Thread by @Trisha_the_doc

I’m really enjoying this talk from Dr Alice Radley, a renal physician, at the @bgsconf.

It’s all about advanced renal disease and how to support older people with this condition.

It’s quite common!

We need to develop a better supportive care framework for caring for people.

There are some excellent programmes around for “best supportive care” for people with end stage renal disease.

#bgsconf

At the end of the day it’s about the individual patient though!

#bgsconf

More frailty does affect life expectancy in advanced renal disease.

#bgsconf

Though often people misjudge how frail someone is! Beware!

I knew kidneys were complicated!

So many factors affecting renal failure…

#bgsconf

So many factors!

Still on renal impairment here…

#bgsconf

Pedal your way through your dialysis session! Exercise is a good thing. But still unclear if it’ll affect outcome.

#bgsconf

And it all comes back to what’s important to the person themselves…

(I like this slide!)

#bgsconf

Another mention of how we sometimes misjudge older people. Some may be suitable for transplant as best treatment.

Back to looking at the individual!

#bgsconf

Conservative care is actually very good though in older people and doesn’t have the huge burdens of attending for dialysis.

#bgsconf

Anticipatory planning is key in renal failure just like any other long term life limiting condition.

#bgsconf