Toma de decisiones en hemodiálisis crónica: estudio cualitativo en adultos mayores

Background: In Chile there are 22,310 people in Chronic Hemodialysis (CHD), 53% of them older adults (OA). Shared decision-making and advance directives (AD) are especially important in OA with end-stage chronic renal failure, since they have greater levels of disability, morbidity and mortality, r...

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Autores principales:	Catoni,María Isabel, Salas,Sofía P., Roessler,Emilio, Valdivieso,Andrés, Vukusich,Antonio, Rivera,M. Soledad
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2020
Materias:	Advance Care Planning Aged Clinical Decision-Making Kidney Failure Chronic Renal Dialysis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000300281
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spelling	oai:scielo:S0034-988720200003002812020-06-11Toma de decisiones en hemodiálisis crónica: estudio cualitativo en adultos mayoresCatoni,María IsabelSalas,Sofía P.Roessler,EmilioValdivieso,AndrésVukusich,AntonioRivera,M. Soledad Advance Care Planning Aged Clinical Decision-Making Kidney Failure Chronic Renal Dialysis Background: In Chile there are 22,310 people in Chronic Hemodialysis (CHD), 53% of them older adults (OA). Shared decision-making and advance directives (AD) are especially important in OA with end-stage chronic renal failure, since they have greater levels of disability, morbidity and mortality, raising doubts about the benefit of therapy. Aims: To understand the experience in decision making and explore ways to express AD, in OA in CHD. Material and Methods: A qualitative phenomenological study, performing 12 in-depth interviews to OA who had been at CHD for at least one year. Results: The analysis revealed four broad comprehensive categories, two related to participation in the decision to enter CHD, namely the experience of subjects as spectators and their lack of interest for decision support and two referred to the expression of AD, namely the difficulty in facing their own finitude and resistance to express AD. Conclusions: There is little participation of older adults in the decision about their admission to dialysis therapy, and once they enter the CHD program they are not prepared to discuss AD in general, nor an eventual suspension of dialysis in particular.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.3 20202020-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000300281es10.4067/S0034-98872020000300281
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Advance Care Planning Aged Clinical Decision-Making Kidney Failure Chronic Renal Dialysis
spellingShingle	Advance Care Planning Aged Clinical Decision-Making Kidney Failure Chronic Renal Dialysis Catoni,María Isabel Salas,Sofía P. Roessler,Emilio Valdivieso,Andrés Vukusich,Antonio Rivera,M. Soledad Toma de decisiones en hemodiálisis crónica: estudio cualitativo en adultos mayores
description	Background: In Chile there are 22,310 people in Chronic Hemodialysis (CHD), 53% of them older adults (OA). Shared decision-making and advance directives (AD) are especially important in OA with end-stage chronic renal failure, since they have greater levels of disability, morbidity and mortality, raising doubts about the benefit of therapy. Aims: To understand the experience in decision making and explore ways to express AD, in OA in CHD. Material and Methods: A qualitative phenomenological study, performing 12 in-depth interviews to OA who had been at CHD for at least one year. Results: The analysis revealed four broad comprehensive categories, two related to participation in the decision to enter CHD, namely the experience of subjects as spectators and their lack of interest for decision support and two referred to the expression of AD, namely the difficulty in facing their own finitude and resistance to express AD. Conclusions: There is little participation of older adults in the decision about their admission to dialysis therapy, and once they enter the CHD program they are not prepared to discuss AD in general, nor an eventual suspension of dialysis in particular.
author	Catoni,María Isabel Salas,Sofía P. Roessler,Emilio Valdivieso,Andrés Vukusich,Antonio Rivera,M. Soledad
author_facet	Catoni,María Isabel Salas,Sofía P. Roessler,Emilio Valdivieso,Andrés Vukusich,Antonio Rivera,M. Soledad
author_sort	Catoni,María Isabel
title	Toma de decisiones en hemodiálisis crónica: estudio cualitativo en adultos mayores
title_short	Toma de decisiones en hemodiálisis crónica: estudio cualitativo en adultos mayores
title_full	Toma de decisiones en hemodiálisis crónica: estudio cualitativo en adultos mayores
title_fullStr	Toma de decisiones en hemodiálisis crónica: estudio cualitativo en adultos mayores
title_full_unstemmed	Toma de decisiones en hemodiálisis crónica: estudio cualitativo en adultos mayores
title_sort	toma de decisiones en hemodiálisis crónica: estudio cualitativo en adultos mayores
publisher	Sociedad Médica de Santiago
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000300281
work_keys_str_mv	AT catonimariaisabel tomadedecisionesenhemodialisiscronicaestudiocualitativoenadultosmayores AT salassofiap tomadedecisionesenhemodialisiscronicaestudiocualitativoenadultosmayores AT roessleremilio tomadedecisionesenhemodialisiscronicaestudiocualitativoenadultosmayores AT valdiviesoandres tomadedecisionesenhemodialisiscronicaestudiocualitativoenadultosmayores AT vukusichantonio tomadedecisionesenhemodialisiscronicaestudiocualitativoenadultosmayores AT riveramsoledad tomadedecisionesenhemodialisiscronicaestudiocualitativoenadultosmayores
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Toma de decisiones en hemodiálisis crónica: estudio cualitativo en adultos mayores

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