For a variety of reasons, sometimes patients are unable, or choose not to receive dialysis or a transplant when their kidneys fail. There is much that can be done these days to improve symptoms of kidney disease for those patients not on specific renal replacement therapy.
Conservative care focuses on a patient’s quality of life, rather than initiating medical interventions which may not be appropriate in some cases. This approach involves treating anaemia with erythropoietin, dietary changes and sometimes medication to control symptoms. This happens alongside discussions with the patient regarding their wishes for their healthcare for the future.