Kidney function declines naturally with age, and older adults often live with diabetes, high blood pressure, heart disease, and several medications at the same time. Geriatric nephrology weighs these factors carefully. The aim is to protect kidney function, avoid medicines that harm the kidneys, and decide with the patient and family whether dialysis will improve quality of life.

Older patients who look for a nephrologist in Kandivali can visit the nearest Apex nephrology department through the Kandivali appointment desk. For some patients, treatment focuses on medicines, diet and symptom control rather than starting dialysis. When dialysis is chosen, the plan considers frailty, fluid tolerance, vascular access and the patient's wishes. Risks include low blood pressure during dialysis, falls, infection and the burden of frequent hospital visits, all of which we discuss honestly.

Apex provides the following geriatric nephrology services:

• Kidney Function Review: Apex monitors kidney function and adjusts medicines that can harm ageing kidneys.
• Blood Pressure and Diabetes Control: Apex manages the conditions that most often damage the kidneys in later life.
• Dialysis Planning: Apex helps older patients and families decide whether and when to start dialysis.
• Nutrition and Rehabilitation: Apex provides regular nutritional assessments and an individualised rehabilitation programme.