, 14 tweets, 9 min read Read on Twitter
Question....Who holds decision rights in planning, offering, limiting end stage kidney disease care? #ESKDethics #ISNWCN
Ethical issues in resource rich western countries and resource limited non-western countries... 76female and 46male #ESKDethics #ISNWCN
Choice! Choice dependent on options available in your area| #ESKDethics #ISNWCN- but..... who determines resource provision. NIXON affirmed that it was a measure of society that care is afforded for people with care needs
Gap in care provision for #CKD care, are most vulnerable to CKD and ESKD | #ESKDethics #ISNWCN. Extraordinary out of pocket, anticipated and unanticipated costs for patient, family and society of global CKD and ESKD burden
In Au and Canada- 1:1 of those who access ESKD CARE compared to not taking up ESKD CARE. These countries highlighted because these countries have active data collection systems | #ESKDethics #ISNWCN
Default to provide #ESKD care in the absence of a definitive decision of patient electing care or definitive care decision by clinician or healthteam| #ESKDethics #ISNWCN
Patients are receiving over-dialysis in excess of benefit (quality and quantity of life). Ethics of knowledge provision about the value and benefit of end of life and careful advanced care| #ESKDethics #ISNWCN
Realistic awareness of prognosis in ESKD is very contextualised by culture, knowledge, resources- so guides from one area may have limited translation impact in other settings| #ESKDethics #ISNWCN
Is the nephrologist equippped in advanced symptom management which may greatly help
Therefore- #teamwork, different skills in multidisciplinary care needs| #ESKDethics #ISNWCN
Eyes wide open- market place ethics, cherry picking and maintaining funding streams to ensure #cashflow | yep this is said, looking forward to discussion abt this one. Critical issue for Universal medical coverage areas and those areas without. #ESKDethics #ISNWCN
This session for prof Vivek Jha is packed!! And great audience affirmation for a wide view of issues in #ESKDethics #ISNWCN
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