RT Journal Article SR Electronic T1 Supporting and maintaining the frail patient on long-term renal replacement therapy JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 139 OP 141 DO 10.7861/clinmed.2019-0416 VO 20 IS 2 A1 Louise Ryan A1 Edwina Brown YR 2020 UL http://www.rcpjournals.org/content/20/2/139.abstract AB The number of frail patients reaching end-stage kidney disease is increasing. They have a high level of comorbidity and symptom burden which need to be considered when making management plans. For those who choose renal replacement therapy, it is important to establish goals and ceilings of care and to provide holistic care focusing on optimising quality of life. Advance care planning is the process of documenting the patient's preferences for their treatment in the event they lose capacity to make decisions about their treatment.