What if you want to change treatment

What if you want to change treatment

A. What if you want to switch to a different type of dialysis

After being on one type of dialysis for a while, some patients may feel that they want to switch to a different type of dialysis. For example, some patients may want to switch from Hemodialysis to Peritoneal Dialysis; or, from Peritoneal Dialysis to Hemodialysis.

Some reasons a patient might want to switch to a different type of dialysis are:

  • To minimize the side effects associated with the current dialysis type,
  • To minimize the impact of the current dialysis type on their daily activities,
  • To reduce care burden related to the current dialysis type.

However, it is important to note that changing the type of dialysis is not always possible or advisable.

B. What if you want to start dialysis after being on kidney supportive care

After being on kidney supportive care for a while, some patients may feel that they want to start dialysis.

Some reasons a patient might want to start dialysis are:

  • To control the symptoms of kidney failure,
  • Change in patient's personal values and priorities in life.

However, starting dialysis late in the course of the disease may lead to higher risk of complications.

C. What if you want to stop dialysis

After getting dialysis for a while, some patients may feel that they do not want to continue with dialysis anymore.

Some reasons a patient might want to stop dialysis are:

  • To reduce hospitalizations due to complications related to dialysis,
  • To reduce care burden related to dialysis,
  • To focus on maintaining quality of life,
  • To focus on spending quality time with family and friends towards the end of life.

However, the life expectancy will shorten once a patient stops dialysis, especially for those on dialysis for a long time. Please very carefully consider your reasons for stopping dialysis. Talk to your doctor about end-of-life care options.

Choosing a treatment is a personal decision as each individual has different needs and preferences.

If you are considering changing your treatment, you should talk to your family and doctor about your concerns and discuss what is best suitable for you.

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