Table 1.

Potential causes of home hemodialysis technique failure and management approaches

Domains	Problems	Potential Solutions
Patient/care partner burnout	Treatment frequency	Incremental hemodialysis
	Treatment length	Nocturnal hemodialysis
		Care partner support
		Respite hemodialysis
Major medical events	Major surgical procedures	Technique audit
	Stroke, other cardiovascular	Retraining
	Bacteremia/other infections	Staff-assisted dialysis
	Hypotension	Home health aides
		Remote monitoring/telemedicine
		Medication timing
Dialysis procedure related	Dialysis access	Staff assistance
	Cannulation difficulties	Care partner training
	Change in access site/type	Retraining
	Dialysis equipment	Dialysate bags
	Change in water quality	Water filtration systems
	Plumbing issues	Financial support for plumbing
	Dialysis monitoring	Medication timing
	Use of new psychoactive medications, such as opioids	Care partner training