The process is repeated between three and five times a day. In most cases, this treatment can be performed without assistance, at home or at work. During hemodialysis, the blood is circulated through an artificial kidney machine. The artificial kidney cleans blood in almost the same way that healthy kidneys do. The treatment is performed usually three times a week, and can take between three and five hours each time.
Special training is required for self-care or home dialysis.
Supply adequate kcals, protein, vitamins, and minerals. Monitor nutritional status evaluating progress and decline. Help patient manage eating problems associated with renal failure and dialysis. Evaluate nutritional status and determine appropriate feeding option for each individual condition. Educate patient on choice of nutrient dense foods and supplements to improve overall quality of life.