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Case Reports in Nephrology
Volume 2015, Article ID 478783, 3 pages
Case Report

Palliative Care for a Mentally Incompetent End Stage Renal Failure Patient: Why Is It Important?

1Palliative Medical Unit, Grantham Hospital, Wong Chuk Hang, Hong Kong
2Renal Unit, Department of Medicine, Tung Wah Hospital, Sheung Wan, Hong Kong

Received 6 October 2014; Revised 23 February 2015; Accepted 24 February 2015

Academic Editor: Władysław Sułowicz

Copyright © 2015 Kwok-Ying Chan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


People with intellectual disabilities are among the most disadvantaged groups in society. Here we report a mentally incompetent end stage renal failure (ESRF) patient with frequent emergency visits who made a significant improvement in symptoms control and reduction in casualty visits after introduction of renal palliative care service. Multidisciplinary approach would be useful in this case.