Illawarra Shoalhaven Local Health Districthome dialysis nurses work with patients, families and carers learn how to dialyse at home.
Our home dialysis nurses teach haemodialysis and peritoneal dialysis to suitable patients. Our nurses also provide support to patients with home visits, and a 24-hour on call service.
Our home dialysis nursing team can be contacted on (02) 4222 5426 or via email ISLHD-HDTU@health.nsw.gov.au.
Peritoneal Dialysis (PD)
PD is a form of treatment used to manage someone with end stage kidney disease, and replaces some of the functions of the kidney when the kidneys are no longer keeping you well. After training, PD is always done at home. First, a tube is placed into the abdomen (tummy) in theatre. Approximately 2 to 4 weeks later the dialysis can be started. Fluid is filled into the tummy where it stays for a few hours – this is called the "dwell". During the dwell, toxins from the blood move into the fluid, then later the fluid is drained and replaced with new fluid.
PD can be done two ways:
- Continuous Ambulatory Peritoneal Dialysis (CAPD), usually four times per day where the exchange of fluid using gravity takes about 30 to 45 minutes each time.
- Automated Peritoneal Dialysis (APD) is usually done during the night while sleeping, using a machine to drain and fill the fluid.
Both of these procedures need 3-5 days training in the Home Dialysis Training Unit (HDTU) at Wollongong Hospital.
More information on peritoneal dialysis is available from Kidney Health Australia: Dialysis key facts
Home Haemodialysis
Haemodialysis is another form of treatment used to manage someone with end stage kidney disease. Haemodialysis can be done in the hospital or at home. When it is done at home, the patient has more freedom and flexibility to do the dialysis when they want to.
Haemodialysis in the home requires special plumbing for the machine and installation of a machine by a technician. The Home Dialysis Training Unit (HDTU) organises this.
Haemodialysis requires an access between an artery and a vein, so the vein becomes strong and can function well with 2 needles every 2nd day. Going home on haemodialysis requires 8 to 12 weeks of training which occurs in the HDTU at Wollongong hospital. Patients can be trained to manage themselves independently, or a carer can be trained alongside them to either assist in the procedure or to provide support.
Done at home, the patient has more freedom and flexibility to do dialysis to fit in with their lifestyle.
More information on Haemodialysis is available from Kidney Health Australia: Dialysis key facts