TY - CHAP M1 - Book, Section TI - Patient Recruitment and Training for Home Hemodialysis A1 - Glickman, Joel D. A1 - Seshasai, Rebecca Kurnik A2 - Knicely, Daphne H. A2 - Abdel-Rahman, Emaad M. A2 - Greenberg, Keiko I. PY - 2021 T2 - Handbook of Home Hemodialysis AB - Although it has been said that patients choose home hemodialysis (HHD) because they feel better and achieve better outcomes, in reality they cannot appreciate those benefits before they start HHD. Therefore, it is more likely that most patients choose HHD because they aspire to enjoy a better quality of life (QOL). Patients continue on HHD therapy because their perceived benefit outweighs their obligate burden of performing HHD at home. The burden begins with making the difficult decision to take on the responsibility of performing HHD. The home dialysis staff needs to ensure that during the modality education period, patients receive sufficient time and support to mitigate the stress of choosing the best dialysis modality that will enable them to realize their life plans. The staff also needs to be certain that patients have appropriate skills, home environment, and support to succeed on HHD. Plans must be made to correct modifiable barriers for success. Unmodifiable barriers must be identified, recognized, and explained to the patient who is not suitable for HHD. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1178969333 ER -