Journal of Hospice and Palliative Care

  • 제27권1호
  • /
  • Pages.1-10
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  • 2024
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  • 2765-3072(pISSN)
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  • 2765-3080(eISSN)
한국호스피스완화의료학회 (Korean Society for Hospice and Palliative Care)
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Palliative Care for Adult Patients Undergoing Hemodialysis in Asia: Challenges and Opportunities

  • Wei-Min Chu (Department of Family Medicine, Taichung Veterans General Hospital) ;
  • Hung-Bin Tsai (Division of Hospital Medicine, Department of Internal Medicine, National Taiwan University Hospital) ;
  • Yu-Chi Chen (Institute of Clinical Nursing, College of Nursing, National Yang Ming Chiao Tung University) ;
  • Kuan-Yu Hung (Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University) ;
  • Shao-Yi Cheng (Department of Family Medicine, College of Medicine and Hospital, National Taiwan University) ;
  • Cheng-Pei Lin (Institute of Community Health Care, College of Nursing, National Yang Ming Chiao Tung University)
  • 투고 : 2024.01.18
  • 심사 : 2024.02.03
  • 발행 : 2024.03.01
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초록

This article underscores the importance of integrating comprehensive palliative care for noncancer patients who are undergoing hemodialysis, with an emphasis on the aging populations in Asian nations such as Taiwan, Japan, the Republic of Korea, and China. As the global demographic landscape shifts towards an aging society and healthcare continues to advance, a marked increase has been observed in patients undergoing hemodialysis who require palliative care. This necessitates an immediate paradigm shift to incorporate this care, addressing the intricate physical, psychosocial, and spiritual challenges faced by these individuals and their families. Numerous challenges impede the provision of effective palliative care, including difficulties in prognosis, delayed referrals, cultural misconceptions, lack of clinician confidence, and insufficient collaboration among healthcare professionals. The article proposes potential solutions, such as targeted training for clinicians, the use of telemedicine to facilitate shared decision-making, and the introduction of time-limited trials for dialysis to overcome these obstacles. The integration of palliative care into routine renal treatment and the promotion of transparent communication among healthcare professionals represent key strategies to enhance the quality of life and end-of-life care for people on hemodialysis. By embracing innovative strategies and fostering collaboration, healthcare providers can deliver more patient-centered, holistic care that meets the complex needs of seriously ill patients within an aging population undergoing hemodialysis.

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과제정보

We would like to express our gratitude to Enago Editing (https://www.enago.tw/) for their assistance with editing this manuscript for English grammar.

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