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10.1016/j.semnephrol.2021.05.007 http://scihub22266oqcxt.onion/10.1016/j.semnephrol.2021.05.007 34330366!ä!34330366 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Semin+Nephrol 2021 ; 41 (3): 262-271 Nephropedia Template TP {{tp|p=34330366|t=2021. Ethical Duties of Nephrologists: When Patients Are Nonadherent to Treatment |pdf=|usr=}}{{34330366}} gab.com Text Ethical Duties of Nephrologists: When Patients Are Nonadherent to Treatment JO: Semin Nephrol http://www.kidney.de/pget.php?&tw=1&pmid=34330366 #FOAvip When providing care, nephrologists are subject to various ethical duties. Beyond the Hippocratic notion of doing no harm, nephrologists also have duties to respect their patients' autonomy and dignity, to meet their patients' care goals in the least invasive way, to act impartially, and, ultimately, to do what is (clinically) beneficial for their patients. Juggling these often-conflicting duties can be challenging at the best of times, but can prove especially difficult when patients are not fully adherent to treatment. When a patient's nonadherence begins to cause harm to themselves and/or others, it may be questioned whether discontinuation of care is appropriate. We discuss how nephrologists can meet their ethical duties when faced with nonadherence in patients undergoing hemodialysis, including episodic extreme agitation, poor renal diet, missed hemodialysis sessions, and emergency presentations brought on by nonadherence. Furthermore, we consider the impact of cognitive impairment and provider-family conflict when making care decisions in a nonadherence context, as well as how the coronavirus disease 2019 pandemic might affect responses to nonadherence. Suggestions are provided for ethically informed responses, prioritizing a patient-narrative approach that is attentive to patients' values and preferences, multidisciplinarity, and the use of behavioral contracts and/or technology where appropriate. Twit Text FOAVip Ethical Duties of Nephrologists: When Patients Are Nonadherent to Treatment ????Semin Nephrol http://www.kidney.de/pget.php?&tw=1&pmid=34330366 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=34330366 #FOAvip English Wikipedia <ref>{{Cite pmid|34330366}}</ref> Ethical Duties of Nephrologists: When Patients Are Nonadherent to Treatment #MMPMID34330366 Parsons JA; Taylor DM; Caskey FJ; Ives J Semin Nephrol 2021[May]; 41 (3): 262-271 PMID34330366show ga When providing care, nephrologists are subject to various ethical duties. Beyond the Hippocratic notion of doing no harm, nephrologists also have duties to respect their patients' autonomy and dignity, to meet their patients' care goals in the least invasive way, to act impartially, and, ultimately, to do what is (clinically) beneficial for their patients. Juggling these often-conflicting duties can be challenging at the best of times, but can prove especially difficult when patients are not fully adherent to treatment. When a patient's nonadherence begins to cause harm to themselves and/or others, it may be questioned whether discontinuation of care is appropriate. We discuss how nephrologists can meet their ethical duties when faced with nonadherence in patients undergoing hemodialysis, including episodic extreme agitation, poor renal diet, missed hemodialysis sessions, and emergency presentations brought on by nonadherence. Furthermore, we consider the impact of cognitive impairment and provider-family conflict when making care decisions in a nonadherence context, as well as how the coronavirus disease 2019 pandemic might affect responses to nonadherence. Suggestions are provided for ethically informed responses, prioritizing a patient-narrative approach that is attentive to patients' values and preferences, multidisciplinarity, and the use of behavioral contracts and/or technology where appropriate. |*Patient Compliance[MESH] |Adult[MESH] |Aged[MESH] |Decision Making/ethics[MESH] |Female[MESH] |Humans[MESH] |Male[MESH] |Nephrologists/*ethics[MESH] |Patient-Centered Care[MESH] |Personal Autonomy[MESH]Ethical Duties of Nephrologists: When Patients Are Nonadherent to Trea(epmc).pdf DeepDyve Pubget Overpricing