For as long as dialysis has been done at home, when a patient can’t do dialysis independently, a family member, friend or paid helper can be trained at the dialysis clinic to assist. The amount of help the dialysis regulations allow a helper to assist as much as needed after training.
There are two options for PD. One like Josh wrote about uses a cycler machine overnight while the patient is sleeping. There may be machine alarms that must be addressed to get the full treatment. The other option is 4 manual exchanges a day.
I have researched this, but haven’t been able to identify clinics offering staff-assisted dialysis for PD. I can definitely see it as a service for the clinic to send a trained nurse or tech to the home to provide more training, to make sure the patient remembers the steps, or to provide re-training. However, I wonder if any clinic would be willing to send a nurse or tech to spend the night with a patient (or when s/he uses the cycler during the day) in case the cycler had alarms that the patient couldn’t address independently. I wonder if a clinic would send a nurse or tech to the home 4 times a day (breakfast, lunch, dinner, bedtime)?
When I worked in dialysis, there were nursing homes in my area that offered PD for their residents. If she needs short-term rehab to be able to do PD independently, she might get hand strength and flexibility faster with more intensive rehab that could be done in a rehab hospital or nursing home that offers on-site PD. I realize that this is not her preference but might be an option. It would be important to check out the place where she would go to be sure that the care provided is good. Medicare has a website called Nursing Home Compare that assigns stars for quality of care and patient satisfaction. You can find that on the Medicare site at https://www.medicare.gov/care-compare/?providerType (choose nursing home). there are several filters but unfortunately, none for PD. The dialysis clinic or the state survey agency for her state should know where PD is done in a nursing home. Surveyors visit dialysis clinics and nursing homes. The clinic should have a poster with the phone number for the state survey agency.