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WHAT IF I CANNOT DECIDE
                “ Is the option                                                        “Is the onset
                                             If you cannot decide, you can opt

            of dialysis a burden             for a trial of dialysis. It can be    of end stage kidney
                                             for 6 weeks, 3 months or
              to be faced or an              whatever you decide with your         disease a sign that
                                             doctor. After a trial, you may
               opportunity to                decide to continue with dialysis     natural life is coming
                                             or discontinue dialysis
                prolong life?“               altogether.                                 to an end?





        IS THERE ANYONE ELSE
        I SHOULD TALK TO

        Some people find it helpful to talk
        through their thinking with a social
        worker, psychologist, counsellor or a
        representative from their faith
        community, e.g. vicar, priest.













                 POSSIBLE REASONS WHY PEOPLE MAY OPT NOT TO HAVE DIALYSIS


          — Age / Fraility — “Am I too old?”
          — Co–morbidity — “I already have heart disease, or diabetes, or chronic lung disease or many other
            conditions.”
          — Malignancy — I have cancer. How will dialysis affect that?
          — Psycho social issues — “I live alone, how will I manage?  Who will help  me?”


            Many patients with some, or all of these questions, do quite well on dialysis, so use this list to help
          you make the right decision, rather than to steer you away from dialysis.
            No one can predict the specific time/date of death of another, but it may be helpful to ask your doctor
          how long you might be reasonably expected to live with or without dialysis.



                                      KEY QUESTIONS TO KEEP IN MIND



        ■    Do I not want to have treatment or stop treatment?

        ■    Do I fully understand what will happen if I decide not to have treatment or stop treatment?

        ■    Have I discussed this with my family?

        ■    Are my consultant and family clear about what I want or do not want done should my

             condition deteriorate suddenly?

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