Dialysis

One major advantage of dialyzing at home is that you can dialyse more frequently with comfort and ease. Researches show that hemodialysis, when done more frequently, over longer durations and more gently (at low pump speeds and ultrafiltration rates) is much better for the body overall in terms of both short term and long term outcomes. It becomes little difficult to go to a hospital or center every day of the week for long hours. This is much easier when done at home.

It is extremely important however, to get your doctor’s consent before switching to hemodialysis. This modality, though closest to ideal, may not be suited to you. Talk to your nephrologist about this and get his/her consent before you think about switching.

There are two main types of dialysis that can be performed at home: hemodialysis and peritoneal dialysis.

Hemodialysis at home

• Uses a machine to filter your blood outside of your body.
• You will need to have a special access point created in your arm or leg for the needles that connect you to the machine.
• Treatments typically last for 3-4 hours and are done 3-5 times per week.
• You can also do shorter, more frequent treatments at home (daily or nightly).

Peritoneal dialysis at home

• Uses a special fluid (dialysate) that is filtered through the lining of your abdomen to remove waste products from your blood.
• A catheter is surgically placed in your abdomen to allow the fluid to enter and leave.
• There are two main types of peritoneal dialysis:
  • Continuous ambulatory peritoneal dialysis (CAPD): involves exchanges of dialysate fluid several times a day.
  • Automated peritoneal dialysis (APD): uses a machine to cycle the dialysate fluid in and out of your abdomen while you sleep.

Benefits of home dialysis:

• More flexible schedule than in-center dialysis
• May improve energy levels and quality of life
• May allow for more freedom and independence