Self-cannulation for home hemodialysis: a review of current practices and implementation approaches.

PURPOSE OF REVIEW: This review provides a comprehensive overview of self-cannulation in home hemodialysis (HHD), highlighting key elements essential for successful implementation.

RECENT FINDINGS: Despite policy support, self-cannulation is underutilized. Early patient education, patient-centered care, and shared decision-making can increase interest in self-care. Comprehensive support strategies, including needle-phobia assessment and management, cannulation aids, and effective training, build patient confidence and competence.

SUMMARY: A multifaceted approach, including education, empowerment, and effective training, is crucial for successful self-cannulation. By incorporating individualized cannulation technique selection and comprehensive support, care providers can empower patients to adopt self-cannulation and HHD. Further research is needed to address knowledge gaps and promote best practices.