What does this trip through dialysis history teach us?
Conventional, current haemodialysis (HD) is commonly for 4-5 hours, 3 times/week (4x3). But, in the main, conventional “ maintanance” dialysis is dialysis …
In the providers’ time, by the providers’ rules, at the providers’ convenience
In addition …It imposes conformity of lifestyle by restricting choice…It limits outcomes by enforcing unimaginative regimes
The future of HD should aim to be …
In the users’ time, by the users’ rules, at the users’ convenience
… And the user is you, the patient with kidney failure
Ideal dialysis should at least offer ‘optimal’ options, Ideally, there should be options in HD, ranging from …
4-5hr x 3/wk (centre/satellite/home)
Daily, short-hour, 5-7 days/wk (centre/satellite/home)
Long, slow, nocturnal 3.5 nights/wk (centre sleep-over/home)
Long, slow, nocturnal 6-7 nights/wk (home)
Richard C/O Jessie