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Home Hemodialysis: Core Curriculum 2021
Scott D Bieber1, Bessie A Young2
1Kootenai Clinic Nephrology, Kootenai Health, University of Washington/WWAMI Idaho, Coeur d'Alene, Idaho.
Summary
Home hemodialysis (HHD) offers patient-centered care for kidney failure. This guide covers HHD training, retention, equipment, and management for successful patient rehabilitation and choice.
Area of Science:
- Nephrology
- Renal Replacement Therapy
Background:
- Home hemodialysis (HHD) was historically significant due to limited infrastructure.
- Renewed interest in HHD is driven by patient demand for choice, cost control, and the COVID-19 pandemic.
Purpose of the Study:
- To provide a comprehensive overview of home hemodialysis (HHD).
- To guide nephrologists and dialysis providers in improving HHD training and patient retention.
- To address the growing demand for patient-centered kidney failure management.
Main Methods:
- Review of factors influencing HHD training and retention.
- Summary of benefits, challenges, and pitfalls of HHD.
- Overview of HHD equipment, prescriptions, and medical management considerations.
Main Results:
- HHD training and retention can be improved through understanding and embracing new technologies.
- Successful HHD requires careful consideration of equipment, prescriptions, and home dialysis access.
- HHD facilitates patient-centered care and increases options for managing kidney failure.
Conclusions:
- Home hemodialysis (HHD) is a vital tool for kidney failure management and patient rehabilitation.
- Increased adoption of HHD requires enhanced provider knowledge and patient support.
- HHD empowers patients with greater choice and control over their treatment.
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