What may be the reason for choosing conservative care?
Some chronic kidney disease patients can be diagnosed with other critical conditions, such as heart failure or cancer. For such CKD patients, kidney failure forms only a part of their disease burden, and as such, the subsequent start of dialysis may not increase their survival. In addition, for CKD patients who are very old or frail, symptoms like fatigue, restless legs, poor appetite, painful joints, sleep disturbances and dementia may persist even after starting dialysis.
Therefore, patients should assess with their doctors the different CKD treatment options available. If after discussion, the possible complications associated with dialysis outweighs the benefits, CKD patients can choose to continue their CKD treatment with conservative care. After starting conservative care, the patient should be on appropriate medication, dietary planning, physiotherapy, and psychosocial support to manage their CKD symptoms.