DIALYSIS IN THE EXTREME ELDERY Maj.Narittaya Varothai, MD Division of Nephrology Internal Medicine Department Phramongkutklao Hospital and college of medicine
Outline • Definition of elderly, extreme elderly • Time to start dialysis • Modality and access of dialysis • Geriatric approach • Time to stop dialysis
Principlism • Beneficience restoring metabolic equilibrium Share • Non-maleficence : do no harm decision making • Justice Dialysis effect, post dialysis fatigue, poor tolerance, hypotension and intrusiveness in daily life • Respect for autonomy
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