This is a compact but detailed guide on palliative care and treatment of renal failure in the terminal stage. The book will be very helpful for doctors and nurses. I was impressed by this expanded and updated second edition from OUP's Specialist Handbooks in End of Life Care series. Tightly written in bullet-point form, there is a wealth of information here. Besides the basic nephrology and the co-morbidities, there are chapters on the treatment of pain and other symptoms and another on modifying drug doses in chronic renal failure. But what I really liked were the chapters on communication (including listening), recognising dying, how to deliver good palliative care, ethical considerations, spirituality, as well as bereavement. There is an integrated care pathway for end of life care, modified for the management of patients with end-stage renal failure This book is an excellent handbook on a complex group of patients. It gives guidance to renal and palliative specialists who care for patients with advanced kidney disease. In the end stages of the disease this would be a good tool to utilize alongside the Liverpool Care Pathway.