions, please e-mail: journals.permissions@oxfordjournals.org


Palliative care in nephrology

Edwina A Brown1, Elizabeth Joanna Chambers2 and Celia Eggeling3

1 Imperial College London, Hammersmith Hospital, London, UK 2 Southmead Hospital, Bristol, UK 3 St Helier Hospital, Carshalton, Surrey, UK

Edwina A Brown, Imperial College Kidney and Transplant Institute, Hammersmith Hospital, Du Cane Road, London, W12 0HS, UK. E-mail: e.a.brown@imperial.ac.uk

Keywords: palliative care; patient choice; quality of death

The first 150 words of the full text of this article appear below.

"Der Tod, das ist die kuehle Nacht, "Death is cool night

Das Leben ist der schwuele Tag" Life is sultry day"

Heine (1797–1856)

It is only 150 years since Dumas wrote ‘La Dame aux Camélias’ on which ‘La Traviata’ by Verdi is based; Marguerite's doctor cannot treat her tuberculosis, but can recognise she is dying and therefore provide appropriate support. Medicine, of course, is now completely different-–we can and do treat many conditions that were previously incurable and we are very successful at prolonging life. This has often, however, been at the expense of regarding dying as a failure and therefore not identifying and managing end of life (which will of course happen to each one of us). We run the risk of putting off death with a succession of fruitless, and often unpleasant, medical interventions, thus denying the individuals’ right to spend their last days as they would wish . . . [Full Text of this Article]



   What is renal palliative care?
 


   Box 1
 


   Barriers to diagnosing end of life
 


   Achieving a good quality death
 

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