Palliative care in renal disease

Abstract

Mr. Mario I. was 86-year-old man returning to nephrology clinic for follow-up of chronic kidney disease (CKD) stage IV/V in the setting of hypertension and presumed hypertensive nephrosclerosis. He had a history of uremia over the past 8 months with increased fatigue, somnolence, and anorexia; observed decreased attentiveness and increased need for assistance with activities of daily living (ADL) concerning to his wife; and it was increasing difficulty to control his edema and maintain euvolemia.