Table 1 Strategies to Prevent Discontinuation in Home Hemodialysis
From: Home hemodialysis technique survival: insights and challenges
Problem | Strategy |
|---|---|
Lack of patient education/ training | Build a comprehensive training program with extensive physician, nurse, staff, and patient support |
Lack of physician expertise | Increase in exposure to home hemodialysis during nephrology training |
Lack of confidence/anxiety | Identify and address patient’s psychosocial needs early on, individualized education, routine psychosocial support, peer support network, and consider virtual monitoring |
Patient burnout | Routine psychosocial assessments with targeted support Support groups Consider care partner or paid helper |
Care partner burnout | Support groups Consider respite care |
Early discontinuation of vulnerable patients | Create a robust pre-dialysis screening of patients, and target patients who will need extra support and close monitoring |
Technical complexities | Offer adequate individualized patient training and support Support groups |