HOME DIALYSIS | Peritoneal and Hemodialysis | Factors and Advisory

November 3, 2020

HOME DIALYSIS | Peritoneal and Hemodialysis | Factors and Advisory

What is Home Dialysis?

It is dialysis done at home, instead of in a dialysis center. Home dialysis is done by the patient and/or care partner. The patient and care partner are trained and supervised by professional nurses to do dialysis treatments on their own.

Some basic requirements for Home Dialysis:

Ability to learn and adapt– You must be able and willing to learn how to do home dialysis on your own. Your dialysis provider offers an intensive training program that will help you. Dialysis care partners learn how to perform treatments on a regular basis.
Dexterity and vision– You must have adequate manual dexterity and vision to operate the equipment, complete necessary paperwork, order supplies, and perform other basic home dialysis-related tasks.
Reading and writing– Patients must have basic reading and writing skills in order to read training manuals, order supplies, and complete some simple but important paperwork. One of the most important elements of performing home dialysis is recording basic information on each and every treatment so that your physician and dialysis provider can monitor and make adjustments to your care as needed.
Home equipment and modifications– Home dialysis require an adequate place to perform treatments, along with the proper equipment and supplies, as necessary. Some homes might require plumbing and/or electrical modifications to accommodate home treatment (which might be covered by insurance). The type of dialysis treatment determines the type of supplies, equipment, and modifications that are necessary.
Initiative and motivation– In order for treatments to be effective, a patient or caregiver needs to have a strong desire to take greater responsibility for patient care and closely follow their training and physician guidelines. Learning about the proper techniques, how to use the equipment, maintaining a sanitary environment and all the other elements of at-home dialysis takes time, but with the right dedication, you’ll find it’s worth it.

Can you perform dialysis at home without assistance?

There are multiple at-home dialysis treatment options. Many patients perform peritoneal dialysis at home with no assistance. In general, most home hemodialysis patients must have a dialysis partner who can assist them with their treatments. This can be a spouse, parent, child, professional caregiver, or another responsible individual who can be relied upon to provide support.
Friends or family members usually serve as a dialysis partner, but patients also have the option of hiring a dialysis nurse or technician. Another option patients can take advantage of is to identify a roommate or neighbor who also wants to undergo at-home dialysis and serve as each other’s dialysis partner. By working with a trained technician or with another dialysis patient, many patients find at home dialysis even easier.

Types of Home Dialysis:

HOME PERITONEAL DIALYSIS is a way to remove waste products from your blood when your kidneys can’t adequately do the job any longer. This procedure filters the blood in a different way than does the more common blood-filtering procedure called hemodialysis.
HOME HEMODIALYSIS blood is removed from the body, filtered through a machine, and then the filtered blood is returned to the body and can be done .

Factors of Peritoneal Dialysis:

Factors affect how well peritoneal dialysis works in removing wastes and extra fluid from your blood. These factors include:

Your size
How quickly your peritoneum filters waste
How much dialysis solution you use
The number of daily exchanges
Length of dwell times
The concentration of sugar in the dialysis solution

Factors of Hemodialysis:

Risks factor associated with hemodialysis treatments in any environment include:

High blood pressure
Fluid overload
Low blood pressure
Heart-related issues
Vascular access complications

Benefits of peritoneal dialysis compared with hemodialysis include:

Greater lifestyle flexibility and independence – These can be especially important if you work, travel, or live far from a hemodialysis center.
A less restricted diet – Peritoneal dialysis is done more continuously than hemodialysis, resulting in less accumulation of potassium, sodium, and fluid. This allows you to have a more flexible diet than you could have on hemodialysis.
Longer lasting residual kidney function – People who use peritoneal dialysis might retain kidney function slightly longer than people who use hemodialysis.

IMPORTANT ADVISORY:

You can improve your dialysis results and your overall health by eating the right foods. A dietitian can help you develop an individualized meal plan. Your diet will be based on your weight, your personal preferences, and your remaining kidney function. Other medical conditions, such as diabetes or high blood pressure.

Taking your medications as prescribed also is important for getting the best possible results. While receiving peritoneal dialysis, you’ll likely need various medications to control your blood pressure. Stimulate the production of red blood cells, control the levels of certain nutrients in your blood. Prevent the buildup of phosphorus in your blood.

References:

kidney.org/coronavirus/dialysis-covid-19

https://www.freseniuskidneycare.com

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