Coping with Maintenance Hemodialysis

By Dr. Asheesh Malhotra in Nephrology & Renal Transplant

Aug 5, 2022

Coping with Maintenance Hemodialysis: A Complete Guide for Patients

Maintenance hemodialysis is a lifelong treatment for patients with advanced chronic kidney disease. While it effectively replaces some of the functions of the kidneys, it also brings major physical, emotional, and lifestyle adjustments. Many patients struggle initially with fatigue, dietary restrictions, regular hospital visits, and changes in their daily routine. However, with proper understanding, emotional support, and healthy habits, it is absolutely possible to live a stable, productive, and fulfilling life while on dialysis.

At our center, we focus on guiding patients through this journey with comprehensive care — including medical treatment, counseling, education, nutritional guidance, and emotional support. Below are detailed strategies to help you cope better with maintenance hemodialysis and improve your overall well-being.

1. Acknowledge and Accept Your Condition

Accepting that you have chronic kidney disease and require long-term dialysis is the first major step in coping with treatment. Many patients initially feel overwhelmed, confused, or even fearful. These emotions are natural.

Acceptance helps you:

• Understand your treatment goals
• Cooperate better with diet and fluid restrictions
• Stay committed to your dialysis schedule
• Feel more in control of your health

Once you embrace the reality of your condition, you can focus on living life fully rather than feeling held back by the disease.

2. Educate Yourself About Dialysis

Knowledge empowers you. Most patients feel anxious simply because they do not fully understand the dialysis process. Learning about how hemodialysis works, why it is needed, and what to expect can greatly reduce fear.

Educate yourself on:

• How the dialysis machine works
• What happens during a session
• Importance of regular attendance
• Common symptoms (and what is normal vs. concerning)
• Diet and fluid management
• Benefits of maintaining good vascular access

The better informed you are, the more confident you feel — and the smoother your treatment becomes.

3. Take Care of Your Emotional and Mental Health

Hemodialysis impacts not just the body but also the mind. Patients often experience:

• Fatigue
• Limited time for personal or social activities
• Frustration due to dietary or fluid restrictions
• Changes in sleep patterns
• Anxiety or sadness

Over time, some may even develop depression if these feelings remain unaddressed.

Watch out for signs such as:

• Persistent low mood
• Feeling hopeless or withdrawn
• Loss of interest in hobbies
• Increased irritability
• Trouble sleeping

If you experience any of these, speak with your doctor, a psychologist, or a counselor. Support groups and connecting with other dialysis patients also help you realize that you are not alone in your journey.

4. Maintain Physical Activity

Staying active is one of the best ways to overcome fatigue and maintain strength. Even light activities can improve physical and emotional well-being.

Recommended exercises:

• Walking
• Stretching
• Breathing exercises
• Light yoga
• Mild strength training (as approved by your doctor)

Physical activity helps you:

• Improve energy levels
• Enhance blood circulation
• Maintain muscle mass
• Reduce stress
• Sleep better

Always consult your healthcare team before starting any new exercise routine.

5. Follow a Kidney-Friendly Diet

A renal diet is essential to avoid complications. You must pay attention to:

• Protein intake
• Sodium and potassium levels
• Phosphorus-rich foods
• Fluid intake
• Balanced meals during dialysis days

A renal dietitian can prepare a personalized meal plan that suits your health status and lifestyle.

6. Build a Support System

A strong support network makes a huge difference. Surround yourself with:

• Family
• Friends
• Dialysis staff
• Counselors
• Patient support groups

Talking about your challenges and sharing your feelings reduces emotional burden and motivates you to stay consistent with treatment.

7. Focus on the Positives

Although dialysis brings changes and challenges, it also keeps you healthy while you await a possible kidney transplant. It allows you to:

• Continue working (if medically suitable)
• Spend time with family
• Enjoy hobbies
• Lead a meaningful life

Instead of focusing on restrictions, celebrate the progress you make every day. Remember, thousands of people live successfully on dialysis for many years with the right mindset and lifestyle.

FAQs About Maintenance Hemodialysis

1. Is hemodialysis painful?

Hemodialysis itself is not painful. You may feel mild discomfort during needle insertion, but the procedure is generally well-tolerated.

2. How many hours does a dialysis session take?

Most sessions last 4 to 5 hours, done three times a week, depending on your medical needs.

3. Can I travel while on dialysis?

Yes. With planning, you can travel. Many centers offer “dialysis on call” or travel dialysis where you can book sessions in advance.

4. Can I continue working?

Many patients continue working, depending on their health, job type, and dialysis schedule. Your doctor can guide you.

5. What foods should I avoid?

Avoid foods high in:

• Potassium (bananas, oranges, potatoes)
• Sodium (pickles, packaged snacks)
• Phosphorus (cola, dairy excess)

A dietitian can give specific instructions.

6. Will dialysis cure my kidney disease?

No. Dialysis manages symptoms and keeps you stable. A kidney transplant is the only long-term cure.

7. How do I manage the emotional stress of dialysis?

Counseling, support groups, physical activity, meditation, and open communication with loved ones can significantly help.