Publications by authors named "Pascale Lefuel"

Due to the high morbidity and mortality with limited life expectancy of dialysis patients, it is essential to implement advance care planning in order to know patients' values and care preferences and respect their autonomy. However, advance care planning is rarely carried out, due to the difficulties in initiating end-of-life discussions, both by patients and healthcare professionals. The use of "serious games" in the form of card games has shown promise in supporting the implementation of advance care planning.

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Introduction: Chronic kidney disease (CKD) is an evolutive disease. In its early stages the disease often goes asymptomatic and unrecognized. For CKD patients, disease awareness is usually late, with the occurrence of the first symptoms.

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Chronic kidney disease (CKD) usually goes unrecognized for patients until late symptomatic stages. In preterminal CKD, extrarenal substitution methods are usually presented to patients. This is felt like a breakdown, implying major modifications of everyday life.

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