What is the focus of ethical end-of-life care for patients on dialysis?

The focus of ethical end-of-life care for patients on dialysis centrally revolves around upholding patient wishes and demonstrating respect for their decisions. This means recognizing the individual's values, preferences, and goals, especially as they approach the end of their life. Ethical care in this context emphasizes the importance of communication between healthcare providers, patients, and their families to ensure that treatment aligns with the patient's desires, including the option to forego or withdraw from aggressive treatment interventions when that aligns with their wishes.

This approach not only supports patient autonomy but also acknowledges the emotional and psychological dimensions of end-of-life experiences. In ethical decision-making, it's crucial to engage patients in discussions about their treatment goals, quality of life expectations, and what they consider important at this stage, allowing for a care plan that reflects their values and wishes.