[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-635162-105":59,"doc-detail-635162-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","if-you-choose-not-to-start-dialysis-treatment","IF YOU CHOOSE NOT TO START DIALYSIS TREATMENT","","This booklet addresses common questions about choosing not to start dialysis for people with kidney failure. It explains that patients may decide based on whether burdens outweigh benefits, and describes options for naming a surrogate through advance directives or healthcare proxy documents. It also covers how clinicians help patients consider treatment, including possible trial periods, how to discuss the decision with loved ones, and expected outcomes such as uncertain life expectancy and symptom management for comfort.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/if-you-choose-not-to-start-dialysis-treatment/635162/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/if-you-choose-not-to-start-dialysis-treatment/635162.png","ImageObject",300,407,{"name":92,"@type":93},"OKfine","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-10","2026-10-22",true,{"@type":102,"interactionType":103,"userInteractionCount":19},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Can I decide not to start dialysis treatment?","Question",{"text":112,"@type":113},"Yes. You have the right to decide not to start dialysis if you believe the burdens outweigh the benefits. If you cannot make the decision, a surrogate can decide for you.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How can I name someone to be my surrogate?",{"text":117,"@type":113},"Name a surrogate by completing an advance directive, a healthcare proxy, or a durable healthcare power of attorney. Make sure the person is willing to act and clearly share your wishes, values, and directions about dialysis or other treatments.",{"name":119,"@type":110,"acceptedAnswer":120},"Will my doctor help me decide whether to start treatment?",{"text":121,"@type":113},"Yes. Your doctor will explain what dialysis involves and what choosing not to start would mean. You may also receive emotional support and advice, but the final decision remains with you or your surrogate.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},635162,1793116061,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":19,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":36,"preview_page_count":4},962093957596,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","IF YOU CHOOSE NOT TO START DIALYSIS TREATMENT  \n[www.kidney.org](www.kidney.org)  \nFor many people with kidney failure, dialysis helps them live longer and improves their quality of life. But for some people, the improvement they feel may be a lot more limited—often because of their serious health problems. It is important to know that in such a situation, you have the right to decide not to start dialysis. Before making a decision, however, you should discuss your thoughts carefully with people you trust and seek advice from your doctor or other healthcare provider, family member(s), your lawyer or others who have your best interests at heart. This booklet has been written to answer some general questions you may have about the choice not to start dialysis.  \nCan I really decide not to start dialysis treatment?  \nYes. You have the right to decide not to start dialysis if you feel that the burdens outweigh the benefits to you. If you are not able to make this kind of decision, someone (such as a family member, lawyer, etc.) can make this decision on your behalf. The person you name to make such decisions is called your surrogate. (See next question.)  \n2 NATIONAL KIDNEY FOUNDATION  \nHow do I go about naming someone to be my surrogate?  \nA surrogate is someone you choose to make decisions for you if you are notable to make them yourself. Naming a surrogate is done by filling out a form known as an advance directive, a healthcare proxy, or a durable healthcare power of attorney. It is important to make sure the person you name is willing to act on your behalf. It is also very important that you tell the person about your wishes and values so that he or she can make the decisions you would make if you were not able to speak for yourself. It will be helpful to your surrogate if you give clear directions on your advance directive form about dialysis and/or other medical treatments you would want or not want.  \nWWW. KIDNEY.ORG 3  \nThe role and responsibilities of the surrogate, as well as the types of decisions the surrogate may make, vary from state to state, depending on the laws of each state. Generally, the surrogate must follow your wishes. For more information about naming a surrogate and about the laws in your state, you may want to speak with an attorney or your local or state bar association. You may also obtain copies of the forms used in your state by calling or writing to the:  \nNational Hospice and Palliative Care Organization, 1731 King Street, Suite 100, Alexandria, VA, 22314; phone:  \n800.646.6460 or 703.837.1500; [www.nhpco.org](www.nhpco.org). (Also see the National Kidney Foundation booklet Advance Directives: A Guide for Patients and Their Families.)  \nWill my doctor help me decide whether to start treatment?  \nYes. Your doctor will speak with you about what dialysis treatment involves and what deciding not to start dialysis would mean for you. While you try to make this decision, you may also want to get advice from people who provide emotional support to you and your loved ones and other trained professionals, such as your social  \n4 NATIONAL KIDNEY FOUNDATION  \nworker. However, the final decision about starting or not starting treatment remains with you or your surrogate.  \nSuppose I am not sure whether dialysis could help me?  \nSometimes it may not be clear whether the benefits of dialysis outweigh the burdens. Each person’s situation is different. If you are uncertain, you may be able to start treatment fora trial period—for example, one to three months. During and after the trial period, your doctor and the other members of your dialysis team will talk with you about how you are feeling and coping with the treatment routine. Ask as many questions as you need to help with your decision to continue or to stop treatment.  \nHow do I discuss this decision with my family and friends?  \nMany people find it difficult to  \ntalk about whether or not to start treatment, and they worry about how others will feel and re","cbCaihOyaA8anp9l","https://ap.wps.com/l/cbCaihOyaA8anp9l","pdf",352468,16,"English","# For many people, dialysis can help—but not always\n## Your right to decide not to start dialysis\n## Naming a surrogate (advance directives)\n## Discussing the decision with your doctor","[{\"question\":\"Can I decide not to start dialysis treatment?\",\"answer\":\"Yes. You have the right to decide not to start dialysis if you believe the burdens outweigh the benefits. If you cannot make the decision, a surrogate can decide for you.\"},{\"question\":\"How can I name someone to be my surrogate?\",\"answer\":\"Name a surrogate by completing an advance directive, a healthcare proxy, or a durable healthcare power of attorney. Make sure the person is willing to act and clearly share your wishes, values, and directions about dialysis or other treatments.\"},{\"question\":\"Will my doctor help me decide whether to start treatment?\",\"answer\":\"Yes. Your doctor will explain what dialysis involves and what choosing not to start would mean. You may also receive emotional support and advice, but the final decision remains with you or your surrogate.\"}]","IF YOU CHOOSE NOT TO START DIALYSIS TREATMENT | PDF",1792675419]