Legal considerations at the end of life.

Abstract

Patients with end stage renal disease (ESRD) and their families face questions related to dying that are touched by legal mandates. This article addresses patients' legal rights and the nurse's role in advocating for these rights. Advance directives, competency to make health care decisions, assisted suicide, disability law, and the duty to provide reasonable and safe care are specific areas discussed in the article. Nurses must become familiar with legal requirements; communicate effectively with patients, families, and other caregivers; provide care that falls within the standard of care expected of nephrology nurses; and advocate for policies that enhance ESRD patient care.