Encouraging the use of advanced directives in the dialysis population

Our dialysis program provides care for patients, all of whom have a chronic illness. Some patients have multiple comorbid conditions in addition to the primary chronic illness. Many times, patients reach a point where they are unable to make direct care decisions and family members are placed in situations where they must make decisions on behalf of their loved one. Frequently, family members are unsure what decisions patients would make if they were competent. The use of an advanced directive gives family members confidence in knowing that they are guiding care decisions in the manner determined by their loved one. Helping patients to discuss treatment decisions and wishes with family …