HOW WE PROVIDE STAFF-ASSISTED,
AT-HOME HEMODIALYSIS

Liberty Home Dialysis will provide a nurse who will deliver treatment in the privacy and comfort of home, at a time that works for the patient. We recognize that it’s not convenient for everyone to come to a dialysis facility three times per week, so we do our best to remove all barriers to receiving dialysis by bringing the treatment directly to the patient.

Not only does an assigned nurse come to the patient’s home three times per week, but we also provide a complete care team, which includes a nephrologist, dietitian, and social worker. The care team will visit the home each month, or more frequently if necessary, to talk with the patient about dialysis treatments and health concerns.

We believe that patients who receive dialysis at home should receive the same high level of care and attention as those who come to our dialysis centers.

Our entire team visits the patient to ensure that they receive the best care possible.

VASCULAR ACCESS

Preparations for hemodialysis should be made at least several weeks in advance.

The patient will need to have a procedure to create an “access” several weeks or months before treatment begins, as it needs time to heal or “mature.”

Liberty Home Dialysis works with the Dallas Vascular Center, a state of the art, Joint Commission Gold Seal-Approved facility.

Vascular access creates a way for blood to be removed from the body, circulate through the dialysis machine, and then return to the body at a rate that is higher than can be achieved through a normal vein. There are three major types of access. A kidney doctor will recommend which option is best.

 

Primary AV Fistula

This is the preferred type of vascular access. It requires a surgical procedure that creates a direct connection between an artery and a vein. This is often done in the lower arm but can be done in the upper arm as well. A primary AV fistula is usually created two to four months before it will be used for dialysis. During this time, the area can heal and fully develop.

Synthetic AV Bridge Graft

The graft sits under the skin and is used in much the same way as the fistula, except that the needles used for hemodialysis are placed into the graft material rather than the patient's own vein. Grafts heal more quickly than fistulas and can often be used about two weeks after they are created. However, complications such as narrowing of the blood vessels and infection are more common with grafts than with AV fistulas.

Central Venous Catheter

This method uses a thin flexible tube that is placed into a large vein, usually in the neck. Catheters have the highest risk of infection and the poorest function compared to other access types. They should be used only if a primary AV fistula or synthetic bridge graft cannot be maintained.

ABOUT HEMODIALYSIS

Hemodialysis is a treatment for kidney failure that uses a machine to filter blood outside the body. At the start of a hemodialysis treatment, a dialysis nurse places two needles into the arm. A pump on the hemodialysis machine draws the blood through one of the needles into a tube, a few ounces at a time.

The blood travels through the tube to the filter, called a dialyzer. Inside the dialyzer, blood flows through thin fibers that filter out wastes, extra salt, and extra fluid. After the dialyzer filters the blood, a different tube carries the blood back to the body through the second needle.