I live in rural Australia and travel 4 hours each dialysis day. Could do NHHD at home?
Water availability is one of the big issues for rural patients, especially if your home is not on town water. This might be an issue for you where you live, 2 hours out from Canberra. This said, we have two patients on NHHD in country Victoria; one on bore water and the other on tank water. With the right filter systems, dubious water quality can usually (but not always) be overcome. The bigger issue is often an adequate water supply (volume) in our drought-prone country and can be a limiting factor. Remember, NHHD needs 300ml/min for ~8hrs a time. Alternate night NHHD has good outcomes and may be the more water-economical alternative but even this can severely stretch an individual home supply if it is not connected to a town supply. Other than that, there is no obvious impediment to NHHD though I am not sure of your individual circumstance and your local team would be better placed to advise you. Another significant problem can be for your dialyzing unit. Nighttime advice and/or help
