1. Conventional Haemodialysis: This modality involves treatments lasting approximately four hours, administered three times per week. It is the most prevalent form of dialysis, also provided in dialysis centres.

2. Short Daily Haemodialysis: This approach entails treatments lasting two to three hours daily, typically conducted five to seven times per week.

3. Nocturnal Haemodialysis: Conducted overnight while the patient sleeps, this modality lasts between eight to ten hours, with sessions occurring three to seven nights per week.

4. Every-Other-Day Haemodialysis: This regimen involves treatment every second day, generally lasting four hours, although the duration may vary based on the physician’s prescription.

HHD’s flexibility allows for a multitude of combinations regarding treatment duration and frequency.

Requirements for Home Haemodialysis include standard dialysis equipment identical to that used in in-centre treatments. Additionally, it is essential to install a water treatment system at the patient’s residence. During each standard HHD session, approximately 120-150 litres of dialysate flow through the dialyser, translating into a significant volume of water in contact with the patient’s blood over the course of a year. While tap water typically presents no harm when used for drinking, the use of highly purified water is crucial for dialysis. The water treatment system comprises specialized filters, charcoal tanks, bacterial filtration devices, and a reverse osmosis (RO) unit. A compact water treatment system, comparable to the size of a small cabinet, will be installed. Patients will receive training on operating this system.

Sehat health Care has developed a comprehensive portfolio of optimized complementary products that facilitate reliable and user-friendly partner-assisted or self-haemodialysis treatment.

Regarding support and service, patients will be required to attend the dialysis centre for evaluations every four to twelve weeks. During these visits, blood samples are taken to assess any changes since the previous visit, allowing for potential adjustments to treatment. The physician will review laboratory results alongside the patient’s medication and dietary records. Additionally, patient records from home will be evaluated to monitor vital signs, including blood pressure, pulse, temperature, and weight, and to inspect blood access. Patients are encouraged to prepare for inquiries regarding their general well-being and appetite, as dietitians and social workers may also participate in these assessments. HHD operates as a collaborative effort; therefore, patient input is considered equally significant alongside the contributions of healthcare professionals.

Acquiring proficiency in home haemodialysis is comparable to learning to operate a motor vehicle; the process entails substantial learning, often requiring several weeks to master. Initial apprehension is common, but familiarity will develop over time. Patients will have access to a 24-hour helpline for inquiries or assistance after transitioning to home treatment. Importantly, even in home settings, patients will receive continuous support from a team of medical professionals, dietitians, and social workers, guiding them throughout the process.

With respect to dialysis supplies, each patient’s prescription is tailored to their individual needs. The prescribing physician and nurse will complete a detailed list of required supplies and quantities necessary for treatment. It is crucial to emphasize that any changes to the prescription must be proposed and approved by the physician. The initial supply order will be coordinated by the nurse, who will liaise with the designated customer service representative to ensure all necessary items are obtained, including dialysers, concentrates, bloodlines, fistula needles, syringes, and any additional equipment such as blood pressure cuffs, stethoscopes, or scales. Following this, the customer service representative will reach out to the patient to discuss the delivery schedule.