**6.1 Prevention of withdrawal from dialysis**

Indeed, it is important to early recognize those who are at high risk for withdrawal from dialysis to provide them with other solutions, eliminate the potential barriers, and facilitate taking an informed decision. Nurses and physicians are well positioned to provide early intervention for underlying factors, to educate patients about their care, and to provide a comprehensive approach to care. Regardless of the patient's decision, it is unethical to leave patients after their withdrawal from dialysis to suffer from pain and other complications. Since the beginning of their treatment, patients on dialysis and their families should be informed about the possibility of withdrawal from dialysis and the consequences of this option [121]. Therefore, clinicians can offer a good palliative and end-of-life care by alleviating the symptoms and pain management.
