Building an Outpatient Kidney Palliative Care Clinical Program

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Presentation transcript:

Building an Outpatient Kidney Palliative Care Clinical Program Jennifer S. Scherer, MD, Rebecca Wright, PhD, RN, BSc, Caroline S. Blaum, MD, MS, Stephen P. Wall, MD, MSc, MAEd  Journal of Pain and Symptom Management  Volume 55, Issue 1, Pages 108-116.e2 (January 2018) DOI: 10.1016/j.jpainsymman.2017.08.005 Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 1 Iterative approach to modification of the conceptual model of care. Journal of Pain and Symptom Management 2018 55, 108-116.e2DOI: (10.1016/j.jpainsymman.2017.08.005) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 2 Description of the Australian outpatient kidney palliative care model. HD = hemodialysis; PD = peritoneal dialysis; Tx = transplant; CCI = Charlson Comorbidity Score; KPS = Karnofsky Performance Score; Alb = albumin; SQ = surprise question, “Would I be surprised if the patient were to die in six months?”; CKD = chronic kidney disease; Pts = patients. Journal of Pain and Symptom Management 2018 55, 108-116.e2DOI: (10.1016/j.jpainsymman.2017.08.005) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 3 Incorporation of stakeholder feedback in iterative adaptation of the Australian model of care. RNs = registered nurses; HD = hemodialysis; PD = peritoneal dialysis; Tx = transplant; CKD = chronic kidney disease. Journal of Pain and Symptom Management 2018 55, 108-116.e2DOI: (10.1016/j.jpainsymman.2017.08.005) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 4 Proposed model of care. Journal of Pain and Symptom Management 2018 55, 108-116.e2DOI: (10.1016/j.jpainsymman.2017.08.005) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

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