Fast Fact #207 discusses decision making around dialysis discontinuation; this Fast Fact addresses care of the patient around the time of discontinuation. Counsel about what to expect: mean survival following dialysis withdrawal is 8-10 days (although rarely can be many weeks). Address the likelihood of progressive encephalopathy. Counsel about symptoms. Reassure patients/families that these can be adequately treated, although drugs with sedating side effects may be necessary to ensure comfort.
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