Patients for whom PD fails can be very unhappy with in-center HD. Yet in the U.S., only a tiny fraction transfer to home HD. In this course, you will learn practical ways to educate patients to help them stay home on HD.
Objectives
- Discuss the concept of “PD vs. HHD silos” and the impact of home therapies departments working across modalities to prioritize keeping home patients at home.
- Explain how early education of PD patients about the potential temporary nature of PD and HHD as a next option may affect their Life Plans.
- List three signs that a PD to HHD transition may be necessary in the near future.
- Outline five steps to facilitate a change from PD to home HD.
- Address needle fear as a barrier to a switch from PD to home HD.
Audience
Nurses and Dialysis Technicians. (This course can also serve as a home dialysis orientation for nephrologists and administrators.)
Contact Hour Approval
This continuing nursing education activity was approved by Medical Education Institute, approved by the California Board of Registered Nursing, Provider #CEP-117088, for 1 contact hour.
Accreditation for this course expires October 31, 2026.
It is the responsibility of the learner to determine if these CE contact hours will be accepted by a particular licensing organization.
- Nurse Planner – Steffanie Gissal, BSN
- Authors – Jennifer Ravert, RN and Dori Schatell, MS
- Reviewer– Beth Witten, MSW, ACSW, LSCSW
Conflicts of Interest
No conflicts of interest were disclosed.

This class is part of our Self-guided Program to Advance Renal Knowledge (SPARK) series of online CE learning + professional mentoring education classes for nurses and dialysis technicians. Our goals are to help dialysis nurses and technicians stay up-to-date with their training and certifications—and to attract new interest in nephrology as a career. Thank you to Fresenius Medical Care for providing unrestricted educational grant support.