3 Treatment and care planning

3 Treatment and care planning

3.1 Discuss the risks, benefits and likely outcomes of treatment options with patients with COVID‑19, and their families and carers. This will help them make informed decisions about their treatment goals and wishes, including treatment escalation plans where appropriate. Use decision support tools (when available) and document discussions and decisions clearly.

3.2 Find out if patients have advance care plans or advance decisions to refuse treatment, including 'do not attempt cardiopulmonary resuscitation' decisions, and take account of these in planning care.

3.3 For support with decision making, see ethical guidance from the British Medical Association, the Royal College of Physicians and the General Medical Council.

3.4 Monitor patients for the development or progression of chronic kidney disease for at least 2 to 3 years after acute kidney injury, in line with the NICE guideline on chronic kidney disease in adults: assessment and management. There is guidance on care after hospital discharge in Think Kidneys guidance on transition and post-discharge care.