Home Hemodialysis: What You Need to Know About Dialysis at Home

When your kidneys can’t filter waste anymore, home hemodialysis, a form of kidney treatment performed in the patient’s own home using a dialysis machine. Also known as peritoneal dialysis at home, it gives people with kidney failure more control over when and how they get treated. Unlike clinic-based dialysis, which usually happens three times a week for four hours each time, home hemodialysis lets you choose shorter, more frequent sessions—sometimes even daily. This can mean fewer cramps, better blood pressure control, and more energy during the day.

Not everyone is a candidate for home hemodialysis, a treatment option for end-stage renal disease that requires training and equipment. Also known as self-managed dialysis, it works best for people who are motivated, have a reliable support person, and live in a clean, safe space. You’ll need space for the machine, clean water access, and a trained helper—often a family member or caregiver. Training takes weeks and covers how to set up the machine, insert needles safely, monitor your blood pressure, and handle emergencies. It’s not easy, but for many, the freedom to dialyze on their own schedule outweighs the effort.

dialysis equipment, the machines and supplies used to filter blood outside the body during hemodialysis. Also known as dialysis machines, these devices are designed for home use with safety features like leak detection, air bubble sensors, and automated shut-offs. Modern machines are quieter, smaller, and easier to use than older models. Many include built-in connectivity that sends treatment data to your care team automatically. You’ll also need supplies like dialysate fluid, needles, tubing, and disinfectants—all delivered to your door. Some insurance plans cover most of the cost, but you’ll still need to plan for maintenance and backup power.

People on home hemodialysis often report better sleep, fewer dietary restrictions, and less travel time. But it’s not without risks—infection at the access site, machine malfunctions, or missed treatments can lead to serious complications. That’s why regular check-ins with your nephrologist and strict hygiene matter more than ever. If you’re considering this option, talk to your doctor about whether your health, home setup, and support system make it realistic.

The posts below cover everything you might not think to ask: how to manage stress while dialyzing at night, what to do when the machine alarms, why some people switch from in-center to home, and how to spot early signs of infection. You’ll also find real stories from people who’ve done it, tips for training your caregiver, and what to expect during the first month. Whether you’re just exploring options or already started, this collection gives you the practical, no-fluff details you need to make informed choices.