Can you do dialysis at home?
Yes, AT HOME DIALYSIS dialysis can be done at home, and there are two primary types of dialysis that can be performed in a home setting: peritoneal dialysis (PD) and home hemodialysis (HHD).
- Peritoneal Dialysis (PD) at Home: As mentioned earlier, peritoneal dialysis is a type of dialysis that uses the peritoneal membrane in the abdomen as a natural filter. PD can be performed at home, and patients or their caregivers can learn how to do the exchanges manually or by using a cycler machine (Automated Peritoneal Dialysis – APD). PD at home offers increased flexibility and independence for patients, as it can be done on their schedule without the need to travel to a dialysis center. It is a continuous process, with several exchanges throughout the day and night to keep the blood clean.
- Home Hemodialysis (HHD): Home hemodialysis involves performing hemodialysis at home, where patients or their caregivers are trained to operate a hemodialysis machine. The process is similar to in-center hemodialysis, where blood is pumped out of the body, cleaned through a dialyzer, and then returned to the body. HHD can be done more frequently than traditional in-center hemodialysis, often several times a week, but for shorter durations per session.
While both PD and HHD can be done at home, it’s essential to consider individual medical conditions, lifestyle, and support availability when choosing the appropriate modality. Not all patients are suitable candidates for home dialysis, and the decision should be made in consultation with a healthcare team specialized in kidney care.
Home dialysis offers some benefits, such as increased independence, the ability to follow a more flexible schedule, and potential improvements in overall quality of life. However, it also requires a higher level of responsibility, as patients or caregivers will need to be trained to handle the dialysis equipment, manage supplies, and maintain a clean environment to reduce the risk of infection. Regular follow-ups with the healthcare team are necessary to ensure the dialysis treatments are effective and safe. The government is working toward providing efforts to support dialysis in home… READ MORE
Dialysis treatment is a life-saving therapy for those with kidney failure, as it helps maintain proper fluid and electrolyte balance in the body and prevents the buildup of harmful waste products. However, it is essential to follow the prescribed treatment plan, adhere to dietary restrictions, and attend regular medical check-ups to ensure the effectiveness and safety of the dialysis treatments.
Peritoneal dialysis at home
Peritoneal dialysis (PD) at home is a method of renal replacement therapy used for individuals with kidney failure or end-stage renal disease (ESRD). It is a type of dialysis that involves removing waste products and excess fluids from the blood when the kidneys are no longer able to perform this function effectively.
The peritoneal dialysis process utilizes the peritoneal membrane, a thin lining that surrounds the abdominal organs, as a natural filter. During PD, a special sterile solution called dialysate is introduced into the abdominal cavity through a catheter that is surgically placed in the abdomen. The dialysate remains in the peritoneal cavity for a prescribed amount of time, allowing waste products, toxins, and extra fluids from the bloodstream to move across the peritoneal membrane and into the dialysate solution.
After the dwell time, the used dialysate is drained out of the abdomen, carrying the waste and excess fluids with it. Then, fresh dialysate is infused for the next cycle, and the process continues throughout the day and night.
There are two primary types of peritoneal dialysis:
- Continuous Ambulatory Peritoneal Dialysis (CAPD): CAPD involves manual exchanges of the dialysate by the patient or a caregiver. The patient performs several exchanges during the day and one exchange before going to bed, allowing for continuous treatment without the need for a machine.
- Automated Peritoneal Dialysis (APD): APD uses a machine called a cycler to perform exchanges automatically while the patient sleeps. The cycler manages the fill, dwell, and drain cycles, which typically occur overnight. During the day, the patient can perform additional exchanges manually if needed.
The advantages of peritoneal dialysis at home include:
- Increased flexibility and independence for the patient, as it can be done at home without the need to visit a dialysis center multiple times a week.
- Less strict dietary restrictions compared to in-center hemodialysis.
- Potential for better preservation of residual kidney function, which is beneficial for overall health.
- Fewer fluctuations in blood pressure and fluid balance compared to hemodialysis.
However, it’s essential to note that peritoneal dialysis might not be suitable for everyone, and the choice of dialysis modality depends on the individual’s medical condition, lifestyle, and preferences. It is crucial for patients to work closely with their healthcare team to determine the best treatment option for their specific needs.
Mobile Dialysis may be different as it is typically contained in a large truck converted into a treatment center on wheels but one thing is for sure consumers with a need may have more options in the future and we will help you connect to those options as they become available.