Haemodialysis is a treatment that replaces the function of your kidneys by removing toxins and excess fluid when they do not work effectively.
Dialysis is performed using a haemodialysis machine and an artificial kidney. The dialysis machine pumps blood from your body via a neckline or fistula (known as your dialysis access) to the artificial kidney and returns it back to you. Dialysis is not painful. Most patients need dialysis 3 or 4 times a week with each session lasting 3-4 hours.
You are given the choice to have dialysis in one of our dialysis units or at home. Home haemodialysis is not for everyone but if you want to know more just ask one of our team or your kidney consultant.
Benefits of home dialysis
Home dialysis enables you to manage your own dialysis and follow your prescription at home when it suits you. You will learn how to manage your own dialysis and troubleshoot problems if they occur. We have a dedicated team of nurses who provide support when needed
The ability to fit treatment around your life and work gives patients a degree of flexibility and control that in-centre treatments may not.
Below are the two types of haemodialysis machines the trust currently uses for patients choosing to go home on dialysis.
Home Dialysis and who is suitable
Most patients on haemodialysis can be considered for home therapy. You will need to to learn how to set the machine up and use it either by yourself or with support froma family member or carer.
We will often start patients on haemodialysis in-centre whilst we train you and make sure that your dialysis prescription and condition is optimised. You will need to have adequate space at home for the machine and equipment. We will arrange a home visit to make sure your home is suitable.
Equipment required for home dialysis
We will provide the dialysis machine and arrange installation of the machine at your home. There will be some minor plumbing work which the trust will carry out. The room will need to be clean and tidy with a water point and electricity outlet. A home visit will be carried out to discuss and plan where you would like to have the machine installed.
Stock will be delivered either 2 weekly or monthly depending on your choice.
Home dialysis training
Training for home dialysis will take place in centre when you have completed some shared care and you are able to care for your dialysis access alone (Neckline or Fistula). You will be supported by the home dialysis team during your training and when you are at home.
Training for home dialysis can take an average of 4 to 8 weeks depending on each individual.
