Dialysis Care

Overview of Dialysis Care

Dialysis is a life-sustaining treatment for patients with kidney failure, also known as end-stage renal disease (ESRD), where the kidneys are no longer able to function effectively. When the kidneys can’t filter waste, excess fluids, and electrolytes from the blood, dialysis takes over this critical role, helping maintain the body’s balance and preventing dangerous complications. Dialysis is often necessary for patients with chronic kidney disease (CKD) that has progressed to an advanced stage or when sudden kidney injury has severely impacted kidney function.

At Southeast Kidney Associates, we provide comprehensive dialysis care for patients requiring this essential treatment. Our experienced nephrologists and clinical staff are committed to ensuring that each patient receives personalized care and support throughout their dialysis journey. We offer two primary types of dialysis: hemodialysis and peritoneal dialysis, each tailored to meet the individual needs of our patients.

Types of Dialysis

1. Hemodialysis: In hemodialysis, a machine filters the blood by removing waste, excess fluids, and toxins. During the treatment, blood is drawn from the body through a vascular access point (usually in the arm), passed through a dialysis machine, and then returned to the body. Hemodialysis is typically performed in a dialysis center or hospital, but in some cases, it can be done at home. Patients usually undergo hemodialysis three times a week, with each session lasting three to five hours.
2. Peritoneal Dialysis: Peritoneal dialysis uses the lining of the abdomen (the peritoneum) as a natural filter to clean the blood. A special dialysis solution is introduced into the abdomen through a catheter, where it absorbs waste and excess fluids before being drained away. Peritoneal dialysis can be done at home and offers more flexibility than hemodialysis, allowing patients to perform it during the day or overnight while they sleep.

At Southeast Kidney Associates, our nephrologists will work closely with you to determine which type of dialysis is most appropriate for your medical condition, lifestyle, and preferences.

How to Prepare for Your Dialysis Appointment

Preparing for your dialysis appointments is essential for making the treatment process as smooth and effective as possible. Here’s how you can get ready:

1. Medical History and Records: Bring your complete medical history to your initial appointment, including details about your kidney disease, previous treatments, medications, and any other relevant health conditions. Your nephrologist will use this information to assess the best dialysis treatment plan for you.
2. Medications List: Prepare a list of all the medications, vitamins, and supplements you’re currently taking. Some medications can affect how dialysis works, so it’s important that your doctor is aware of everything you’re using. You may need to adjust your medication regimen before starting dialysis.
3. Vascular Access (for Hemodialysis Patients): If you’re beginning hemodialysis, a vascular access will need to be created in your body. This access point, usually in the arm, allows blood to flow in and out during the dialysis session. You’ll need to undergo minor surgery to create this access, either through a fistula, graft, or catheter. Your nephrologist will explain which type of access is most suitable for you and how to care for it.
4. Prepare for Lifestyle Adjustments: Dialysis often requires lifestyle changes, including modifications to your diet, fluid intake, and daily schedule. Be prepared to discuss these changes with your nephrologist and a dietitian, as they will help you adjust your eating habits to support kidney health and manage fluid retention.
5. Questions for Your Doctor: Write down any questions or concerns you have about dialysis, its impact on your daily life, and what to expect during the treatment. Your nephrologist will be happy to answer any questions and provide detailed guidance.

What to Expect During Your Dialysis Appointment

When you arrive at Southeast Kidney Associates for dialysis treatment, you can expect a thorough and compassionate approach to your care. Here’s what to expect during the process:

Hemodialysis Process

1. Before the Treatment: If you’re receiving hemodialysis, your vascular access will be prepared before the session begins. The access site (a fistula, graft, or catheter) will be cleaned, and needles will be inserted to connect you to the dialysis machine.
2. The Dialysis Session: Once connected, blood will be drawn from your body and passed through the dialysis machine, where it is filtered and cleansed of waste and excess fluids. The machine will return the purified blood to your body through the same access point. The entire process usually lasts between three to five hours, during which you can rest, read, watch TV, or listen to music.
3. Monitoring: During your session, our clinical staff will monitor your blood pressure, heart rate, and other vital signs to ensure you’re tolerating the treatment well. If any issues arise, our team is trained to respond quickly and make necessary adjustments.
4. After the Treatment: Once the dialysis session is complete, the needles will be removed, and you’ll be able to go home. Some patients may feel tired after treatment, while others may feel energized. It’s important to follow any post-dialysis instructions provided by your doctor, such as managing fluid intake or taking prescribed medications.

Peritoneal Dialysis Process

1. Training for Home Treatment: If you choose peritoneal dialysis, you’ll receive thorough training on how to perform the treatment at home. Our nephrologists and clinical staff will guide you through every step, including how to insert the dialysis solution, drain it, and keep the catheter site clean.
2. Performing the Treatment: Peritoneal dialysis can be done at home during the day or overnight, depending on the type of dialysis you’re performing (continuous ambulatory peritoneal dialysis or automated peritoneal dialysis). The dialysis solution is introduced into the abdomen, where it absorbs waste and toxins over a few hours before being drained.
3. Monitoring and Support: Even though you’re performing peritoneal dialysis at home, Southeast Kidney Associates will closely monitor your treatment. You’ll have regular check-ups to ensure your dialysis is effective, and our team will be available to answer any questions or concerns you may have.

Treatment Options and Ongoing Care

At Southeast Kidney Associates, dialysis care goes beyond just the treatment itself. We believe in providing a holistic approach that addresses every aspect of your health. Here’s how we support you throughout your dialysis journey:

1. Nutritional Support: Patients on dialysis often need to follow a special diet to manage fluid retention, potassium, sodium, and phosphorus levels. Our renal dietitians will work with you to create a personalized meal plan that helps you stay healthy and feel your best.
2. Medication Management: Certain medications, such as phosphate binders or erythropoiesis-stimulating agents (ESAs), may be prescribed to help control complications of kidney disease, such as anemia or bone health issues. Your nephrologist will manage your medication regimen to ensure you’re receiving the right treatments alongside dialysis.
3. Emotional and Mental Health Support: Living with kidney disease and undergoing dialysis can be physically and emotionally challenging. We provide access to counseling services and support groups to help you cope with the emotional aspects of dialysis and chronic kidney disease.
4. Long-Term Monitoring and Follow-Up: Dialysis patients require regular check-ups to monitor their health and adjust their treatment plans as needed. We’ll work closely with you to track your progress, assess your kidney function, and make sure you’re receiving the best possible care.

Conclusion

Dialysis is a vital treatment for patients with kidney failure, and at Southeast Kidney Associates, we are dedicated to providing high-quality, compassionate care tailored to your needs. Whether you’re receiving hemodialysis or peritoneal dialysis, our team will support you at every step, ensuring that you receive the best care possible. If you or a loved one require dialysis, contact Southeast Kidney Associates to schedule an appointment and begin your personalized treatment journey.