The Home Dialysis Program at The Scarborough Hospital (TSH) includes both Home Peritoneal Dialysis (PD) and Home Hemodialysis (HHD), which assists patients and their families to perform their chosen home-based method of dialysis independently in the comfort of their home. Home dialysis is associated with a higher quality of life as it minimizes disruption to activities associated with daily living.
All equipment and supplies are provided by the program and delivered directly to the patient’s home.
The program also provides teaching and training for patients with end stage renal disease, and their families, to support independent or assisted self-care and treatment at home. Patients are assessed every six to nine weeks by an interprofessional health care team. Assessments, which include blood work, nutrition, physical and emotional well-being and treatment prescription, are reviewed and adjusted in collaboration with the team and patient.
Recently, a Home Dialysis Transition Unit was added to the program, which provides additional support to patients and families who face challenges with the transition to home dialysis, but who wish to remain independent. Some challenges may include machine related issues, vascular challenges and emotion burden.
The Scarborough Regional Nephrology Program also supports PD in partnering with nursing homes. Nursing home staff are trained to support the care and delivery of PD, and the program provides ongoing support and guidance.