Living with kidney disease involves making crucial decisions about treatment options to maintain your health and quality of life. One of the most critical decisions you’ll face is choosing the right dialysis method which Dr. Lauren McDonald talks about in the “Considering Dialysis at Home” podcast episode. This blog will help you understand the different types of dialysis, how to choose the best option for you, and the support systems available to ensure your success.
What is Dialysis?
Dialysis is a crucial treatment for CKD that helps replicate kidney functions, including removing waste, maintaining chemical levels in the blood, and controlling blood pressure. There are two primary types of dialysis: Hemodialysis and Peritoneal Dialysis. Each type has its subcategories and can be performed in different settings.
In-Center Dialysis
In-center dialysis takes place at specialized facilities where patients receive treatments several times a week, each session lasting around three and a half to four hours. This setting ensures immediate access to medical professionals and advanced equipment, providing a high level of care and support.
Home Dialysis
Home dialysis offers flexibility for those who prefer managing their treatments in the comfort of their own homes. There are two main types: home hemodialysis and peritoneal dialysis.
- Home Hemodialysis: Home hemodialysis is similar to in-center treatment but is conducted at home. It requires a designated space for the dialysis machine and a training period of about six weeks to ensure patients can confidently manage their treatment independently. Patients can engage in other activities like reading or watching TV during the process. However, it requires patients to be comfortable handling medical procedures. Rest assured, continuous support from healthcare professionals is always available.
- Peritoneal Dialysis: Peritoneal dialysis is known for its portability and involves a catheter inserted into the abdomen to instill and drain dialysis fluid. This method offers significant flexibility and can be performed manually during the day or with a cycler machine overnight. Patients can perform exchanges (the process of adding and draining dialysis fluid) at home or on the go, whether at work, school, or even while traveling. This flexibility makes it an excellent choice for those who value mobility and independence.
Choosing the Right Dialysis Method
Selecting the appropriate dialysis method depends on various factors, including lifestyle, comfort with self-care, and personal preferences. Some patients might prefer the social interaction of in-center dialysis, while others might value the privacy and convenience of home treatments.
- Lifestyle and Privacy: Home dialysis offers greater flexibility but may reduce privacy, as family members or visitors might see the equipment and treatment process. If maintaining privacy is crucial, in-center dialysis might be a better fit.
- Comfort with Medical Procedures: Home dialysis requires patients to manage their equipment and perform minor medical procedures. If you’re uncomfortable with these tasks, in-center dialysis provides professional assistance.
- Mobility and Independence: If you lead an active lifestyle and require flexibility, peritoneal dialysis is highly portable and allows you to continue your daily activities without interruption.
- Continuous Support: A dedicated care team is available 24/7 to answer questions and address any issues that may arise. Regular follow-ups with your doctor, including monthly lab tests and examinations, ensure ongoing monitoring and support.
- Involving Loved Ones: Loved ones play a vital role in home dialysis. They receive training to assist with the process and help prevent caregiver burnout. Dallas Nephrology Associates also arranges occasional breaks by switching the patient to in-center dialysis for a week.
Support System and Training
Dallas Nephrology Associates ensures comprehensive support and training for patients opting for home dialysis.
- Home Hemodialysis: A six-week training program helps patients become proficient in using the dialysis machine and managing their treatment.
- Peritoneal Dialysis: A 5 to 7-day one-on-one training with a nurse covers all aspects of peritoneal dialysis, ensuring patients are confident in performing exchanges.
Both home hemodialysis and peritoneal dialysis require initial training and regular follow-ups with healthcare providers. Family members or caregivers often play a crucial role in providing support and assistance. By understanding your dialysis options and the support available, you can make informed decisions that align with your health needs and lifestyle.
You have dialysis options for managing your kidney disease treatment. Schedule an appointment with a kidney specialist or patient navigator at Dallas Nephrology Associates to discuss your dialysis options and talk about any questions or concerns you may have.