Outcomes of a Palliative Care Intervention to Improve Kidney Therapy Decision-Making for Older People With Advanced Chronic Kidney Disease (CKD)

Changes in Kidney Therapy Decision-Making Process using the Decisional Conflict Scale at 4-6 weeks

The investigators are conducting a study to see if an educational program called Chronic
 Kidney Disease-Education (CKD-EDU) can help make better kidney therapy decisions and improve
 the well-being of older adults. Investigators are also investigating if this program can
 reduce the number of hospital or emergency room visits in the first 6 months of the study, as
 well as potentially improve end-of-life care for older adults.
 
 Half of the participants will receive the CKD-EDU intervention, while the other half will
 continue with their usual nephrology care. Investigators will compare the two groups to see
 if participants who received the intervention feel better prepared about their kidney therapy
 decisions, experience improved end-of-life care, and have fewer emergency room visits,
 hospital admissions,
 
 Participants in the intervention group will get information about kidney disease treatment
 and meet with a palliative care specialist who's an expert in decision-making.