Preparing for Dialysis

Dialysis is not the goal—protecting your kidneys and your quality of life is.

Sometimes dialysis becomes necessary. When it does, we help you understand the options, plan ahead, and move forward with clear support—not panic.

Tame the elephant

Hearing that dialysis may be ahead can feel overwhelming. Preparation is about understanding options early—so you choose with clear information, not in a crisis.

Dialysis is one path—not the only path
When kidneys can no longer keep you safe and well on their own, treatment options may include the following:

• Kidney transplant (when medically appropriate)
• Home dialysis — peritoneal dialysis (PD) or home hemodialysis (HHD)
• In-center hemodialysis
• Conservative (non-dialysis) kidney care focused on comfort and symptom management

The “best” choice depends on your health, support system, values, and lifestyle—not a one-size answer.

Home dialysis
Home therapies are designed around your schedule. Peritoneal dialysis uses the lining of the abdomen; home hemodialysis uses a machine at home. Many people value flexibility and independence. Training and ongoing support are essential. Ask us about home options and how they compare to in-center care.

In-center hemodialysis
Treatment is done at a dialysis clinic on a set schedule, usually three times a week. Staff manage the treatment each session. This can be the right fit for people who prefer all care delivered in a clinic setting.

Transplant
For eligible patients, transplant can offer the best long-term outcomes. Evaluation takes time, so starting the conversation early matters—even while you are still preparing for dialysis.

Access and timing
If hemodialysis is likely, planning vascular access (such as a fistula) in advance can reduce emergency catheter use. For peritoneal dialysis, a PD catheter is placed before training. Your nephrologist will help time these steps.

Questions worth asking
• Which options fit my medical situation?
• What would home dialysis training involve for me?
• How do we plan access if I need hemodialysis?
• Should I start a transplant evaluation now?
• Who helps with insurance and social work support?

How we help at DFW Kidney Care Clinic
We explain options in plain language, coordinate second opinions when needed, and connect patients with home dialysis programs—including Sundance Home Dialysis for those exploring care at home. The goal is a plan you understand before treatment starts.

Next step
Call 817-912-5900 to schedule a visit or second opinion. Bring recent labs and a list of questions—we’ll walk through them with you.