Treatment FAQ

what do dialysis patients want during treatment?

by Mya Fritsch IV Published 3 years ago Updated 2 years ago
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What are the reasons that people go for dialysis treatment?

When your kidneys fail, dialysis keeps your body in balance by:

  • removing waste, salt and extra water to prevent them from building up in the body
  • keeping a safe level of certain chemicals in your blood, such as potassium, sodium and bicarbonate
  • helping to control blood pressure

What are the signs that you need dialysis?

  • Diabetes with poor blood sugar control
  • Kidney disease that affects the glomeruli, the structures in the kidneys that filter wastes from the blood
  • Polycystic kidney disease
  • High blood pressure
  • Tobacco use
  • Black, Hispanic, Asian, Pacific Islander or American Indian heritage
  • Family history of kidney failure
  • Older age

More items...

When to start dialysis?

When the kidneys fail, dialysis is a process used to take on the role of the kidney. Traditional hemodialysis uses a machine to take over the kidneys' job, taking blood out of the body, filtering it and diluting out the toxins against large amounts of fluids that approximate blood plasma.

Is dialysis a very painful procedure?

Yes, dialysis is painful. They are putting two 15/16 gauge needles in a fistula in your arm, or other location, and cleaning your blood for 3–4 hours, 3 times a week, typically. But you’ll be in even more pain if you do not receive dialysis and your body fills up with fluids and toxins. Dialysis pain can be mitigated to some extent (some people use lidocaine or Tylenol), but there will always be some measure of pain.

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Is Kidney Failure Permanent?

Usually, but not always. Some kinds of acute kidney failure get better after treatment. In some cases of acute kidney failure, dialysis may only be...

How Long Do Hemodialysis Treatments Last?

The time needed for your dialysis depends on: 1. how well your kidneys work 2. how much fluid weight you gain between treatments 3. how much waste...

What Is Peritoneal Dialysis and How Does It Work?

In this type of dialysis, your blood is cleaned inside your body. The doctor will do surgery to place a plastic tube called a catheter into your ab...

What Are The Different Kinds of Peritoneal Dialysis and How Do They Work?

There are several kinds of peritoneal dialysis but two major ones are:Continuous Ambulatory Peritoneal Dialysis (CAPD) and Automated Peritoneal Dia...

Will Dialysis Help Cure The Kidney Disease?

No. Dialysis does some of the work of healthy kidneys, but it does not cure your kidney disease. You will need to have dialysis treatments for your...

Is Dialysis uncomfortable?

You may have some discomfort when the needles are put into your fistula or graft, but most patients have no other problems. The dialysis treatment...

How Long Has Dialysis been available?

Hemodialysis and peritoneal dialysis have been done since the mid 1940's. Dialysis, as a regular treatment, was begun in 1960 and is now a standard...

How Long Can You Live on Dialysis?

If your kidneys have failed, you will need to have dialysis treatments for your whole life unless you are able to get a kidney transplant. Life exp...

Do Dialysis Patients Feel Normal?

Many patients live normal lives except for the time needed for treatments. Dialysis usually makes you feel better because it helps many of the prob...

Do Dialysis Patients Have to Control Their Diets?

Yes. You may be on a special diet. You may not be able to eat everything you like, and you may need to limit how much you drink. Your diet may vary...

How long does dialysis last?

In most cases, treatments last about four hours and are done three times a week. You will also follow a special diet.

Why is peritoneal dialysis different from other dialysis?

Peritoneal dialysis is different because the blood is filtered inside the body, but not through the kidneys. Peritoneal dialysis enables you to have more freedom because you do not have to go to a dialysis center. You can do this yourself at home and even at work.

What is the treatment for kidney failure?

When the kidneys do not work, the blood must be filtered another way. This is done using a treatment called dialysis. Dialysis does what the kidneys are no longer able to do. There are different types of dialysis. They differ in the way the filtering is done.

When is a graft ready to use?

A graft is ready to use as soon as the surgical swelling goes down, usually within a week or two. Venous catheter – Sometimes it is necessary to begin dialysis before the fistula or graft is ready. In these cases, the doctor can place a hollow tube into a larger vein, usually on your neck or shoulder.

Why do kidneys break down?

This is most often caused by conditions such as diabetes, high blood pressure, and obesity. These conditions make the kidneys work extra hard, and they start to break down. Most often, damage to the kidneys happens slowly over a period of time. When the kidneys do not work, the blood must be filtered another way.

How many kidneys are there in the human body?

Most people are born with two kidneys, one on each side, but people can live normally with one. The kidneys do many good things for the body. The main job of the kidneys is to filter the body's blood supply to remove extra water, salt and the waste products left over after the body uses the energy it needs to live.

Why do kidneys lose their ability to filter blood?

This is where the filtering takes place. Sometimes the nephrons start to lose their ability to filter blood. This is most often caused by conditions such as diabetes, high blood pressure, and obesity.

Before treatment

Wash your hands. Hand washing (or the use of hand sanitizer in the centre) before and after your treatment is a must to prevent the spread of infection.

During treatment

Each dialysis station has a television set for your viewing. To reduce noise in our centre, we ask that you use the headphone which is provided to you.

How can writing help with dialysis?

Writing can help you work through your feelings and gives you a chance to share your perspective with friends, family or even other people who are new to dialysis. Meet new people at the dialysis center. You already know you have something in common with other people receiving dialysis.

How to relax during dialysis?

Listen to music. This is one of the best ways to relax during your treatment. In fact, a study showed that people who listened to music during dialysis had less pain and nausea than those who didn’t.

Can you have me time during dialysis?

So now you may be up for thinking about what other activities you’d like to do during dialysis sessions while you’re at the center. Dialysis treatments can actually give you blocks of “me time” that you might not have had before. Your treatment time is actually a great opportunity to catch up on things you’ve been wanting to do or to simply relax.

What is dialysis?

Dialysis is a treatment to clean your blood when your kidneys are not able to. It helps your body remove waste and extra fluids in your blood. It does some of the work that your kidneys did when they were healthy. A healthy, working kidney can remove fluid and waste 24 hours a day. Dialysis can only do 10-15% of what a normal kidney does.

When is dialysis needed?

You will need dialysis when you have kidney failure, also called end stage renal disease (ESRD). Kidney failure means your own kidneys no longer take care of your body's needs to remove waste or extra fluids from your blood. The waste and extra fluids can build up to make you feel sick.

How is dialysis done?

There are 2 types of dialysis: hemodialysis and peritoneal dialysis (PD). As you think about your options with your loved ones, use this table to help you compare them:

How long can I live without dialysis if I have ESRD?

It varies. People who decide not to start dialysis at all or to stop dialysis may live from a few weeks to a few months. It depends on their overall health and other chronic health conditions they have. Managing kidney failure without doing dialysis is called medical management.

Can dialysis be temporary?

If you have ESRD, you will need to have dialysis treatments for the rest of your life, unless you are able to get a kidney transplant.

Is dialysis painful?

You may have some discomfort when needles go into your body, but the dialysis treatment itself is painless. Many patients feel tired and weak before and after treatments. Some patients may have a drop in their blood pressure. This can make you feel sick to your stomach, throw up, have a headache, or cramps.

How will I pay for dialysis?

Medicare, Medicaid, and many private insurance plans cover most of the costs of dialysis. Most people on dialysis are able to get Medicare coverage at any age. Depending on the type of treatment you choose, you may have to wait a few months before your insurance coverage begins.

What is the diet of a dialysis patient?

Although your diet may vary according to the type of dialysis you receive, dialysis patients typically need to limit sodium, phosphorus and potassium in their diet. It is important to speak with your kidney dietitian so that you are able to understand what you can and can’t eat. 10. Dialysis patients can work.

What to do if you have a snowstorm on dialysis?

You can plan ahead for an emergency. Ask your dialysis facility about the emergency plan in case of a snowstorm, fire, power outage or other natural disasters. Make sure you have the names, locations and phone numbers of other dialysis units and hospitals in your area.

Can you transfer dialysis records to the CrownWeb?

There is an easy, secure way for your healthcare team to transfer your treatment records through the CROWNWeb. For example, if you’ve been admitted to the hospital, or if you needed to relocate during an emergency evacuation , your doctors and healthcare team can access up-to-date information about your dialysis so that you continue to receive appropriate care no matter where you are.

Can you travel to a dialysis center?

You can travel. Dialysis centers are located in many places around the U.S. and internationally, so there’s no reason to stay put. It’s important, however, to plan ahead by making an appointment at a dialysis center in your destination before you leave.

Can you work remotely on dialysis?

Some even find ways to work remotely using a laptop or cell phone, depending on their profession.

Can dialysis help with kidney failure?

Dialysis can help those with kidney failure live longer, healthier lives, but as a patient, you may feel overwhelmed making decisions surrounding your treatment. It’s important to realize that when it comes to your care, you have many rights and options. Here are our Top 10 Tips for those on dialysis. 1.

Why do you have to follow a strict dialysis diet?

Having too much fluid in your body that needs to be removed can cause symptoms. This is why you should follow a strict kidney dialysis diet. Your provider will go over this with you. How long your dialysis session lasts depends on: How well your kidneys work. How much waste needs to be removed.

How long does a dialysis session last?

Your session will last 3 to 4 hours. During this time your provider will monitor your blood pressure and the dialysis machine. During treatment, you can read, use a laptop, nap, watch TV, or chat with providers and other dialysis patients. Once your session is over, your provider will remove the needles and put a dressing on your access area.

What is dialysis filter?

So you may not be able to make up the time if you are late. During dialysis, your blood will flow through a special filter that removes waste and excess fluid. The filter is sometimes called an artificial kidney.

Can you put a cream on a dialysis machine?

This may be uncomfortable at first. If needed, your provider can apply a cream to numb the area. The needles are attached to a tube that connects to the dialysis machine. Your blood will flow through the tube, into the filter, and back into your body.

Does dialysis take time?

Expand Section. Getting dialysis does take a lot of time, and it will take some getting used to. Between sessions, you can still go about your daily routine. Getting kidney dialysis does not have to keep you from traveling or working. There are many dialysis centers across the United States and in many other countries.

How to get rid of dialysis?

Eat the right kind and right amount of food on a daily basis. Take medication according to the doctor’s prescription. Comply with their dialysis treatment, for instance, do not skip any dialysis session. Be physically active as possible.

Why is it important to have fluid restriction on dialysis?

Due to reduced kidney function, dialysis patients have reduced urine output. Therefore it is important for dialysis patients to adhere to their fluid restriction. Excess fluid is retained in the body and symptoms such as shortness of breath, high blood pressure and swelling of the legs can occur.

Why is potassium removal more effective in PD?

Potassium removal is more efficient in PD because patients undergo dialysis every day. In general, PD patients do not need to restrict potassium intake as strictly as HD patients. High level of potassium in blood may occur in HD patients and it can be life-threatening.

Why is anemia common in dialysis patients?

Anaemia is common among dialysis patients as it is one of the complications of kidney failure. Erythropoietin (EPO), which prompts the bone marrow to make red blood cells, are produced by the kidney. When the kidney’s function is decreasing, the amount of EPO produced will be reduced.

What is the best diet for dialysis patients?

A well-balanced diet, with the right amount of protein, calories, fluid, vitamins and minerals, is necessary for dialysis patients or patients with end stage kidney disease to stay fit as their kidneys are no longer functioning at its full capacity.

Why is protein important for dialysis?

Adequate in Protein. Protein is essential for building and repairing muscles. Dialysis patients require a higher protein intake as some amount of protein are lost during the dialysis treatment (PD and HD) process.

How to reduce sodium intake?

Tips to reduce sodium intake: Limit the amount of salt/sauces added during cooking. Avoid using stock cubes, meat and vegetable extracts e.g. Bovril and Marmite. Avoid using bottled chicken extracts. Read labels on processed foods and choose products that contain less than 120mg sodium per 100g of the food product.

How to help patients with dialysis?

make a training plan for each patient. give the patients the medications ordered by their doctors. evaluate the patients' ability to perform their dialysis treatments and take all doctor-prescribed medications. help patients follow-up with their transplant center.

Why is being a dialysis nurse rewarding?

Many dialysis nurses find their jobs very rewarding because they get to provide treatment for the same patients regularly and follow their care over time. Patients also report that they appreciate being treated by RNs who know their condition and with whom they have developed a bond.

What is a nephrology nurse?

Registered nurses (RNs) who care for patients who have kidney disease are called nephr ology nurses. The word nephrology means, “relating to the kidneys.”. Nephrology nurses are specially trained and educated to care for patients with kidney disease.

What are the responsibilities of a nurse?

The nurses responsibilities include: checking the patients' vital signs and talking with them to assess their condition. teaching patients about their disease and its treatment and answering any questions. overseeing the dialysis treatment from start to finish. making sure patients are given the correct medications ordered by their doctors.

What do PD nurses do?

PD and home hemodialysis nurses have excellent teaching skills. They teach their patients how to perform their own treatments at home and give them the knowledge to know what to do if any complications occur during their treatment.

Does Davita offer training?

DaVita would like to talk to you if you: are willing to be trained and educated in the care of patients with kidney disease (if you have a nursing background, DaVita offers training) have a strong work ethic, enjoy intellectual challenges and work well in a team-focused environment.

Can you work while on dialysis?

Staying Employed While on Dialysis. Working full or part time while on dialysis can be a key part of creating a satisfying life. To help you balance your job and your treatment, your doctor can determine which type of dialysis will work best with your schedule.

Does Medicaid cover end stage renal disease?

Going on disability for end stage renal disease (ESRD) and receiving benefits does not prevent you from working.

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