Communication is the best way to care for a patient. Take into effect empathy as well. Just remember not only is the person your patient but also their family are too. Take time with each person and possibly just by holding their hands and sitting silently is a way to show you are there for them.
I worked in dialysis for four years. I do know that prevention was always on top to prevent CRF. Hopefully, President Trump realizes that if he tries to reclassify any of the diseases associated with CRF, medicare may not pay for the HD or PD treatment.