Seniors with bad eyesight, poor fine-motor coordination, depression or cognitive impairment generally can't handle this therapy, specialists note. And frail older adults with conditions such as diabetes, arthritis and cardiovascular disease may need significant assistance at home.
Up to a third of patients who try home dialysis end up switching to dialysis centers, Liu said. With this treatment, a fluid called dialysate water, electrolytes and salts is flushed into a patient's abdomen through a surgically implanted catheter. There, it absorbs waste products and excess fluids over several hours before being drained away. About 10 percent of patients on dialysis choose peritoneal therapy, including 18, older adults, according to federal data.
Reynolds does this while he sleeps — a popular option. His routine: After dinner, he sets out two bags of dialysate, ointments, sterile solutions, gauze bandages and a fresh cassette for his dialysis machine with four tubes attached. It takes him 23 minutes to gather everything, clean the area around his catheter and sterilize equipment, and about the same to take things down in the morning. In December , when Letisha Wadsworth started home hemodialysis in Brooklyn, New York, she was working at a social service agency and wanted to keep her job.
Doing dialysis in the evening made that possible. This therapy requires one to two months of education and training for the patient and usually a care partner. With each treatment, two needles are most often stuck in a vein in a patient's arm.
Blood is pumped out of the patient and through a machine, where it's cleansed and waste products are removed, before being pumped back into the body. For instance, Wadsworth had to learn what to do if air got into one of the lines and when to adjust the rate at which her blood was pumped and flowed through the machine. Another issue: finding space for 30 large boxes of supplies fluids, filters, needles, syringes and more that arrive each month.
Damon, 73, helps her set up. The routine: Dialysis starts around 8 p. She passes the time eating dinner, watching TV, talking on the phone or playing Scrabble with her husband. Wadsworth gets blood tests once a month and then visits her nephrologist to review how she's doing. A nurse, dietitian and social worker are also on her team at the Rogosin Institute. Sharon Sanders, 76, thought she had the flu last year when she landed in the hospital.
Instead, doctors told her that her kidneys were shutting down. Sanders, who lives in Gold Canyon, Arizona, began her nightly routine of six hours of peritoneal dialysis, five days a week, last August. Medicare Part B pays 80 percent of the cost of dialysis at home, and supplemental coverage generally picks up the rest. Not everyone's home is suitable for haemodialysis, so if you're considering it, you should learn as much as you can.
Our introduction to booklet series featuring home haemodialysis is a great place to start. As mentioned, undergoing your haemodialysis at home can offer you greater flexibility.
You'll need to undergo this type of dialysis at least three times a week, with each session lasting four to five hours. You can also do it overnight while you sleep, which can be more comfortable to do in your own home. Many people alternate their haemodialysis treatment every second day, equaling a total of four sessions a week.
Starting home haemodialysis can be overwhelming. These resources can provide you extra information and peace of mind before you begin. Our free Kidney Helpline is here to help you with questions about your treatment and help connect you to services. Before you download We use your information to keep you updated on kidney health matters of interest to you. Find out how we protect your information in our Privacy Policy. Home Dialysis: Key Facts Home haemodialysis. Home haemodialysis Home haemodialysis is a flexible treatment option for kidney disease.
But there are some important things you can do to help yourself. Learn all you can about your different treatment options and take an active role in decisions about your care. Hemodialysis is a treatment that replaces the work of your own kidneys to clear wastes and extra fluid from your blood. This is done using a special filter called a dialyzer or artificial kidney. Your blood travels through plastic tubing to the dialyzer, where it is cleaned and then returned to you.
At the beginning of each treatment, two needles are placed into your access. These needles are connected to the plastic tubing that carries your blood to the dialyzer. Only a small amount of blood is out of your body at any one time. The dialysis machine pumps your blood through the dialysis system and controls the treatment time, temperature, fluid removal and pressure. This basic process is the same for home hemodialysis, except that you and a care partner are trained to do your treatment at home.
You can do hemodialysis at a dialysis center where a nurse or technician performs the tasks required during treatment. In-center hemodialysis is usually done three times a week for about three to four hours or longer each session. In-center treatments are done at a pre-scheduled time. You can also do hemodialysis at home where you are the one doing your treatment.
At home, you may be better able to fit your treatments into your daily schedule. Studies show that the more you know about your treatment and the more you do on your own, the better you are likely to do on dialysis.
Conventional home hemodialysis: You do this three times a week for three to four hours or longer each time. You and your care partner are trained to do dialysis safely and to handle any problems that may come up. Training may take from several weeks to a few months. Short daily home hemodialysis: This is usually done five to seven times a week using new machines designed for short daily home treatment. Treatments usually last about two hours each. You and your care partner are trained over several weeks.
Because you are doing dialysis more often, less fluid generally needs to be removed each time. Nocturnal home hemodialysis: Long, slow treatments done at night while you sleep. You may do this kind of dialysis six nights a week or every other night.
This depends on what your doctor prescribes for you. Treatments usually last about six to eight hours. Some centers monitor your treatments by sending information from your dialysis machine to a staffed location by telephone modem or the Internet.
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