Will I be able to stick the needles into my arms myself (cannulation)?
This is typically a patient’s greatest concern. With experienced trainers, you will be able to overcome the fears of cannulation and successfully become your own cannulator. To date everyone in our home program has successfully learned the art of cannulation.
How do I overcome problems or emergencies that may occur while I am on dialysis?
You are not alone. Your health care team at HDC will provide you with technical support, cell numbers for your nurses and “24” hour access to your doctor. Your dedicated home training nurse will train you to troubleshoot potential problems and to safely disconnect yourself from the machine in the event of an emergency.
Do I need to change my doctor?
NO. You can remain under the care and supervision of your own physician
What are the different types of home dialysis options?
There are two different daily home hemodialysis options:
- Short Daily Dialysis : This type of dialysis is done 2.5 to 4 hours per treatment, 4 to 5 times per week while you are awake. Short daily dialysis is better than three times a week dialysis because the blood is cleaned and the toxins are removed more regularly. In doing so the fluid gains between dialysis treatments are better controlled. Excessive fluid gain is one of the main reasons for higher mortality rates (death) in dialysis patients.
- Nocturnal Home Hemodialysis : This type of dialysis is performed 6 to 8 hours, every other night and up to 6 times per week while asleep. Nocturnal home dialysis is more like normal kidney function because it is done for longer periods of time and more often. It is the form of hemodialysis that delivers the greatest toxin removal.
- Peritoneal Dialysis (PD) : PD is a home dialysis treatment that uses the patient’s peritoneum (a membrane) in the abdomen to exchange fluids and dissolve substances from the blood. Fluid is introduced through a permanent tube in the abdomen and flushed out either every night while the patient sleeps (automatic peritoneal dialysis) or via regular exchanges throughout the day (continuous ambulatory peritoneal dialysis). PD is used as an alternative to hemodialysis.
These home dialysis modalities offer the highest quality of dialysis and significant improvement in quality of life!
Why should I consider home dialysis?
TO GAIN IMPROVED QUALITY OF LIFE
- Independence and flexibility to schedule treatments based on your lifestyle
- Enhanced professional and social life and more time with your family
- Freedom to personalize treatments
- Travel with your dialysis by taking a portable machine with you
- Fewer medicines such as blood pressure medication & phosphate binders
- More energy & better sense of “well being”
- Improved sexual function
- Decreased fluid and renal diet restriction
- Improved quality of sleep (Sleep Apnea)
- Less hospitalization
- Improvement and reversal of dialysis related complications such as blood pressure
- Control, phosphate removal, bone density…
- Improved nutritional status with a more liberal diet
- Less depression
Who should consider home dialysis?
- Patients who want the best survival and health related quality of life
- Patients who would like the freedom to travel
- Patients who have certain medical problems such as painful neuropathy or sleep disorders
- Patients who want more independence, flexibility and control of their treatment
- Patients who travel long distances to get dialysis