At Home Treatment

Home Peritoneal Dialysis

The second type of home treatment is peritoneal dialysis, which is performed by a patient’s own peritoneal membrane inside the abdominal cavity. A catheter is surgically placed through the abdominal wall into the peritoneal cavity and solutions are instilled through the catheter. The dialysis solution remains inside the cavity for a period of time to allow waste fluid to pass through the membrane. The fluid is later drained and new solution is instilled; this is called an exchange. Peritoneal dialysis exchanges are done four times each day, or a machine called a cycler can perform the exchanges during the night as the patient sleeps. To train for home peritoneal dialysis, you will work with our nurses at the Dialysis Training Unit for approximately a week and a half until you will be able to independently administer your treatments.

Advantages of Home Peritoneal Dialysis

  • No needles
  • Greater independence
  • Support person unnecessary, unless specific needs
  • Less restrictions on diet and fluid intake
  • Improved blood pressure control

Disadvantages of Home Peritoneal Dialysis

  • Catheter needed
  • Requires greater protein intake
  • Supply storage required in home
  • Possible weight gain
  • No hot tubs or baths; swimming is allowed
  • If using a cycler, a machine is required
  • If not using a cycler, exchanges require scheduling throughout the day