Doctor's explanation: "Normally, your kidneys filter waste products and excess fluid from your blood, turning these into urine that you pass out of your body. When your kidneys aren’t working properly, waste and fluid build up in your blood, which can be harmful. Dialysis acts as an artificial kidney to clean your blood."
Doctor's explanation: "Haemodialysis uses a machine with an artificial kidney called a dialyzer. Your blood is drawn from your body into the machine, filtered, and then returned to your body. This treatment is usually done three times a week for about four hours each session, either in a dialysis center or sometimes at home."
"Before starting, you will have a surgical procedure to create an arteriovenous fistula—this connects an artery and vein in your arm to allow easy access for the dialysis needles. It takes 6 to 8 weeks for the fistula to mature and be ready for use. Although needles are involved, nursing staff are trained to minimize discomfort."
Doctor's explanation: "Between sessions, excess fluid and minerals like potassium and phosphorus can build up, so it is important to monitor fluid intake and follow a low potassium and phosphate diet."
"Dialysis is time-consuming, taking around 12 hours per week, and can impact your quality of life."
"Patients with kidney disease have a higher risk of cardiovascular disease, so quitting smoking, reducing alcohol, and exercising are important."
Doctor's explanation: "Common side effects include low blood pressure during treatment, which may cause dizziness or weakness, muscle cramps due to fluid shifts, itchy skin, and an increased risk of serious infections like sepsis."
"How do you feel about the information I have provided?"
"You may not have expected dialysis to be a long-term treatment but are willing to proceed."
"Concerns about needle pain are understandable, but the team will do their best to make you comfortable."
Doctor's question: "Could you summarise what we have discussed today?"
"You now understand that haemodialysis is a long-term treatment requiring a fistula and involves lifestyle and dietary changes. You are aware of common side effects and risks."