Here is what happens…
Once wastes build up in your blood, you feel sick. Various health problems may occur such as high blood pressure, anemia (low blood count), weak bones, poor nutritional health and nerve damage. CKD increases your risk of having heart and blood vessel disease. Diseases that cause CKD include diabetes and high blood pressure. These complications may develop over time, but early detection and treatment can often keep chronic kidney disease from getting worse. Kidney failure may occur if CKD progresses. If this happens, dialysis or a kidney transplant is required.
If you have been diagnosed with Stage V, your kidneys will need continued support of dialysis. Dialysis is a medical treatment that removes waste and extra fluid from the blood—the procedure duplicates the job of the original kidney.
Staff Assisted Home Hemodialysis / Peritoneal Dialysis – is performed in the privacy of the patient’s home and is administered by a licensed dialysis nurse (LVN or Registered Nurse (RN).
Self-Administered Home Hemodialysis – This procedure is performed at home by the patient and requires professional assistance (caregiver, spouse, etc.). A training period of approximately 6-12 weeks is required. This training can take place in the comfort of your home or an outpatient ESRD facility. Self dialysis will provide the flexibility to work and/or participate in activities that best suits you and your loved ones. Upon successful completion, self-administered trained patients will be provided with 24-hour support.
In-Center Hemodialysis – This is performed at an outpatient medical facility. The dialysis treatments are performed by dialysis technicians, licensed vocational nurses, and registered nurses at the dialysis facility. The procedure can last from 3 to 4 hours, three times per week, or as indicated by your doctor.
Home Training – Both modalities (hemodialysis or peritoneal dialysis) are traditionally provided at an outpatient dialysis facility by an experienced registered nurse. Hemodialysis training lasts approximately 6-12 weeks, and the peritoneal dialysis training period is approximately 4-10 days. Upon successful completion of your training you will perform your own dialysis at home. Nursing staff assistance would be available to assist you as necessary.
Peritoneal Dialysis – This is a life-sustaining procedure which involves the introduction and drainage of a special fluid into the abdominal cavity. The process removes waste products and excess fluid from the body. A training period of 4-10 days is required to learn this procedure, which can be taught in the comfort of your home by a registered nurse specializing in peritoneal dialysis.
There are two types of Peritoneal Dialysis
CAPD – (Continuous Ambulatory Peritoneal Dialysis) – In most cases, you will perform 4 to 5 exchanges seven days a week. This form of peritoneal dialysis is completely mobile, requiring no machine, and can be performed almost anywhere. Each exchange will take approximately 45 minutes.
CCPD – (Continuous Cycler Peritoneal Dialysis) – This form of peritoneal dialysis is performed at night while you sleep. The patient gathers his or her supplies, sets up the machine, and initiates dialysis. Once programmed, the machine will operate automatically throughout the night. This self-administered process may take 8 to 10 hours nightly, up to seven days a week.