Technical Requirements of a Home Hemodialysis Program

Morgan, Dale; Schlaeper, Christian; Lockridge, Robert S.

doi:10.1159/000081620

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…Homes even in urban areas often require significant upgrades and renovations to accommodate this modality. (21,22) Table 1 outlines the technical requirements with a focus on areas requiring particular attention in the remote north. First Nations people living on reserve in Canada are the most likely to have poor housing with 26% living in crowded homes and 44% of homes need major repairs.…”

Section: Technical Considerationsmentioning

confidence: 99%

Home Hemodialysis in the Remote Canadian North: Treatment in Manitoba Fly‐in Communities

Zacharias

Komenda

Olson

et al. 2011

Seminars in Dialysis

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Manitoba has the highest prevalence of ESRD in Canada. Northern Manitoba is a very sparsely settled area with a high proportion of aboriginal ESRD patients. Relocating to urban areas for dialysis is psychosocially and culturally stressful to patients. Delivering dialysis care in a home setting has demonstrated advantages in both clinical, economic, and health related quality of life domains. Establishing home hemodialysis in very remote communities has significant challenges, including poor and inadequate housing, unreliable water supply, limited community medical backup, and poor road access to communities especially for delivery of supplies. These challenges necessitate the development of strong community partnerships, and well documented processes for contingencies. A dedicated interdisciplinary support and training team at the urban hub is essential.

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Section: Technical Considerationsmentioning

confidence: 99%

Home Hemodialysis in the Remote Canadian North: Treatment in Manitoba Fly‐in Communities

Zacharias

Komenda

Olson

et al. 2011

Seminars in Dialysis

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show abstract

“…However, the only response options in modem monitoring systems are either a telephone call to the patient if an alarm is observed but is not patient‐responded in a “reasonable time‐frame” or a “911 call‐out” initiated from the centralized console in the event of nonresponse to the telephone call. In some US 15 and in all ANZ home dialysis units, 1 a nurse “on‐call” system operates in place of modem monitoring. A technical maintenance team with a maximum 24‐hour response time for equipment and servicing problems must also be in place.…”

Section: Monitoring and Carer Issuesmentioning

confidence: 99%

Home hemodialysis in Australia and New Zealand: Practical problems and solutions

Agar

2008

Hemodialysis International

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Home hemodialysis, as practiced in Australia and New Zealand, offers patients the return of self-control and self-esteem. It also allows reconnection with family, friends and (re)employment. Though there are emotional and time-related "costs" with home hemodialysis, these center on training time, commitment and patient or family stresses and, if carefully managed and properly resourced, can be overcome for most home-suitable patients. As we believe many center-based hemodialysis patients are home-suitable and that home care is severely under-utilized, assessment techniques to maximize uptake are examined. While patient dropout from home care relates more to staff attitudes than to true home-failure, dropout is minimized by ensuring the patient and not a carer takes full dialysis responsibility with the carer acting as a supporter and not the facilitator. Installation of home equipment is simple and cheap, the financial costs of home hemodialysis being substantially less than those of facility care where salary and infrastructure costs far exceed training, equipment, installation and maintenance costs at home. Home monitoring is not routinely required especially with longer, more frequent regimens-but effective 24-hour on-call nurse and technician cover is essential. Intravenous drug self-administration at home is safe and effective, reducing the need for hospital visits to a 2-3 monthly minimum. The debilitating effects of facility care cannot be over-emphasized while the liberating psychology of a well-supported hemodialysis program is truly satisfying for patient and staff alike.

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Home Preparation and Installation for Home Hemodialysis

Blagg¹,

Anderson²

2008

Handbook of Dialysis Therapy

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Technical Requirements of a Home Hemodialysis Program

Cited by 3 publications

References 5 publications

Home Hemodialysis in the Remote Canadian North: Treatment in Manitoba Fly‐in Communities

Home Hemodialysis in the Remote Canadian North: Treatment in Manitoba Fly‐in Communities

Home hemodialysis in Australia and New Zealand: Practical problems and solutions

Home Preparation and Installation for Home Hemodialysis

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