{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:59:08Z","timestamp":1761746348082,"version":"build-2065373602"},"reference-count":40,"publisher":"LIDSEN Publishing Inc","issue":"01","license":[{"start":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T00:00:00Z","timestamp":1739836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["OBM Geriatr"],"accepted":{"date-parts":[[2025,2,9]]},"published-print":{"date-parts":[[2025,2,18]]},"abstract":"<jats:p>Chronic Kidney Disease is characterized by progressive, persistent, and irreversible loss of kidney function, with a high prevalence and increasing trend in the population. An important observation, common to all recent studies, is the constant changes experienced by these individuals. Analytical changes, health status and the patient's preferences should be considered when planning anticipatory care at any phase of the disease. To comprehend the significance of the Anticipatory Care Plan for Patients with End-Stage Chronic Kidney Disease, a descriptive case report was conducted following the Case Report (CARE) guidelines. This case involves an 87-year-old male undergoing hemodialysis since 2020. His medical history includes diabetes, chronic wounds in the lower limbs, and frequent emergency room visits due to severe dyspnea and worsening of wound conditions. Upon observation, the patient appeared to be in significant distress, with generalized edema, skin the presence of respiratory noises and dyspnea, dry skin, and complaining of grade 7 pain in the lower limbs. The family had limited information about the situation. Symptomatic management of pain and dyspnea became imperative, alongside the determination of an appropriate anticipatory care plan. The case report highlights the necessity and importance of implementing an anticipatory care plan so that, even at the end of life, the wishes of the patient and their family are fulfilled, improving the quality of life for both. Developing the anticipatory care plan at an earlier stage, with the involvement of the patient, family, and healthcare professionals, is associated with improved patient comfort outcomes.<\/jats:p>","DOI":"10.21926\/obm.geriatr.2501298","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T01:36:52Z","timestamp":1739842612000},"page":"1-17","update-policy":"https:\/\/doi.org\/10.21926\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anticipatory Care Plan for End-Stage Chronic Kidney Patients \u2013 Case Report"],"prefix":"10.21926","volume":"09","author":[{"given":"Ana Marta","family":"Menezes","sequence":"first","affiliation":[]},{"given":"Dalila","family":"Silva","sequence":"additional","affiliation":[]},{"given":"Catarina","family":"Sim\u00f5es","sequence":"additional","affiliation":[]},{"given":"Rita","family":"Figueiredo","sequence":"additional","affiliation":[]}],"member":"9387","published-online":{"date-parts":[[2025,2,18]]},"reference":[{"key":"ref=1","doi-asserted-by":"crossref","unstructured":"Dos Santos PR, Mendon\u00e7a CR, Noll M, Borges CC, Alves PM, Dias NT, et al. Pain in hemodialysis patients: Prevalence, intensity, location, and functional interference in daily activities. Healthcare. 2021; 9: 1375.","DOI":"10.3390\/healthcare9101375"},{"key":"ref=2","unstructured":"Ribeiro IAD. Tradu\u00e7\u00e3o e valida\u00e7\u00e3o da escala Integrated Palliative Care Outcome Scale-Renal (IPOS-RENAL) para Portugal. Viana do Castelo: Instituto Polit\u00e9cnico de Viana do Castelo; 2019."},{"key":"ref=3","doi-asserted-by":"crossref","unstructured":"Santos RC, Melo GA, Silva RA, Silva FL, Viana J\u00fanior AB, Caetano J\u00c1. Relationship between the comfort level of chronic renal patients and sociodemographic and clinical variables. Rev Bras Enferm. 2020; 73. doi: 10.1590\/0034-7167-2020-0085.","DOI":"10.1590\/0034-7167-2020-0085"},{"key":"ref=4","doi-asserted-by":"crossref","unstructured":"Silva AJ, Fraz\u00e3o J, Pimenta R. Qualidade de vida na pessoa com insufici\u00eancia renal cr\u00f3nica em programa regular de hemodi\u00e1lise. Rev Enferm Ref. 2023; 6: e22113.","DOI":"10.12707\/RVI22113"},{"key":"ref=5","doi-asserted-by":"crossref","unstructured":"da Silva MR, de Moura LM, Barjud LL, Batista GS, da Silva Filho ML. Qualidade de vida de pacientes renais cr\u00f4nicos submetidos \u00e0 hemodi\u00e1lise: Uma revis\u00e3o integrativa. Braz J Health Rev. 2020; 3: 9344-9374.","DOI":"10.34119\/bjhrv3n4-172"},{"key":"ref=6","doi-asserted-by":"crossref","unstructured":"Carneiro B, Cabral D, Imagin\u00e1rio M, Imagin\u00e1rio C. Qualidade de vida do doente em terap\u00eautica de substitui\u00e7\u00e3o da fun\u00e7\u00e3o renal. RevSALU. 2023; 5: 19-20.","DOI":"10.51126\/revsalus.v5iSupii.673"},{"key":"ref=7","doi-asserted-by":"crossref","unstructured":"van der Willik EM, Meuleman Y, Prantl K, van Rijn G, Bos WJ, van Ittersum FJ, et al. Patient-reported outcome measures: Selection of a valid questionnaire for routine symptom assessment in patients with advanced chronic kidney disease-a four-phase mixed methods study. BMC Nephrol. 2019; 20: 344.","DOI":"10.1186\/s12882-019-1521-9"},{"key":"ref=8","doi-asserted-by":"crossref","unstructured":"Tavares AP, Santos CG, Tzanno-Martins C, Barros J, Silva AM, Lotaif L, et al. Kidney supportive care: An update of the current state of the art of palliative care in CKD patients. Bras J Nephrol. 2020; 43: 74-87.","DOI":"10.1590\/2175-8239-jbn-2020-0017"},{"key":"ref=9","doi-asserted-by":"crossref","unstructured":"Frandsen CE, Dieperink H, Detering K, Agerskov H. Patients' with chronic kidney disease and their relatives' perspectives on advance care planning: A meta\u2010ethnography. J Ren Care. 2022; 48: 154-167.","DOI":"10.1111\/jorc.12399"},{"key":"ref=10","doi-asserted-by":"crossref","unstructured":"Dias LM, Bezerra MR, Barra WF, Nunes R, Rego F. Planejamento antecipado de cuidados: Guia pr\u00e1tico. Rev Bio\u00e9t. 2022; 30: 525-533.","DOI":"10.1590\/1983-80422022303546en"},{"key":"ref=11","doi-asserted-by":"crossref","unstructured":"Song MK, Manatunga A, Plantinga L, Metzger M, Kshirsagar AV, Lea J, et al. Effectiveness of an advance care planning intervention in adults receiving dialysis and their families: A cluster randomized clinical trial. JAMA Netw Open. 2024; 7: e2351511.","DOI":"10.1001\/jamanetworkopen.2023.51511"},{"key":"ref=12","doi-asserted-by":"crossref","unstructured":"Stallings TL, Temel JS, Klaiman TA, Paasche-Orlow MK, Alegria M, O\u2019Hare A, et al. Integrating conservative kidney management options and advance care planning education (COPE) into routine CKD care: A protocol for a pilot randomised controlled trial. BMJ Open. 2021; 11: e042620.","DOI":"10.1136\/bmjopen-2020-042620"},{"key":"ref=13","doi-asserted-by":"crossref","unstructured":"Golombek T, Hegewald N, Schnabel A, Fries H, Lordick F. Stability of end-of-life care wishes and gender-specific characteristics of outpatients with advanced cancer under palliative therapy: A prospective observational study. Oncol Res Treat. 2024; 47: 189-197.","DOI":"10.1159\/000538112"},{"key":"ref=14","doi-asserted-by":"crossref","unstructured":"Rietjens JA, Sudore RL, Connolly M, van Delden JJ, Drickamer MA, Droger M, et al. Definition and recommendations for advance care planning: An international consensus supported by the European Association for Palliative Care. Lancet Oncol. 2017; 18: e543-e551.","DOI":"10.1016\/S1470-2045(17)30582-X"},{"key":"ref=15","doi-asserted-by":"crossref","unstructured":"Riley DS, Barber MS, Kienle GS, Aronson JK, von Schoen-Angerer T, Tugwell P, et al. CARE guidelines for case reports: Explanation and elaboration document. J Clin Epidemiol. 2017; 89: 218-235.","DOI":"10.1016\/j.jclinepi.2017.04.026"},{"key":"ref=16","unstructured":"Kolcaba K. Comfort theory and practice: A vision for holistic health care and research. New York, NY: Springer Publishing Company; 2003."},{"key":"ref=17","unstructured":"Sereno S, Matias D, Trindade IID, Ressurrei\u00e7\u00e3o JID, Ara\u00fajo RJCS, Fernandes SLT, et al. PPS PT - escala de avalia\u00e7\u00e3o do desempenho do doente em cuidados paliativos. Lisboa: Observat\u00f3rio Portugu\u00eas dos Cuidados Paliativos; 2022."},{"key":"ref=18","doi-asserted-by":"crossref","unstructured":"Anderson F, Downing GM, Hill J, Casorso L, Lerch N. Palliative performance scale (PPS): A new tool. J Palliat Care. 1996; 12: 5-11.","DOI":"10.1177\/082585979601200102"},{"key":"ref=19","unstructured":"Karnofsky DA, Burchenal JH. The clinical evaluation of chemotherapeutic agents in cancer. In: Evaluation of chemotherapeutic agents. New York, NY: Columbia University Press; 1949. pp. 191-205."},{"key":"ref=20","doi-asserted-by":"crossref","unstructured":"Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. J Chronic Dis. 1987; 40: 373-383.","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"ref=21","doi-asserted-by":"crossref","unstructured":"Castro MC. Reflections on end-of-life dialysis. Bras J Nephrol. 2018; 40: 233-241.","DOI":"10.1590\/2175-8239-jbn-3833"},{"key":"ref=22","doi-asserted-by":"crossref","unstructured":"Pereira LV, Pereira GD, Moura LA, Fernandes RR. Pain intensity among institutionalized elderly: A comparison between numerical scales and verbal descriptors. Rev Esc Enferm USP. 2015; 49: 804-810.","DOI":"10.1590\/S0080-623420150000500014"},{"key":"ref=23","unstructured":"Ferreira RFCC. Morte no domic\u00edlio em Portugal: A congru\u00eancia entre prefer\u00eancia e realidade e as caracter\u00edsticas associadas. Portugal: Universidade Cat\u00f3lica Portuguesa; 2018."},{"key":"ref=24","doi-asserted-by":"crossref","unstructured":"Gomes B, Sarmento VP, Ferreira PL, Higginson IJ. Estudo epidemiol\u00f3gico dos locais de morte em Portugal em 2010 e compara\u00e7\u00e3o com as prefer\u00eancias da popula\u00e7\u00e3o portuguesa. Acta Med Port. 2013; 26: 327-334.","DOI":"10.20344\/amp.429"},{"key":"ref=25","unstructured":"Sapeta P. Dor total vs sofrimento: A interface com os cuidados paliativos. Rev Dor. 2007; 1: 16-20."},{"key":"ref=26","doi-asserted-by":"crossref","unstructured":"Mansur HN, Damasceno VD, Bastos MG. Preval\u00eancia da fragilidade entre os pacientes com doen\u00e7a renal cr\u00f4nica em tratamento conservador e em di\u00e1lise. Bras J Nephrol. 2012; 34: 153-160.","DOI":"10.1590\/S0101-28002012000200008"},{"key":"ref=27","doi-asserted-by":"crossref","unstructured":"Davison SN, Levin A, Moss AH, Jha V, Brown EA, Brennan F, et al. Executive summary of the KDIGO controversies conference on supportive care in chronic kidney disease: Developing a roadmap to improving quality care. Kidney Int. 2015; 88: 447-459.","DOI":"10.1038\/ki.2015.110"},{"key":"ref=28","doi-asserted-by":"crossref","unstructured":"Rodrigues AC, David F, Guedes R, Rocha C, Oliveira HM. Fim de vida na doen\u00e7a renal terminal: Fatores associados ao local de \u00f3bito num programa de cuidados paliativos. Bras J Nephrol. 2023; 46: 93-97.","DOI":"10.1590\/2175-8239-jbn-2023-0015en"},{"key":"ref=29","unstructured":"Botelho ACACM. Integrar os cuidados paliativos nas doen\u00e7as n\u00e3o-oncol\u00f3gicas: Um artigo de revis\u00e3o. Portugal: Reposit\u00f3rio da Universidade de Lisboa; 2018."},{"key":"ref=30","doi-asserted-by":"crossref","unstructured":"Quinn KL, Wegier P, Stukel TA, Huang A, Bell CM, Tanuseputro P. Comparison of palliative care delivery in the last year of life between adults with terminal noncancer illness or cancer. JAMA Netw Open. 2021; 4: e210677.","DOI":"10.1001\/jamanetworkopen.2021.0677"},{"key":"ref=31","doi-asserted-by":"crossref","unstructured":"Bostwick D, Wolf S, Samsa G, Bull J, Taylor Jr DH, Johnson KS, et al. Comparing the palliative care needs of those with cancer to those with common non-cancer serious illness. J Pain Symptom Manage. 2017; 53: 1079-1084.","DOI":"10.1016\/j.jpainsymman.2017.02.014"},{"key":"ref=32","unstructured":"Freitas MFF. Determina\u00e7\u00e3o dos fatores discriminadores para referencia\u00e7\u00e3o de doentes n\u00e3o oncol\u00f3gicos para cuidados paliativos: Revis\u00e3o sistem\u00e1tica. Portugal: Universidade da Beira Interior; 2023."},{"key":"ref=33","doi-asserted-by":"crossref","unstructured":"Valenti V, Rossi R, Scarpi E, Dall'Agata M, Bassi I, Cravero P, et al. Identification of palliative care needs and prognostic factors of survival in tailoring appropriate interventions in advanced oncological, renal and pulmonary diseases: A prospective observational protocol. BMJ Open. 2023; 13: e065971.","DOI":"10.1136\/bmjopen-2022-065971"},{"key":"ref=34","unstructured":"Barbosa A, Pina PR, Tavares F, Neto IG. Manual de Cuidados Paliativos. 3rd ed. Lisbon, Portugal: Faculdade de Medicina da Universidade de Lisboa; 2016."},{"key":"ref=35","unstructured":"Folque A, Magalh\u00e3es D, Vaz Velho C. O cuidado nas profiss\u00f5es dedicadas ao bem-estar e desenvolvimento humano [Internet]. Evora, Portugal: Centro de Investiga\u00e7\u00e3o em Educa\u00e7\u00e3o e Psicologia da Universidade de \u00c9vora (CIEP|UE); 2018. Available from: https:\/\/dspace.uevora.pt\/rdpc\/bitstream\/10174\/25962\/1\/O_Cuidado_nas_profissoes_dedicadas_ao_be.pdf."},{"key":"ref=36","doi-asserted-by":"crossref","unstructured":"Pacheco LD, Santos GS, Machado R, Granadeiro DD, Melo NG, Passos JP. The nurse's effective communication process with the patient in palliative care. Res Soc Dev. 2020; 9: e747986524.","DOI":"10.33448\/rsd-v9i8.6524"},{"key":"ref=37","doi-asserted-by":"crossref","unstructured":"Figueiredo R, Menezes AM, Abreu E, do Carmo Fernandes M, Gon\u00e7alves L, Louren\u00e7o T. Protocolos de transmiss\u00e3o de m\u00e1s not\u00edcias utilizados em contextos de cuidados paliativos: Uma revis\u00e3o de literatura. J Invest Med. 2024; 5: 16-25.","DOI":"10.29073\/jim.v5i1.790"},{"key":"ref=38","doi-asserted-by":"crossref","unstructured":"Jimenez G, Tan WS, Virk AK, Low CK, Car J, Ho AH. Overview of systematic reviews of advance care planning: Summary of evidence and global lessons. J Pain Symptom Manage. 2018; 56: 436-459.e25.","DOI":"10.1016\/j.jpainsymman.2018.05.016"},{"key":"ref=39","doi-asserted-by":"crossref","unstructured":"Naik B, Singhai P, Damani A, Attur RP, Salins N, Naik P, et al. Development and validation of a questionnaire to explore preferences of patients, family caregivers, and kidney care providers on advance care planning in an end-stage kidney disease setting. Palliat Support Care. 2024; 22: 1232-1236.","DOI":"10.1017\/S1478951523001797"},{"key":"ref=40","unstructured":"dos Reis LM, dos Santos Carvalho AH, do Lago PN, Batista LM, Nobre VN. Compet\u00eancias de enfermagem ao paciente com insufici\u00eancia renal cr\u00f4nica. Rev Artigos Com. 2020; 23: e5484."}],"container-title":["OBM Geriatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.lidsen.com\/journals\/geriatrics\/geriatrics-09-01-298\/obm.geriatr.2501298.xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.lidsen.com\/journals\/geriatrics\/geriatrics-09-01-298","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T10:34:33Z","timestamp":1761734073000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.lidsen.com\/journals\/geriatrics\/geriatrics-09-01-298"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,18]]},"references-count":40,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2025]]},"published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.21926\/obm.geriatr.2501298","relation":{},"ISSN":["2638-1311"],"issn-type":[{"type":"electronic","value":"2638-1311"}],"subject":[],"published":{"date-parts":[[2025,2,18]]}}}