Imagine that you have developed chronic kidney disease (Links to an external site.) or CKD. Developing CKD means you have some decisions to make about your treatment. Your choices include, but are not limited to:
- hemodialysis
- peritoneal dialysis
- kidney transplantation
Each treatment has advantages and disadvantages. Your choice of treatment will have a big impact on your day-to-day lifestyle, such as being able to keep a job if you are working. You may also choose to forgo treatment. Research these choices and give your point of view as to the best option for you. Include your reasoning for your choice and be sure to include references for any outside resources you use in your post. This is a very personal question. Please share only that which you are comfortable sharing and be kind to each other in your responses. Not everyone will choose the same treatment or reasoning. It is expected that you will be professional and compassionate in your responses.
Reply:
There is a lot to think about when choosing treatment for chronic kidney disease. Depending on the what stage of renal failure I am in. If my kidneys still had some function I would choose peritoneal dialysis. This is because it would give me the most flexibility and it is the lest invasive compared to a kidney transplant. Peritoneal catheter placement is done laparoscopic and has a short recovery time. I can still work and lead a normal life. The only down fall to having this type of dialysis is the fact that you have to do it 4-6 times a day or there is a type of peritoneal dialysis that you can do at night that takes 10 hours to complete. The nice thing about this is that it can be done while I am sleeping. I would not have to worry about getting dialyzed during the day. I can work and do my daily activities without being disrupted. Also, I would not have the diet restrictions that come with hemodialysis. With hemodialysis, you have dietary restriction and you have to have hemodialysis done every three to five days and it takes 4 hours to complete. You can still work but you would have to work your treatments around your job. I would have to drive every three to five days to a dialysis center for treatment. There are side effects with hemodialysis like fatigue and low blood pressure. Hemodialysis can become costly to some one that has to go to a treatment facility several times a week. If I was not eligible for peritoneal dialysis then I would choose a kidney transplant. Although this is a major surgery and higher possibility of complications. I would prefer it over hemodialysis because I would not have to go some were every three to five days for treatment. This is a more costly option and you have to take antirejection drugs for you body to except the new kidney but I can lead a more normal life. I would not have to worry if I go out of town for a week, wondering if there is a dialysis treatment center close by so I can get dialyzed.
https://www.kidney.org/atoz/content/nocturnal-dialysis (Links to an external site.)
(Links to an external site.)https://kauveryhospital.com/blog/nephrology/difference-between-hemo-dialysis-and-peritoneal-dialysis/ (Links to an external site.)
https://www.freseniuskidneycare.com/treatment/transplant
Reply:
If I developed CKD I would have a hard time deciding what treatment plan I would pick. None of them sound desirable but I would have no choice. In a sense I have to pick my poison. First off, I know EXACTLY what I would NOT want. That without question would be Hemodialysis. I dislike the smell of dialysis centers and the whole process is honestly interesting but I wouldn’t want it done to me personally. It is weird. Also, everybody I know who undergoes dialysis is miserable. Every last one of them. So then my choice comes down to 2 options. After researching peritoneal dialysis, I think I would go with that. It seems less taxing on the body and mind. It offers more flexibility than tradition dialysis with its strict schedule. The diet is even more relaxed than traditional dialysis. In fact, it can even be done at the comfort of your own home! In my opinion, I think that a kidney transplant is for people with acute kidney injuries such as trauma.
org/tests-procedures/perito…”>https://www.mayoclinic.org/tests-procedures/perito…
Reply:
If I was to develop chronic kidney disease, the treatment I feel would benefit and make me feel comfortable receiving, would be peritoneal dialysis. I would at least be able to continue to work and do most of my daily activities with peritoneal dialysis. I would also be able to treat or have a caregiver treat me in the comfort of my own home. I think I would lose my mind if I was put on a waiting list for a kidney transplant. Not to mention, that’s if I’m a compatible match with the donor. The risks associated with getting the transplant would be way more risky than that of dialysis too. I also dislike the idea of having to go to center for treatment all the time, plus I am not a big fan of needles, so hemodialysis would defiantly be a no for me.
References:
org/tests-procedures/hemodi…”>https://www.mayoclinic.org/tests-procedures/hemodi…
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