Abstract：
Implementing Advance Care Planning (ACP) for patients with End-Stage Kidney Disease (ESKD), particularly in the context of hemodialysis, presents significant challenges. Despite existing legal frameworks, disparities in advance care planning practices are evident across Europe. The present perspective introduces a multidisciplinary model, initiated in 2019. This model incorporates a specialized team comprising a nephrologist, a psychologist, a palliative care specialist, and an anesthesiologist/intensivist. Through this collaborative approach, we aimed to comprehensively address the intricate medical, emotional, and psychological dimensions in advance care planning. In this point of view, we discuss the strengths of our model, its potential for European Nephrology, and advocate for guidelines to enhance advance care planning implementation within the nephrology community.
摘要：
为终末期肾病（ESKD）患者实施高级护理计划（ACP），特别是在血液透析的背景下，提出了重大挑战。尽管现有的法律框架，在整个欧洲，提前护理计划实践的差异很明显。目前的观点引入了多学科模型，始于2019年。该模型包含一个由肾脏病学家组成的专业团队，一个心理学家,姑息治疗专家,和麻醉师/强化医生。通过这种合作方式，我们的目标是全面解决复杂的医疗问题，情感,和心理维度在预先护理计划中的应用。从这个角度来看,我们讨论我们模型的优势，它对欧洲肾脏病学的潜力，并倡导指南，以加强肾脏病学社区的预先护理计划实施。
