After initially becoming popular in the 1960s with the creation of dialyzers for home use, at-home hemodialysis is experiencing a newfound resurgence. Today’s technology and advances allow for easier-to-use equipment, home delivery of supplies and blood work monitoring that's done remotely by phone.
The Long and the Short of It: At-Home Schedules
Longer treatments or every other day
Shorter, more frequent treatments
WAY TO THRIVE
Nocturnal (nighttime) at-home hemodialysis
Mix and match at-home hemodialysisAt-home hemodialysis allows you and your nephrologist to create a schedule that will fit your life, while giving you the best duration and frequency of treatments for your body. Your doctor may decide that combining daytime and nocturnal treatments will give you optimal care.
Setting up your accessYour access for hemodialysis (HD) is quite literally your lifeline—a way to reach and clean your blood and return it safely to your body. If you are switching from in-center hemodialysis, you will already have an access in place, although your doctor may discuss other access options if you have a catheter.
If you are starting HD for the first time—or switching from peritoneal dialysis (PD)—you will need a minor surgical procedure to create your new access.
Planning ahead for your hemodialysis access is key
There are 3 types of access sites for at-home hemodialysis: fistula, graft or catheter. While each has its own benefits, a fistula is considered the best option for most people. Because a fistula takes 2 to 3 months to heal, planning ahead for fistula surgery is critical.