A 55-year-old Aboriginal woman with long-standing type 2 diabetes and stage 4 CKD lives in a remote community. Dialysis services are 400 km away. She ...

Question

A 55-year-old Aboriginal woman with long-standing type 2 diabetes and stage 4 CKD lives in a remote community. Dialysis services are 400 km away. She asks about options to manage her kidney disease while staying on Country. Which option should be discussed as part of culturally appropriate shared decision-making?

Accepted Answer

Peritoneal dialysis at home with community nursing support

Answer

No renal replacement therapy is available in remote settings

Answer

Only in-centre haemodialysis is possible in a metropolitan hospital

Answer

Immediate kidney transplant without assessment

Answer

Stopping all medications to avoid dialysis

au-racgp MCQ (SBA): Renal replacement options in remote Aboriginal communities