Inclusion Criteria:  Patients  Adults aged ≥75 years Diagnosis of advanced CKD as defined as having at least 2 outpatient measures of eGFR <25 ml/min/1.73m2 separated by >90 days in the prior year and with at least 1 of these measures of eGFR <20 ml/min/1.73m2 Must be english-speaking  Close persons  Adults aged ≥18 years Must assist patient with their kidney disease care Must be English-speaking  Exclusion Criteria:  -Patients and Close Person  • Unable to provide informed consent