Personal Care

Home Hemo Dialysis for Personal Care

At home, people use hemodialysis machines that are often smaller than the machines in a dialysis clinic. Some machines are about the size of a large microwave oven. 
Most dialysis clinics require a person to train with a partner who will be in the home while the person receives treatment. A partner should be a responsible family member or friend. The clinic’s home training nurse will teach important safety techniques. The person on dialysis should do as many of the tasks as possible. With practice, people on hemodialysis can learn how to place their own needles with ease.

During training, the person and partner will learn to

  • set up the machine
  • take steps to prevent infection
  • place needles into the vascular access
  • respond to any alarms from the machine
  • check the person’s weight, temperature, blood pressure, and pulse
  • record details about the treatments for the clinic
  • clean the machine
  • throw out used supplies safely
  • track supplies used and order new ones

Home hemodialysis training may take very little time. Some types of machines make training even easier. The home training nurse will make sure the person and the partner feel confident before going home and may visit during the first treatment. The clinic will give 24-hour support for questions or problems. IMS Clinical Management program can monitor home hemodialysis using the Internet through concerned Renal Specialist.

Benefits of Home HemoDialysis

  • More Flexible Schedule for Home Dialysis instead of Clinic Visits
  • More throughly filtered blood
  • Better blood pressure control with fewer medications
  • A reversal of some heart damage due to high blood pressure
  • Better control of phosphate levels in their blood

Better Quality of Life

Standard hemodialysis can make people feel tired or washed out for several hours after each treatment. People who have switched from standard hemodialysis to longer or more frequent hemodialysis report they feel better, with more energy, less nausea, and better sleep. They do better on tests that measure their quality of life.

Eating, Diet, and Nutrition

With standard hemodialysis, a person should strictly limit intake of salt, phosphorus, and potassium. Also, a person should limit liquids to prevent taking in more than standard hemodialysis can safely remove. Having too much fluid in the blood can raise blood pressure and stress the heart. Removing too much fluid too fast during standard hemodialysis can also stress the heart. More frequent hemodialysis means that fluid does not have as much time to build up in the body between sessions.

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