End-stage chronic kidney disease (ESRD)

Many patients asked in a similar tone.

"By this time... need dialysis, right?"

This question is not just a medical answer.

But it was a turning point in the lives of patients and their families.

🌱 When the kidneys slowly quiet down,

Chronic end-stage kidney disease is when there is very little kidney function (eGFR < 15).

Waste begins to flourish, water begins to exceed pressure, difficulty to control, easily tired, anorexic, itchy whole body.

The body is telling us that

"I can't do it anymore..."

At this point, renal replacement therapy (RRT) is no longer a long way off.

But a choice to survive.

🔄 The choice is not just "bleaching."

Treatment doesn't have a single answer for everyone.

Hemodialysis (HD)

- Come to the center three times a week.

- Life must be tied to machine time.

- The key is "hemodialysis." If the line is good, the treatment is good.

Peritoneal Dialysis (PD)

- Home Made

- More flexible, but requires high discipline and cleanliness.

- It's a continuous treatment. Little body swing.

Kidney transplant

- The best quality of life choice.

- But you have to wait, you have to be ready, and you have to take a lifetime of pressure.

And some...

Select No kidney replacement therapy.

🌿 When choosing "not bleaching," it's not giving up.

Palliative Care (CC)

It is care that does not prolong life, but preserves the meaning of life.

Reduce discomfort

Take care of the body, take care of the heart

Let the patient spend the rest of his life in peace and dignity.

This is the patient's right.

And it's a decision the team has always respected.

🧠 What nurses want to reiterate the most

No matter which way the patient chooses,

The equally important thing is to take care of yourself.

• Prepare hemodialysis lines → Reduce emergency lines, reduce infections

• Eat Cheap → Salty Control Phosphate Water Control

• Take care of the bleaching arm as if taking care of life

• Mind health because chronic diseases do not affect the body

# Kidney failure # Nurseshortnote # Nurse # Nursing students # lemon 8 knowledge