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Giving up: discontinuation of dialysis

  • Carl M. Kjellstrand

Abstract

From the establishment of Scribner’s “Who Shall Live Committee,” to the present struggle to include all who might benefit from ESRD therapy, Carl Kjellstrand has served as a conscience for nephrologists. Illustrative of the breadth of Kjellstrand’s understanding of the socio-medico-psycho-economic interactions in renal failure therapy are his insights into the pathogenesis of withdrawal from dialytic therapy. Why, when there is competition to gain life-sustaining treatment will some who have been “fortunate” in gaining admission to a program opt to discontinue their treatment? While no single answer is self-evident, behavior of diabetic patients who so often are maimed and “beaten” by co-morbid diabetic complications offers important clues as to the rationale underlying the election of death.

Keywords

Peritoneal Dialysis Dialysis Patient Ethical Problem Lower Extremity Amputation Withdraw Life Support 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media Dordrecht 1998

Authors and Affiliations

  • Carl M. Kjellstrand

There are no affiliations available

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