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For patients who prefer to be cared for by a medical team, in-center dialysis is a suitable alternative for different profiles and levels of autonomy.20 This treatment method takes place in specialized environments that ensure continuous medical monitoring.
HEMODIALYSIS IN MEDICAL UNITS
In-center hemodialysis is typically performed three times a week in a specialized facility, under the continuous supervision of healthcare professionals. Each session lasts about 4 hours, during which the blood is filtered by a dialyzer to remove toxins and excess fluids.
Benefits20 :
- Constant medical supervision, with a team of nephrologists, specialized nurses, and technicians always available.
- Comprehensive care management by the healthcare team, reducing the stress associated with managing the treatment.
- Continuous monitoring of medical parameters (blood pressure, weight, general condition) to adjust the treatment according to the patient's needs.
- Opportunity for regular interactions with other patients, creating a supportive and sharing environment.
Drawbacks20 :
- Frequent trips to the center, which can be inconvenient depending on the distance and available transportation.
- Fatigue post-dialyse, souvent plus marquée qu’avec la dialyse quotidienne à domicile, en raison de l’élimination plus rapide des toxines et des liquides.
- The two consecutive days without dialysis, which can be taxing on the body, increasing the risk of toxin buildup and fluid imbalances.
Who is this type of dialysis for?21
In-center hemodialysis is generally recommended for patients who:
- Require close medical monitoring due to fragility.
- Prefer strict medical supervision and do not wish to manage their treatment independently.
- Cannot perform home dialysis due to personal, family, or logistical constraints.
SELF-CARE UNITS : A MORE INDEPENDENT ALTERNATIVE
Self-care units are an intermediate option for patients who have acquired the necessary skills to perform their own treatment, while still benefiting from a medically supervised setting and assistance when needed. It takes place in a specialized, equipped center, where the patient performs their dialysis session after a training period provided by the healthcare team.20
Benefits20 :
- Semi-independent management, allowing the patient to take an active role in their treatment, while remaining in a secure setting.
- Fewer scheduling constraints than in a medical center, with a bit more flexibility in organizing sessions.
- Medical supervision available, but non-intrusive.
Drawbacks20 :
- Requires prior training and a good level of independence to be able to manage the treatment independently.
- May not be suitable for patients with reduced physical or cognitive abilities, or for those who do not feel comfortable with the technical management of the treatment.
- Limited assistance in case of immediate complications, requiring increased vigilance from the patient.
Who is this type of dialysis for?21
Hemodialysis in self-care units is generally suitable for patients who:
- Desiring more independence while remaining in a medically supervised environment.
- Having the ability to learn and perform their treatment independently.
- Seeking a compromise between the close monitoring of a center and the independent management of their treatment.
WHICH TYPE OF DIALYSIS UNITS TO CHOOSE?
The choice between different facilities will depend on the availability of units, the patient's preferences, health condition , and level of independence. Some may prefer comprehensive care, while others may want a bit more independence with self-care units.
