Dr Elizabeth Stallworthy is a renal physician with an interest in renal supportive care working in Auckland, New Zealand. Dr Stallworthy has a clinical diploma in palliative medicine from the Royal Australasian College of Physicians (RACP). She authored the advance care planning section of the 2013 ANZSN renal supportive care guidelines. Dr Stallworthy has been teaching communication skills to post-graduate health care professionals since 2013, initially with the New Zealand Advance Care Planning Cooperative and more recently on the CSI-Nephro and RACP palliative care communications skills courses. She has been running a clinic for people with stage 5 chronic kidney disease who are not having dialysis since mid-2014.
Palliative Care In Renal Disease
Not everyone with end-stage kidney disease will benefit from dialysis and some of those who might benefit choose not to proceed with dialysis. Not dialysing someone with end-stage kidney disease can be confused with not caring for them and/or not treating them. At Auckland DHB we run a multidisciplinary clinic to keep people who are not having dialysis as well as possible for as long as their own kidneys last them. We focus on treating complications of chronic kidney disease, managing symptoms of kidney disease and comorbid conditions, preventing and treating reversible illness, advance care planning and patient and family support. We have found that support with home visits and telephone advice at the end-of-life has been important for people dying at home and the family members caring for them.