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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

Renal Failure (ESRD)

Home health care for end-stage renal disease in southeast Texas. Dialysis access care, medication management, and skilled nursing for ESRD patients.

Renal Failure (ESRD)

Understanding Renal Failure (ESRD)

What you should know

End-stage renal disease (ESRD) is the final stage of chronic kidney disease, where the kidneys have lost nearly all ability to function. Patients with ESRD require either dialysis (hemodialysis or peritoneal dialysis) or a kidney transplant to survive.

Living with ESRD is medically complex. Patients manage dialysis schedules, strict fluid and dietary restrictions, dozens of medications, anemia, bone disease, and cardiovascular risk — all while dealing with fatigue and reduced quality of life. Home health provides the skilled support that keeps ESRD patients stable between dialysis sessions and physician visits.

Our nurses manage dialysis access sites (fistula care, peritoneal catheter care), coordinate complex medication regimens, monitor fluid status and vital signs, draw labs between dialysis appointments, and educate patients on the many dietary and lifestyle requirements of living with ESRD.

Warning signs

You may need care if…

On dialysis (hemodialysis or peritoneal dialysis)
Newly diagnosed with kidney failure or starting dialysis
Dialysis access site requiring regular care and monitoring
Severe fatigue, nausea, or itching from kidney failure
Fluid overload — swelling, shortness of breath, weight gain
Managing multiple medications (often 10+) for kidney failure complications

Your care plan

How we help at home

1
Dialysis access care — fistula assessment, peritoneal dialysis catheter care, exit site monitoring
2
Medication management for erythropoietin, phosphorus binders, vitamin D, blood pressure meds
3
Fluid status monitoring — daily weights, edema assessment, blood pressure
4
Lab draws between dialysis sessions for electrolytes and blood counts
5
Dietary reinforcement — fluid limits, potassium, phosphorus, sodium restrictions
6
Coordination with nephrologists and dialysis centers
Renal Failure (ESRD) — compassionate in-home care

Expert care for renal failure (esrd),
delivered to your home

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

Common questions

Renal Failure (ESRD) — Common Questions

Home health nurses don't perform dialysis, but we provide comprehensive support around dialysis: access site care, medication management, monitoring between sessions, and peritoneal dialysis training and catheter care. We coordinate closely with your dialysis center and nephrologist.

Kidney failure affects virtually every body system. Patients typically take medications for blood pressure, anemia (erythropoietin), bone health (phosphorus binders, vitamin D), potassium management, and blood sugar (if diabetic). Managing this regimen is one of the most important things home health does for ESRD patients.

Get help with renal failure (esrd) 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.