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Conservative Care or Conservative Management (CM) of Kidney Failure

Deciding not to have dialysis.

You might not want renal replacement therapy. The point of doing dialysis is to feel better and to live longer. But if somebody is very frail and perhaps has other problems, doing dialysis might not achieve this. Dialysis is a tough therapy, even for the young.

Frail people with other serious medical problems, and perhaps elderly, might not do well on dialysis. This means that starting dialysis can bring the quality of life down and sometimes even shorten life, due to the stress doing dialysis can put upon the frail person.

For whatever reason, you might feel that dialysis is too much to put up with. We can still continue to treat you if you do not want to have dialysis.  We will help your kidneys last as long as possible, and we will treat any symptoms of renal failure.  You can get much more good information about what Conservative Management means from the information below:

Video to watch: Video can be made full screen


Choosing to have treatment without dialysis. (from the Edinburgh Renal Unit)

Choosing not to have dialysis but still have active treatment From Kidney Research UK.

Non-dialysis management of end-stage renal failure.pdf

Choosing not to have dialysis (From KidneyCareUK)

Choosing to stop dialysis after a while of being on it (From KidneyCareUK)

What I tell my patients about conservative kidney management.pdf

What I tell my patients about conservative management of their established renal failure.pdf