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Advance Care Planning

Advance Care Planning is important for everyone, but it is especially important for those facing a life-limiting illness such as chronic kidney disease. It includes thinking about, talking about, and documenting healthcare wishes in the event that a person is unable to communicate or make healthcare decisions on their own. It's a process that can help a person make healthcare decisions now and for the future to ensure their voice is always heard.

Patients should have a Green Sleeve with a documented decision for CKM. The GCD Order should clearly state that the patient has chosen not to have dialysis. The patient and family should know where to keep it (on or near the fridge) and they should bring it with them to any medical appointments or if they have to go to the hospital.

Sample GCD sticker:


 

GFR 15 - 5 | Slow Decline or Deteriorating | Last 0-5 years of life

Once a patient has chosen CKM, initiate Advance Care Planning and discuss the patient’s goals of care. Ensure that the patient has a signed Goals of Care Designation Order that reflects their wishes and health status.

GFR 5 - 0 | Intensive/Near Death | Last 0-2 months of life

If not discontinued already, statins should now be stopped.

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