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If this is a life-threatening emergency, call 911 immediately.

Chest pain, severe difficulty breathing, stroke symptoms, major bleeding, or loss of consciousness require emergency medical services. This page describes non-emergency care delivered at home by skilled nurses.

Renal System

Chronic Kidney Disease

Home health care for chronic kidney disease in southeast Texas. Lab monitoring, dietary management, and skilled nursing for CKD patients at home.

Chronic Kidney Disease

Understanding Chronic Kidney Disease

What you should know

Chronic kidney disease is the gradual loss of kidney function over time. The kidneys filter waste and excess fluid from the blood, and when they're damaged, toxins and fluid build up. CKD progresses through five stages, from mild damage (Stage 1) to kidney failure (Stage 5/ESRD) requiring dialysis or transplant.

Managing CKD at home is critical for slowing progression. Blood pressure control, blood sugar management (diabetes is the leading cause of CKD), dietary modifications (protein, sodium, potassium, phosphorus restrictions), and medication management all play a role. As CKD advances, the complexity increases — more medications, stricter dietary limits, and more frequent lab monitoring.

Our skilled nurses provide regular lab draws to track kidney function (GFR, creatinine, electrolytes), manage increasingly complex medication regimens, educate on renal diet restrictions, and monitor for signs of fluid overload. For patients approaching dialysis, we help with preparation and education about the transition.

Warning signs

You may need care if…

Diagnosed with chronic kidney disease at any stage
Rising creatinine levels or declining GFR on lab work
Swelling in feet, ankles, or around the eyes (edema)
Fatigue, nausea, or decreased appetite
High blood pressure that's difficult to control
Changes in urine output — too much, too little, or foamy

Your care plan

How we help at home

1
Regular lab draws at home for kidney function, electrolytes, and related markers
2
Medication management for blood pressure, diabetes, phosphorus binders, and erythropoietin
3
Renal diet education — protein, sodium, potassium, and phosphorus management
4
Fluid intake monitoring and edema assessment
5
Blood pressure monitoring and recording for physician review
6
Pre-dialysis education and preparation for patients approaching Stage 5
Chronic Kidney Disease — compassionate in-home care

Expert care for chronic kidney disease,
delivered to your home

Our clinicians bring hospital-level expertise to the comfort and safety of where you live.

Common questions

Chronic Kidney Disease — Common Questions

In early stages, treating the underlying cause (controlling diabetes, blood pressure) can sometimes stabilize or even improve kidney function. In later stages, the goal is slowing progression and managing complications. Consistent home health monitoring helps catch changes early when interventions are most effective.

Renal diet restrictions become stricter as CKD progresses. Common restrictions include limiting sodium, potassium (bananas, oranges, potatoes), phosphorus (dairy, dark colas), and sometimes protein. Our nurses provide specific guidance based on your stage and lab values — it's not one-size-fits-all.

Get help with chronic kidney disease at home

Our experienced clinicians provide expert renal system care in the comfort of your home. Contact us today to discuss your needs.

For life-threatening emergencies, always call 911.