Peritoneal dialysis uses your body's own tissue the peritoneal membrane as a filter to clear wastes and extra fluid from your body and to return electrolyte levels to normal. Unlike with in-center hemodialysis, you don't need to travel to a dialysis center for your treatment. Peritoneal dialysis is done every day. It can often be done at night, while you sleep.
You will need to have a catheter dialysis access placed in your belly before you start dialysis. If you don't have dialysis, your kidneys will continue to fail and you eventually will die.
How long you could live depends on your overall health aside from your kidney disease and how much kidney function you have left. If you don't have dialysis, health professionals who provide end-of-life care can help you have the highest quality of life possible. This may be done through hospice care. Hospice offers the chance to think about personal goals, relieve pain, and take care of your emotional and spiritual needs.
These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions. I want to have dialysis, because I'm not ready to die.
I still feel young. I have a lot of things I still want to do with my life. I want to work on my craft projects and spend more time with my grandchildren. I have other bad health problems. I've had heart attacks, and I also have heart failure. I don't think dialysis will give me much more time. I feel like I've had a good life. I'm ready to go whenever it's my time. I know I'll spend a lot of time at dialysis.
But I can read there. And I love writing letters to family and friends. My partner can drop by sometimes and spend some time with me, and maybe I can make some friends at the dialysis center. I want to spend the time I have left with my family, not having dialysis. My daughter said I can come live with her, so I can spend more time with her and her husband. Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements.
I don't want to keep relying on others for help with my dialysis treatments. I feel pretty good overall, because kidney failure is my only major health problem. I'm already sick from other health problems and am not sure dialysis will help me feel any better or live any longer. Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision.
Show which way you are leaning right now. How sure do you feel right now about your decision? Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision. I don't mind having to rely on others for transportation or other help.
I may be able to have dialysis at home and not go to a center. Are you clear about which benefits and side effects matter most to you? Do you have enough support and advice from others to make a choice? Author: Healthwise Staff.
Medical Review: Anne C. This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use.
Learn how we develop our content. To learn more about Healthwise, visit Healthwise. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Updated visitor guidelines. Get the facts. Your options Start kidney dialysis, which may help you live longer. Don't start dialysis, which will allow death to occur naturally.
Key points to remember It's your choice whether to have dialysis or not have it. You and your family can talk with your doctor about the benefits and side effects of dialysis. Dialysis can't cure kidney failure, but it may help you live longer and feel better. If you have other serious health problems, dialysis may not help you live much longer than you would without it.
Dialysis takes time and commitment. You also have to watch how much fluid you drink and be careful about what you eat. Dialysis can have side effects such as low blood pressure, muscle cramps, or infection.
What is kidney failure? The Nephrology Times featured a study by Dr. Sunil Karhadkar and colleagues examining short- and long-term outcomes of kidney-pancreas transplants in overweight and obese patients.
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Search temple health. Dialysis The two major forms of dialysis are hemodialysis and peritoneal dialysis. Kidney Transplant A donated kidney may come from an anonymous donor who has recently died or from a living person, usually a relative.
Points to Remember Your kidneys are vital organs that keep your blood clean and chemically balanced. The progression of kidney disease can be slowed, but it cannot always be reversed. End-stage renal disease ESRD is the total loss of kidney function. Dialysis and transplantation can extend the lives of people with ESRD. Diabetes and high blood pressure are the two leading causes of kidney failure.
You should see a nephrologist regularly if you have renal disease. Chronic kidney disease CKD increases the risk of heart attacks and strokes. Kidney specialists have long been concerned about the possible implications of the weekly two-day break from dialysis.
But there has been little reliable evidence to test their concerns. Missing the Monday session means four days without dialysis. The researchers examined the risks of hospitalisation and death associated with the regular two-day break from dialysis. This cohort study analysed data from 3. It included patients in 15 European countries who were treated from to One in a hundred sessions — or fewer — were missed from Monday-Thursday. Non-attendance was higher on Fridays 1.
Patients who missed the first or last session of the week four days without dialysis had twice the risk of being admitted to hospital or dying, compared to patients who missed a midweek session three days without dialysis. The researchers presented their results as if considering a group of patients over one year. This allows them to compare different scenarios. They found that:. The study provides important data that will inform the debate about the best way to schedule dialysis in hospitals.
It confirms the significant health risks associated with the regular two-day break when patients who attend all their appointments still go two days without dialysis. The results showed that more patients miss dialysis sessions towards the end of the week when sessions are close to or fall on the weekend.
And it highlights the danger to patients of skipping the first scheduled session of the week four days without dialysis. Some of these conclusions were previously known, others were assumed. But the scale of the harms demonstrated by the study suggests that medics, patients and hospital officials will want to engage with the issue. For patients, the results demonstrate the importance of attending all their scheduled sessions.
Medics and policy-makers may want to look at scheduling. Most policies on dialysis schedules, for example, assume that patients will attend all of their sessions. The findings emphasise the need for research into different ways of delivering dialysis in hospitals, to address the two-day break problem. The same researchers are using existing patient data to test the benefits of offering four sessions a week. They are also working with other groups in NIHR-funded trials to look at extending the duration of existing sessions overnight in the NightLife Trial.
The stark negative impacts of missing a dialysis session suggest that healthcare professionals need to make the dangers clear to patients if they are choosing not to attend all sessions. The full study: Fotheringham J, and others. Hospitalization and mortality following non-attendance for haemodialysis according to dialysis day of the week: a European cohort study.
BMC Nephrology.
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