Home Hemodialysis

Dialysis machine

Home Hemodialysis is very similar to the dialysis that is performed in our in-center unit, except you will be at home with your own dialysis machine and supplies. With this modality, you will need to have a partner train with you and provide you with assistance as needed. You or your partner will learn to set up your dialysis machine, place your dialysis needles, monitor your vitals and provide detailed records of your treatment and call in to the RN as needed for trouble shooting.

Here are some reasons you might prefer home hemodialysis:

  • You will have more independence with your treatment, thus only having to come to the clinic two days per month
  • You will have some flexibility as to when you do your treatment
  • You and a partner will work collaboratively at home
  • You will be able to travel with minimal planning
  • You will feel physically consistent from day to day
  • Although dietary and fluid restrictions are a part of being a dialysis patient, you will have fewer restrictions

Here are some reasons you might not prefer peritoneal dialysis:

  • You will need to be home and available to accept delivery of your dialysis supplies
  • You will need to have space for both your dialysis supplies and a safe, clean setting to do your dialysis
  • You will need to have a home visit by a WDI nurse to ensure your home environment meets the standards for home treatment
  • You will need to do a dialysis treatment 5-6 times a week
  • You and your partner will need to train for 4-6 weeks, Monday-Friday at the dialysis clinic

Shared Medical Appointment (SMA): Another unique opportunity offered at WDI for home dialysis patients is the Shared Medical Appointment. SMA is a clinic visit concept pioneered by Dr. Micah Chan and his care team to help streamline the clinic process while providing a support network for patients and their families. If you become a home patient, you will be given the opportunity to join SMA.

The decision to go on home dialysis should be made by you and your health care team. Not all patients are candidates for home dialysis. If you are interested in this option, talk to your health care team. Be sure to ask questions. You are the most important member of your team. The more you learn about different dialysis options, the more likely you will be able to make a well informed decision and one that is right for you.