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. 2017 Dec 2;11(2):236–245. doi: 10.1093/ckj/sfx134

Table 2.

Approach to the management of frail patients with CKD

Practice points
1. Holistic assessment and targeted management strategy, including:

  • Treatment of symptomatic medical conditions

  • Medication review

  • Falls prevention measures

  • Anticipatory care planning

2. Nutrition

  • Consider causes of reduced appetite

  • Dietetic assessment and dietary advice focused on maintaining nutritional status

3. Timely care of complications of CKD

  • Metabolic acidosis

  • Fluid overload

  • Uraemia

4. Individualized exercise training programme
5. Shared decision with the patient regarding the appropriateness of renal replacement therapy