School of Nursing


Doctor of Nursing Practice (DNP)


Brenda Jesse


palliative care, goals of of care, quality of life, end-stage renal disease, improve symptom management


Medicine and Health | Nursing


End-stage renal disease is a rising health care problem effecting greater than 10% of the US population. there are 700,000 patients in dialysis in the U.S who are characterized by multiple comorbidities and increasing, distressing symptom burden. The need for palliative care for patient with end-stage renal disease is becoming standard of care due to their complex medical needs and high symptom burden. The aim of this integrative review investigated the incorporation of palliative care will improve the quality-of-life of patients with end-stage renal disease once introduced in their care. While palliative care provides an ideal opportunity to assess the wellness factors associated with advanced renal disease, it has been sub-optimally utilized for patients with advanced renal disease, which results in a higher rate of hospitalizations and thus causes increased patient suffering and a poorer quality of life. The goal conducting this integrative review was to prove the need for integration of palliative care for patients with advanced renal disease to improve their overall care—including physical, mental, and psychosocial needs.