Peritoneal Dialysis at Home .

Peritoneal dialysis (per-ih-toe-NEE-ul die-Al-uh-sis) is a modality of Dialysis performed at home.

Is a way to remove waste products from the blood when your kidneys can no longer perform adequately.

Hemodialysis a more commonly used blood-filtering procedure performed at the Center by the RN and PCT, 3 or 4 times weekly and can take into 4 hours each treatment. Peritoneal dialysis the patient give your self a treatment at home, at work or while going for a vacation with use of small size machine called cycler and the duration can be at the time of sleeping.

Understanding  Peritoneal dialysis :

1: Can be done any time of the day or when the patient is sleeping.
2: Give the patient freedom to work, take care the family, travel or complete daily activities.
3: Peritoneal Dialysis is done 7 days a week, the peritoneal Nurse will training the patient to connect and disconnect from the Cycler without issues.
4:  A cleansing fluid flows through a tube called ” catheter”  inside of the abdomen and filters the waste products from your blood.
5: Nephrologist will prescribe the right period time for treatment, the fluid with all filtered waste products will flow out of the abdomen and will be discarded.

Renal Social worker and Dietitian will give support and orientations through your treatment and provide all the information to renal transplant enrollment.

Peritoneal Dialysis program will help the patient with educational material, responding questions and keep tracking the patient progress every month.  Contact your Dialysis Center for more information and check with your Nephrologist to see if Peritoneal dialysis will work for you.

Peritoneal Dialysis can provide the freedom through the day to work, travel, shopping, enjoy the time with kids, walk in the park with your pet or any other daily activity.

Crown Dialysis Center of Palm Beach offers an excellent Peritoneal dialysis program, contact 1(561)372-3700 for more information.

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Crown Dialysis Center of Palm Beach received an award for being in the top 25 dialysis blogs.

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Is a pleasure continue with our blog to inform all the dialysis community!
Thank you for all the supporters that make this possible .

Patricia Stremel

Home Hemodialysis

'Have you thought about Dialysis at Home ?

” Getting Involved really Matters”.

You’ll feel more in charge if you take an active role in the decision.

Your kidney team should tell you about all treatment options and the pros and cons of each. But you make the choice based on your needs, lifestyle, medical conditions, and current level of kidney function. In order to make this decision, you need to learn about all the treatments.

  • Talk to the professionals who are treating you
  • Ask questions: What treatments are done at home? Am I eligible for home treatment? How will my choice of treatment affect my health and lifestyle? At this point in my kidney disease, is one choice better than another? Will one treatment better than another? Will one treatment better protect my remaining kidney function? Which one?
  • Think about how this decision will affect your life.
  • Talk to your family, friends and other people who care about you.
  • Visit the National Kidney Foundation website for helpful resources.

Reference: Have your thought about Dialysis at Home? – National Kidney Foundation /  material from publication Number 12-10-0337_KBA

Crown Dialysis Center is a Medicare Certified State-of-the-art facility offering all modalities of dialysis treatments.

A team of qualified health professionals manage the dialysis center under the leadership of Board Certified Nephrologist, Bharat K. Gupta MD.

Crown Dialysis is a leading-edge facility specialize in Staff Assisted Hemo-Dialysis at your home on your schedule.

Dialysis Patient Dining Out

"Important Facts Before you go to have a dinner out"  

•Plan Ahead and choose a restaurant where will be easiest to select foods for your diet
•Cut back on serving sizes and food high in " SODIUM and "POTASSIUM
•Call and learn about the menu, how the dishes are prepared
•Ask to the server for more information about the way your food choice is prepared and served
•Protein Restriction Diet: Can be requested half portions of the main dishes that contain meat, fish, cheese, and poultry
* Remember: Protein is found in cheese and cream sauces, foods prepared and mixed with milk, nuts, eggs, and a vegetarian dishes contain dried beans or lentils

"Beverages at your dinner"

•Plan the amount of Fluid you may have during the meal
•Plan when you want the beverage: before, during, or after the meals.

•Choose beverages low in potassium and phosphorus.( ask your dietitian for specific guidelines)
•Order beverages by the glass instead of ordering a pitcher of drinks
•Squeeze lemon wedges into your water to help quench your thirst
•Turn cups or glasses upside down before they are felled or ask to have them removed
•Push your glass or cup away from your plate when you are finished to avoid refills.

Reference: "National Kidney Foundation, inc _GBD -RV1-V1 : NKF 2013 published More

"Lets us know about your experience dining out !"

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What is your stage of Kidney Disease?

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There are 5 stages of kidney disease. Your doctor determines your stage of kidney disease based on the presence of kidney damage and your glomerular filtration rate (GFR), which is a measure of your level of kidney function.Your treatment is based on your stage of kidney disease. Speak to your doctor if have any question about your stage of kidney disease or your treatment.
Stage of kidney Disease

1: Kidney damage (e.g.,protein in the urine) with normal GFR ……………………….GFR rate : 90 or above
2: Kidney damage with mild decrease in GFR ……………………………………….GFR rate : 60 to 89
3: Moderate decrease in GFR …………………………………………………….GFR rate : 30 to 59
4: Severe reduction in GFR ……………………………………………………..GFR rate : 15 to 29
5: Kidney failure ……………………………………………………………..GFR rate : less than 15
* Your GFR number tells your doctor how much kidney function you have.As chronic kidney disease progress, your GFR number decreases.

“National Kidney Foundation.Home Hemodialysis. A Guide for patients and their families.2009-2Print”

Do you know about your stage if Kidney disease ? Leave you comment below.



Nutrition 101



Sodium is a mineral found in many foods. The primary function of sodium in the body is to maintain the fluid balance, normally food contains more sodium than the body needs, and the elevate quantity of sodium can be harmful for patients with “Chronic Kidney Disease” .



*Sodium generate fluid to accumulate in your body and promote many problems like :Swelling, Raising blood pressure promoting Heart and kidneys complications.

The “Good choices ” can be made reducing the sodium from your daily diet and making good protein choices lower in sodium, potassium and phosphorus like eggs or egg substitutes, pork, poultry, fish, lean beef, unsalted crackers, canned vegetables,soup without added salt and fresh herbs to give the final taste.


“Control the sodium intake” .


'What your Nephrologist wants you to know About Dialysis and Vaccinations'

“Kidney diseases is one of several conditions that can put a person at higher risk for infection”.

This means that those with kidney failure may need to receive more shots, or higher doses, of vaccines to ensure protection.

Listed above are types of immunizations and vaccines recommended for people on dialysis and those with chronic kidney disease who have not yet start dialysis.

  1. Hepatitis B Vaccine: as hemodialysis patient, you have an increased risk of Hepatitis infection. The Hepatitis B vaccine is safe,effective, and your best protection from the virus.
  2. Flu Shot to Protect Against Influenza: the Flu Shot cannot cause the flu. As a dialysis patient you are considered a priority group.
  3. The Pneumococcal Vaccine: about 1 out of every 20 people who get pneumonia do not recover.One dose every 5 year.



Reference:Dialysis Patient Citizens (CPC), Improving our LIVES Trough EMPOWERMENT, material from FMQAIpublication Number :FL-ESRD-2012ESET2B-11-356