My Results With Nocturnal Dialysis

[NDXUFan]

I have been on Nocturnal Dialysis for about a month. I generally run 6.5-10 hours per treatment, 6 nights per week. As a result, binders have been stricken from the menu. I eat and drink as I wish, just as you do. In addition, I take very little medication, sometimes, have to take calcium supplements. Why this treatment is not widely used, is beyond me.

[Tish88]

Because people in the United States do not want to be connected to a machine for 6.5 - 10 hrs a day every night for 6 nights a week. We are lucky to get them to come to a clinic 3 days a week for 3 hr treatments. I agree they would feel better doing nocturnal or even short home hemo treatments.

[traumaRUs, MSN, APRN]

Agree that this reduces mortality an morbidity. Also agree with Tish. US pts take little responsibility for their own care.

[anurseadvocate]

We agree to disagree here -- therefore, my thinkikng is much different -- I believe that, more than not, patients are NOT educated as to nocturnal dialysis -- many facilities do not even offer such --- I believe that if patients were educated as to nocturnal and the great benefits that more patients would opt for such... again, if you take a look at the CMS information you will see that there are not as many units, as we would think, who offer nocturnal dialysis --this is unfortunate --

Also, if the unit does not offer such, and there are limited units in an area that do, this presents a problem. I don't necessarily believe that patients don't take responsibility - I believe it is a two way street starting with providers making these modalities available, then educating patients --- patients can do nocturnal at home as well -- of course, there are those patients who don't take responsibility and there are always reasons for these behaviors of which is good if the social worker, if well experienced, can delve into these reasons and hopefully change the patient's view..

I am glad that the treatment is working for you NXFan