In the pre-dialysis phase, the outpatient regularly visits the outpatient clinic nephrology also situated in the building of the Dialysis Clinic. In this period, the patient and the nephrologist determine what treatment of renal function replacement therapy will be most suitable. Conversations also take place with the social worker, the dietician, and the specialized dialysis nurse.
Direct telephone number of the outpatient clinic nephrology during office hours:
Forms of hemodialysis
In case of hemodialysis, the patient comes to the dialysis clinic three times per week according to the nephrologist’s instructions. The regular treatment takes 3 to 4 hours. Patient transportation to the Dialysis Clinic can be provided by the transport company “Lite Life”. The driver assists the patient, if necessary, in getting to the waiting room of the dialysis clinic.
At our unit, self-care with regards to the treatment is stimulated. The patient can be trained to carry out the treatment as much as possible by himself, supervised by a dialysis nurse or dialysis assistant. The dialysis nurse or dialysis assistant remains the person ultimately responsible. The patient can determine to what extent he or she wants to be trained in self-care.
If the patient is not capable of actively participating in the dialysis treatment, care will be provided by the dialysis nurse or the dialysis assistant.
Access to the bloodstream
During the dialysis, a good, permanent connection between the bloodstream and the artificial kidney is necessary. This is called a shunt. A shunt is implanted surgically by the surgeon. Temporary access to the bloodstream can also be made by means of a dialysis catheter.
Forms of peritoneal dialysis
There are various forms of peritoneal dialysis: CAPD = Continuous Ambulatory Peritoneal Dialysis and APD = Automated Peritoneal Dialysis. With PD, the dialysis patient can carry out his or her own treatment at home. The dialysate gets into the abdominal cavity through a permanent connection by means of a peritoneal dialysis catheter.
In this case, the patient uses dialysate that runs into and out of the abdominal cavity through a catheter. The patient learns during training how to treat himself. The diet and consumption of fluids are less limited than in case of hemodialysis.
In case of Automated Peritoneal Dialysis (APD), a machine is used to exchange the fluids. The dialysis takes place at home, during the night, when the patient sleeps.
Beside hemodialysis and peritoneal dialysis, a kidney transplant is another option of renal function replacement therapy. In consultation with the nephrologist, it will be assessed whether the patient qualifies for a kidney transplant. Kidney transplant preparation takes place in Aruba, the actual surgery takes place in the Netherlands.