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Hospital Education Version 1.1
Types of Dialysis
Home Hemodialysis at Night
Deciding Your Treatment
Treating Kidney Failure
Our goals are to help you:
Get healthy enough to leave the hospital.
Learn about kidney health and important choices.
Understand different treatment options to fit your life.
We will help you make the best health choices for yourself.
The kidneys’ #1 job is to clean waste and extra fluid out of your body.
A transplanted kidney or dialysis can take over this job.
How Kidney Failure is Treated
There is no cure for kidney failure, but there are treatment options available:
Talk to your kidney doctor to see if a transplant is a good fit for you.
Find a living donor or stay active on the transplant waiting list.
Your doctor and dialysis clinic can help you get a referral to a local transplant center.
Finally, get your kidney transplant!
Transplant is not a treatment for urgent kidney failure.
You will need dialysis until you find a kidney transplant.
The process to get
a kidney transplant looks like this:
The transplant center will evaluate if you’re a good fit for transplant.
The Right Dialysis for Your Situation
Dialysis is a regular treatment that helps replace the work of your kidneys.
Remember, this is a shared decision between you and your doctor.
ASK YOUR DOCTOR:
Dialysis is a regular treatment that replaces the work of your kidneys.
Am I a candidate for home dialysis?
A flexible tube is placed in your abdomen (usually near your belly button) or in your chest
Only takes a few weeks to heal but can be used almost immediately if needed
You’ll need a way for the PD machine (tubing) to connect to your body.
Requires a simple procedure and most people go home the same day
Equipment cleaned and maintained for you
Overnight dialysis is available in some clinics and these longer treatments are gentler on the body
A machine is used to help clean the blood.
TREATMENT IN A CLINIC
Set schedule, usually 3 times a week
Care provided by trained professionals in a clinic setting
A portable machine is used to clean the blood.
More flexible schedule is easier to plan around
Many report feeling and sleeping better
Fewer diet limitations can mean more food choices
You’ll get more dialysis than you would in a center, which is gentler on the body
TREATMENT AT HOME
2–4 weeks before use
How the body is connected to the hemodialysis machine
You’ll need to get a permanent access to stay safe.
What type of dialysis access do I need to plan for?
Access tube is placed near your heart, increasing risk of life-threatening infection.
Permanent Access Options
Central Venous Catheter (CVC)
Requires a simple procedure
6–8 weeks before use
This is what you may have today. It's temporary.
Get PD and Transplant info sent right to your phone
Complete Kidney Smart Part 2
Check the box on your formSchedule a timeCall 888-405-8915
Check YES on your form and provide a cell phone number
Now, focus on these 3 things:
Talk to your doctor about treatment options, including PD.
You have just completed a very important step in taking control of your health.
Peritoneal Dialysis (PD)
Kidneys come from living or deceased donors.
Medications are required after surgery.
Transplanted kidneys last 12–15 years on average.
There are different ways to do dialysis. Each method has different health and lifestyle benefits.
Peritoneal Dialysis at Home
Different Ways to do Dialysis
You may start on one kind of dialysis and switch to another.
PD uses the peritoneum, a membrane that lines the abdomen, to filter out waste and extra fluid.
No needles required for treatment
Helps keep remaining kidney function
Overnight, during the day, or a combo of both
Higher survival and transplant rates
Special cleaning fluid (dialysate) enters the body through a catheter
Causes of CKD
Replacing the Work of the Kidneys
Preparing for Treatment
Control Goal: Diabetes & Blood Sugar
Control Goal: Diet–Summary
Control Goal: Blood Pressure
Stages of CKD
Control Goal: Lifestyle–Support
Control Goal: Diet–Food Labels
Control Goal: Lifestyle Changes
Control Goal: Diet–Swaps
Animation into Kidney
Taking Control of CKD
Getting Started with the Basics
Control Goal: Diet–Types of Eaters
Control Goal: Diet–If nothing else
Control Goal: Diet
Kidney Functions with CKD
Control Goal: Lifestyle–Coverage
Answer the call
Do you have health insurance coverage concerns?
Check the box
Learn what additional insurance options or financial assistance may be available to you.
Do you have employer health insurance for yourself/family?
Do you currently have NO health coverage?
…about working and insurance.
Call 1-888-405-8915 for support.
Understand how to maintain your quality of life.
Answer these questions to make sure you get the right support
Get Answers to Your Questions
Anyone can benefit from speaking to a Patient Advocate
If you answered YES to any of these, we can help you right away.
Are you working and have questions about keeping your job?
Schedule a time to connect
Get an insurance check-up and peace of mind for any type of insurance.
Your doctor will prescribe the amount of treatment you need.
Dryer helps remove extra fluid from your body.
Dialysis is the treatment you are getting now.
Dialysis does not fix your kidneys. It takes over some of the kidneys’ jobs.
Washer cleans waste from your blood.
What is Dialysis?
Think of dialysis like a washer and a dryer.
Your Dialysis Center Care Team
There will be an entire team dedicated to your health and well-being.
You’re here because your kidneys aren’t working well enough to keep you healthy.
Your doctor will continue to watch your kidney function to provide the best treatment.
2 Kinds of Kidney Failure
Has your doctor told you that you have AKI or ESRD?
Kidney failure is permanent.
Need regular treatment or transplant to stay alive.
Kidneys fail suddenly.
Some people can recover after receiving treatment. Dialysis supports your health while your body tries to heal.
Acute Kidney Injury (AKI)
End Stage Renal Disease (ESRD)
Free up daytime by treating at night
Flexible treatment schedule
Find the right fit
Home dialysis could provide some important benefits to you:
Your treatment choice should fit your life
Fewer diet restrictions
Choosing a Treatment
Do you have a closet-sized space/s at home that could be reorganized to store supplies?
Do you have a clean room/bedroom where you can start and end treatment?
Do you have a permanent place to live? This could be a house, apartment, or condominium.
An access like a fistula, graft, or CVC is used with needles to connect to a machine. You don’t need a tube near your belly button.
A small, plastic tube is needed near your belly button. No needles are used for your treatment.
Which seems like a better fit for you?
Treating in the privacy, comfort, and convenience of your home could be a good option for you.
You will do treatment on a regular schedule, on your own or with a loved one.
All training is provided and a nurse is available by phone 24/7.
Treatments during the night with days free.
Treatments during the day with nights free.
Treatment given by trained professionals in a medical setting may be a good fit for you.
You’ll go to a clinic 3 times a week for 4+ hours each time.
may be a good treatment choice for you.
Ask your doctor if PD is the right treatment for you.
Home Hemodialysis (HHD)
Ask your doctor if HHD is the right treatment for you.
Talk to your doctor to learn more about all of your treatment options.
In-Center Hemodialysis during the day
Overnight In-Center Hemodialysis
Most people treat every other night
Available in some areas.
Doing PD during the day looks like this:
Connect an empty bag and drain the fluid from your abdomen.
You’re free to go about your day.
Repeat, usually 4 times everyday.
4 to 8 hours
Add cleaning fluid to your abdomen.
a few minutes
Repeat every night.
As you sleep, the cycler will fill and empty your abdomen 3 to 5 times.
Set up the machine and connect it to your PD catheter.
8 to 10 hours
Doing PD at night looks like this:
Wake up and disconnect the machine. You’re free to go about your day.