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Home hemodialysisHHome hemodialysisHome hemodialysisEnglishNephrologyChild (0-12 years);Teen (13-18 years)KidneysCardiovascular systemNon-drug treatmentCaregivers Adult (19+)NA2014-07-30T04:00:00ZElizabeth Piva, RN;Susan Ackerman, RN;SickKids Home Dialysis Program10.000000000000054.0000000000000729.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn what is involved in performing home hemodialysis and how it can benefit your child.</p><p>Home <a href="/Article?contentid=44&language=English">hemodialysis</a> can be done in your child's bedroom as either:</p><ul><li>short daily hemodialysis (SDHD) - during the day while your child is awake</li><li>nocturnal hemodialysis (NHD) - at night while your child is sleeping.</li></ul><p>You will perform the treatment with your child and have support and guidance from the home dialysis team. The treatment is monitored remotely and you can access on-call nursing support overnight if you have any questions.</p> <figure> <img alt="young male patient getting dialysis at home" src="https://assets.aboutkidshealth.ca/akhassets/PMD_home_dialysis_boy_on_bed_EN.jpg" /></figure><h2>Key points</h2> <ul> <li>Home hemodialysis can be done in your child's bedroom during the day or while your child is sleeping at night.</li> <li>Home hemodialysis has a number of benefits, including more independence and flexibility in caring for your child, the need for fewer medications and less absence from school.</li> <li>Your child should weigh more than 20 kg and have a working central venous line before they start home hemodialysis.</li> <li>You must be physically able to operate the equipment and commit time to training, performing the dialysis properly for at least a year and solving any problems that might occur at home.</li> </ul><h2>Things to consider when deciding on home hemodialysis</h2> <p>Learning to perform home hemodialysis is exciting, but it can be overwhelming. It requires both commitment and confidence.</p> <p>To help you decide if this type of treatment is suitable for your child, please consider the following points.</p> <h3>Your child's suitability for home hemodialysis</h3> <ul> <li>Your child'should weigh more than 20 kg (about 44 lbs).</li> <li>Your child must have a working <a href="/Article?contentid=52&language=English">central venous line</a> for the tubing from the dialysis machine.</li> </ul> <h3>Your ability and time to perform home hemodialysis</h3> <ul> <li>As a caregiver, you must be able to understand and read English.</li> <li>You must be physically able to perform the therapy. This includes having the fine motor skills (for example being able to control the small muscles in your hands) to safely operate the equipment and handle the tubing.</li> <li>You and your child (if they are old enough) will need time to attend and complete training.</li> <li>Dialysis can take several hours. You and your family must commit to the time involved in performing each dialysis.</li> <li>You must commit to home hemodialysis for at least a year.</li> <li>You will need to be actively involved in decisions about your child's health and able to solve problems at home as they happen. </li> <li>You will need to have a reliable back-up person to help with dialysis if you are not available.</li> </ul> <h3>Your home's suitability for home hemodialysis</h3> <ul> <li>Your home must have a suitable space to store and operate the equipment and supplies.</li> <li>Your family should be able to tolerate possible night disturbances from the alarms on the dialysis machine.</li> </ul> <h3>Costs of home hemodialysis</h3> <ul> <li>Your provincial health plan will not cover the running costs of hemodialysis at home. Your domestic bills (for example for water or electricity) may increase once you start using the equipment.</li> </ul><h2>Are all homes suitable for hemodialysis?</h2> <p>Before you can start dialysis at home, someone will visit you to check if your home is suitable for storing and using the equipment and supplies. If it is suitable, the hospital will arrange some home renovations, including electrical and plumbing changes. An experienced technician will need to install a hemodialysis machine and a reverse osmosis (RO) system to treat the water that will be used during dialysis.</p> <p>All the supplies you need will be delivered to your home. Your provincial health plan will cover the costs.</p><h2>At SickKids</h2> <p>If you need more information or are interested in pursuing home hemodialysis, please contact the Home Dialysis Program at 416-813-5895. The program would be happy to answer any questions or meet you to discuss if it is the best option for your child.</p>
Hémodialyse à domicileHHémodialyse à domicileHome hemodialysisFrenchNephrologyChild (0-12 years);Teen (13-18 years)KidneysCardiovascular systemNon-drug treatmentCaregivers Adult (19+)NA2014-07-30T04:00:00ZElizabeth Piva, RN;Susan Ackerman, RN;SickKids Home Dialysis Program10.000000000000054.0000000000000729.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Découvrez en quoi consiste l’hémodialyse à domicile ainsi que ses avantages possibles pour votre enfant.</p><p>L’hémodialyse à domicile peut être effectuée dans la chambre de l’enfant par une des deux méthodes suivantes :</p><ul><li>hémodialyse quotidienne de courte durée – pendant la journée, quand l’enfant est éveillé;</li><li>hémodialyse nocturne – pendant la nuit, quand l’enfant dort.</li></ul> <figure> <img alt="Jeune homme recevant l'hémodialyse à domicile" src="https://assets.aboutkidshealth.ca/akhassets/PMD_home_dialysis_boy_on_bed_FR.jpg" /> </figure> <p>Vous effectuerez le traitement avec votre enfant et vous recevrez de l’aide et des conseils de la part de l’équipe de dialyse à domicile. Le traitement est surveillé à distance et vous pouvez vous adresser à un service de soutien en soins infirmiers de garde pendant la nuit si vous avez des questions.</p><h2>À retenir</h2> <ul><li>L’hémodialyse à domicile peut être effectuée dans la chambre de l’enfant pendant la journée ou quand l’enfant dort, la nuit.</li> <li>L’hémodialyse à domicile présente plusieurs avantages, entre autres une plus grande autonomie et une plus grande souplesse dans les soins de votre enfant, moins de médicaments à prendre et moins de journées d’absence de l’école.</li> <li>Votre enfant doit peser plus de 20 kg et avoir un cathéter veineux central fonctionnel avant le début de l’hémodialyse à domicile.</li> <li>Vous devez être physiquement à même de faire fonctionner l’équipement et prendre l’engagement de consacrer le temps nécessaire pour suivre la formation, effectuer correctement la dialyse pendant une année au moins et résoudre les problèmes qui pourraient survenir à la maison. </li></ul> <h2>Éléments à considérer avant d’opter pour l’hémodialyse à domicile</h2> <p>L’apprentissage de l’hémodialyse à domicile est motivant, mais peut aussi être accablant. Il exige à la fois du dévouement et de l’assurance.</p> <p>Avant de décider si ce type de traitement convient à votre enfant, veuillez considérer les éléments suivants.</p> <h3>Le caractère adéquat de l’hémodialyse à domicile pour votre enfant</h3> <ul><li>L’enfant doit peser plus de 20 kg (environ 44 lb).</li> <li>L’enfant doit avoir un <a href="/Article?contentid=52&language=French">cathéter veineux central​</a> fonctionnel à raccorder à la tubulure de l’appareil de dialyse.</li></ul> <h3>Votre capacité et le temps dont vous disposez pour effectuer l’hémodialyse à domicile</h3> <ul><li>En tant que fournisseur de soins, vous devez comprendre et lire l’anglais.</li> <li>Vous devez être à même physiquement de pratiquer la thérapie. Vous devez entre autres avoir la motricité fine nécessaire (par exemple être capable de contrôler les petits muscles des mains) pour faire fonctionner l’équipement et manipuler la tubulure sans risque.</li> <li>Vous et votre enfant (s’il est assez grand) devrez prendre le temps de suivre et d’achever une formation.</li> <li>La dialyse peut prendre plusieurs heures. Vous et votre famille devez prendre l’engagement de consacrer le temps nécessaire à chaque séance de dialyse.</li> <li>Vous devez prendre l’engagement d’effectuer l’hémodialyse à domicile pendant une année au moins.</li> <li>Vous devrez participer activement à la prise de décisions concernant la santé de votre enfant et vous devrez pouvoir résoudre sans tarder les problèmes qui surviendront à la maison.</li> <li>Vous devrez avoir un remplaçant fiable pour effectuer la dialyse si vous n’êtes pas disponible.</li></ul> <h3>Le caractère adéquat de votre logement pour l’hémodialyse à domicile</h3> <ul><li>Votre logement doit avoir un espace adéquat pour ranger et faire fonctionner l’équipement et les fournitures.</li> <li>Votre famille doit pouvoir tolérer les possibles désagréments du déclenchement des alarmes de l’appareil de dialyse pendant la nuit.</li></ul> <h3>Les coûts de l’hémodialyse à domicile</h3> <ul><li>Votre assurance-maladie provinciale ne prendra pas en charge les coûts d’utilisation de l’hémodialyse à domicile. Vos factures domestiques (p. ex. d’eau ou d’électricité) pourraient augmenter quand vous commencerez à utiliser l’équipement.</li></ul> <h2>Tous les logements se prêtent-ils à l’hémodialyse?</h2> <p>Avant de pouvoir commencer la dialyse à domicile, vous recevrez une visite pour vérifier si votre logement convient pour le rangement et l’utilisation de l’équipement et des fournitures. Si votre logement est adéquat, l’hôpital fera effectuer des rénovations, entre autres des modifications de l’installation électrique et de la plomberie. Un technicien expérimenté devra installer un appareil d’hémodialyse et un système d’osmose inverse pour traiter l’eau qui sera utilisée pendant la dialyse. </p> <p>Toutes les fournitures nécessaires vous seront livrées à domicile. Les frais seront pris en charge par votre assurance-maladie provinciale.</p><h2>À l’hôpital SickKids</h2><p>Si vous voulez vous renseigner davantage sur l’hémodialyse à domicile ou si vous désirez employer cette méthode, veuillez communiquer avec le Programme d’hémodialyse à domicile au 416 813-5895. Le personnel du programme se fera un plaisir de répondre à vos questions ou de vous rencontrer en personne pour déterminer s’il s’agit de la meilleure option pour votre enfant.</p>

 

 

Home hemodialysis41.0000000000000Home hemodialysisHome hemodialysisHEnglishNephrologyChild (0-12 years);Teen (13-18 years)KidneysCardiovascular systemNon-drug treatmentCaregivers Adult (19+)NA2014-07-30T04:00:00ZElizabeth Piva, RN;Susan Ackerman, RN;SickKids Home Dialysis Program10.000000000000054.0000000000000729.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn what is involved in performing home hemodialysis and how it can benefit your child.</p><p>Home <a href="/Article?contentid=44&language=English">hemodialysis</a> can be done in your child's bedroom as either:</p><ul><li>short daily hemodialysis (SDHD) - during the day while your child is awake</li><li>nocturnal hemodialysis (NHD) - at night while your child is sleeping.</li></ul><p>You will perform the treatment with your child and have support and guidance from the home dialysis team. The treatment is monitored remotely and you can access on-call nursing support overnight if you have any questions.</p> <figure> <img alt="young male patient getting dialysis at home" src="https://assets.aboutkidshealth.ca/akhassets/PMD_home_dialysis_boy_on_bed_EN.jpg" /></figure><h2>Benefits of home hemodialysis</h2> <p>Home hemodialysis is slower and gentler than in-hospital dialysis, but it is very efficient.</p> <p>Home hemodialysis:</p> <ul> <li>offers independence and control over your child's health care, as you perform the therapy</li> <li>allows more flexibility to work around your child's daily routine and any hobbies or family time - it can even be performed while your child is sleeping</li> <li>requires fewer trips to the hospital, so minimizing travel time and any transportation costs</li> <li>requires your child to take fewer medications than if they were on <a href="/Article?contentid=42&language=English">peritoneal dialysis</a> or <a href="/Article?contentid=43&language=English">in-hospital hemodialysis</a></li> <li>makes it easier to control your child's blood pressure</li> <li>allows your child to eat and drink a wider range of food than with in-hospital hemodialysis</li> <li>allows your child to attend school more often than if they were receiving in-hospital hemodialysis</li> <li>helps your child feel more secure during treatment and have more energy</li> </ul> <p>In general, patients usually feel better on this type of dialysis. Managing your child's care with close guidance from the home dialysis team is also very rewarding.</p><h2>Key points</h2> <ul> <li>Home hemodialysis can be done in your child's bedroom during the day or while your child is sleeping at night.</li> <li>Home hemodialysis has a number of benefits, including more independence and flexibility in caring for your child, the need for fewer medications and less absence from school.</li> <li>Your child should weigh more than 20 kg and have a working central venous line before they start home hemodialysis.</li> <li>You must be physically able to operate the equipment and commit time to training, performing the dialysis properly for at least a year and solving any problems that might occur at home.</li> </ul><h2>Things to consider when deciding on home hemodialysis</h2> <p>Learning to perform home hemodialysis is exciting, but it can be overwhelming. It requires both commitment and confidence.</p> <p>To help you decide if this type of treatment is suitable for your child, please consider the following points.</p> <h3>Your child's suitability for home hemodialysis</h3> <ul> <li>Your child'should weigh more than 20 kg (about 44 lbs).</li> <li>Your child must have a working <a href="/Article?contentid=52&language=English">central venous line</a> for the tubing from the dialysis machine.</li> </ul> <h3>Your ability and time to perform home hemodialysis</h3> <ul> <li>As a caregiver, you must be able to understand and read English.</li> <li>You must be physically able to perform the therapy. This includes having the fine motor skills (for example being able to control the small muscles in your hands) to safely operate the equipment and handle the tubing.</li> <li>You and your child (if they are old enough) will need time to attend and complete training.</li> <li>Dialysis can take several hours. You and your family must commit to the time involved in performing each dialysis.</li> <li>You must commit to home hemodialysis for at least a year.</li> <li>You will need to be actively involved in decisions about your child's health and able to solve problems at home as they happen. </li> <li>You will need to have a reliable back-up person to help with dialysis if you are not available.</li> </ul> <h3>Your home's suitability for home hemodialysis</h3> <ul> <li>Your home must have a suitable space to store and operate the equipment and supplies.</li> <li>Your family should be able to tolerate possible night disturbances from the alarms on the dialysis machine.</li> </ul> <h3>Costs of home hemodialysis</h3> <ul> <li>Your provincial health plan will not cover the running costs of hemodialysis at home. Your domestic bills (for example for water or electricity) may increase once you start using the equipment.</li> </ul><h2>Are all homes suitable for hemodialysis?</h2> <p>Before you can start dialysis at home, someone will visit you to check if your home is suitable for storing and using the equipment and supplies. If it is suitable, the hospital will arrange some home renovations, including electrical and plumbing changes. An experienced technician will need to install a hemodialysis machine and a reverse osmosis (RO) system to treat the water that will be used during dialysis.</p> <p>All the supplies you need will be delivered to your home. Your provincial health plan will cover the costs.</p><h2>At SickKids</h2> <p>If you need more information or are interested in pursuing home hemodialysis, please contact the Home Dialysis Program at 416-813-5895. The program would be happy to answer any questions or meet you to discuss if it is the best option for your child.</p>https://assets.aboutkidshealth.ca/akhassets/PMD_home_dialysis_boy_on_bed_EN.jpgHome hemodialysis

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