Patients with advanced chronic kidney disease (CKD) who are older, frail and have multiple comorbidities with poor functional status are increasing in numbers. Patients with advanced CKD with or without dialysis are suffering from high symptom burden and if untreated leads to a decreased quality of life (QoL). Integration of palliative care in CKD care had demonstrated to be effective in addressing the high symptom burden of the CKD population. Renal Supportive Care (RSC) is a nurse-led model of care which has been developed to address the palliative care needs of the CKD population.