Anticipatory Care Plan for End-Stage Chronic Kidney Patients – Case Report

Chronic Kidney Disease is characterized by progressive, persistent, and irreversible loss of kidney function, with a high prevalence and increasing trend in the population. An important observation, common to all recent studies, is the constant changes experienced by these individuals. Analytical changes, health status and the patient's preferences should be considered when planning anticipatory care at any phase of the disease. To comprehend the significance of the Anticipatory Care Plan for Patients with End-Stage Chronic Kidney Disease, a descriptive case report was conducted following the Case Report (CARE) guidelines. This case involves an 87-year-old male undergoing hemodialysis since 2020. His medical history includes diabetes, chronic wounds in the lower limbs, and frequent emergency room visits due to severe dyspnea and worsening of wound conditions. Upon observation, the patient appeared to be in significant distress, with generalized edema, skin the presence of respiratory noises and dyspnea, dry skin, and complaining of grade 7 pain in the lower limbs. The family had limited information about the situation. Symptomatic management of pain and dyspnea became imperative, alongside the determination of an appropriate anticipatory care plan. The case report highlights the necessity and importance of implementing an anticipatory care plan so that, even at the end of life, the wishes of the patient and their family are fulfilled, improving the quality of life for both. Developing the anticipatory care plan at an earlier stage, with the involvement of the patient, family, and healthcare professionals, is associated with improved patient comfort outcomes.