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Palliative Care Report

The Ontario Renal Network Palliative Care Report focuses on people with advanced kidney disease (CKD). In alignment with the Ontario Palliative Care Network (OPCN), it provides a provincial framework to guide the integration of palliative care into chronic kidney disease care.

The report also recommends how to implement the framework within Regional Renal Programs in Ontario.


  • Educate providers, patients and families about the benefits of a palliative approach to care for people living with chronic kidney disease to strengthen service capacity and build awareness.
  • Strengthen system accountability by establishing local clinical champions within nephrology in the Regional Renal Programs to support a palliative approach to care.
  • Support shared understanding of palliative care needs through common terminology among providers across care settings; facilitate clear communication and terminology that is recognizable to patients and families.
  • Introduce conversations about advance care planning and goals of care early; create accountability to support and review these goals with patients regularly through their care journey.
  • Adopt a standard approach to identify who may benefit from a palliative approach to care, to assess symptoms and to manage care.
  • Develop key performance indicators to measure progress.