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

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dc.contributor.authorCatoni, María Isabel
dc.contributor.authorSalas Ibarra, Sofía
dc.contributor.authorRoessler, Emilio
dc.contributor.authorValdivieso, Andrés
dc.contributor.authorVukusich, Antonio
dc.contributor.authorRivera, M. Soledad
dc.date.accessioned2021-08-24T14:48:31Z
dc.date.available2021-08-24T14:48:31Z
dc.date.issued2020
dc.description.abstractBackground: 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.es
dc.identifier.citationRevista Médica de Chile, 2020, vol.148: 281-287es
dc.identifier.urihttps://dx.doi.org/10.4067/S0034-98872020000300281es
dc.identifier.urihttp://hdl.handle.net/11447/4437
dc.language.isoeses
dc.subjectAdvance Care Planninges
dc.subjectAgedes
dc.subjectClinical Decision-Makinges
dc.subjectKidney Failure, Chronices
dc.subjectRenal Dialysises
dc.titleToma de decisiones en hemodiálisis crónica: estudio cualitativo en adultos mayoreses
dc.title.alternativeDecision making among older adults in hemodialysis. A qualitative assessmentes
dc.typeArticlees

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