Dialysis Care
What dialysis really involves.
If your kidneys can no longer filter your blood adequately, dialysis takes over that job. Most people are anxious before their first session — understanding the process removes most of that anxiety.
The two main types
Hemodialysis
Blood is filtered outside the body by a dialysis machine and returned clean. It happens at a centre or at home, typically three times a week for about four hours. Requires a vascular access — usually a fistula in the arm.
Peritoneal dialysis
The lining of the abdomen acts as the filter. Dialysis fluid is exchanged through a small catheter several times a day, or overnight by machine. Done at home, with training in sterile technique.
Before a session
You will have regular blood tests to set the session prescription. Eat a light meal beforehand, take your prescribed medicines, and arrive a little early. Bring a book or phone — the session is quiet time more than anything.
During
A nurse connects you to the machine. You can read, watch something, or sleep. Blood pressure is checked throughout, and the team tunes the machine if you feel unwell.
After
You may feel tired for an hour or two. Drink as advised, avoid lifting with the access arm, and watch for signs of infection at the access site. Your dietitian will guide limits on salt, fluids and potassium.
Planning dialysis around your life
- Work: many patients choose evening or weekend sessions.
- Travel: book dialysis at a centre at your destination in advance.
- Transport: arrange reliable transport; a consistent schedule protects your access and your health.
- Support: a family member trained to help you manage your plan makes a real difference.
Common questions
Does dialysis hurt?
The needle insertions can sting briefly, but most people do not find the session itself painful. Dizziness or cramps can occur, especially early on, and the care team adjusts the session parameters to reduce them.
How often is dialysis needed?
Hemodialysis is usually needed about three times a week, roughly four hours each time. Some patients with home dialysis options use overnight or daily schedules. The frequency depends on the stage of kidney failure and your overall health.
Can I work and travel while on dialysis?
Yes, with planning. Many patients continue working by scheduling sessions in the evening or on weekends. Travel requires arranging dialysis at a centre at your destination — plan sessions and share your records in advance.
Is dialysis covered by insurance or schemes?
Coverage varies. Many private policies cover dialysis for a defined period, and government schemes support dialysis for eligible families in participating states. Our insurance guide explains what to check in your plan.