There is a story out of England reporting an inquest into the death of a legally blind individual who was self dialyzing at home, Dialysis patient died after machine accident:
A 30-YEAR-OLD partially-sighted student died when she accidentally detached herself from her dialysis machine.
Kirsty Wakenshaw was found by her mum at her home in Charlton Road, Weston, in February last year.
This week an inquest was held into the death of the diabetic, who was also registered blind.
Having a blind patient self dialyzing on home hemodialysis is amazingly careless. Clearly, a blind person can dialyze at home, but must have a care giver to administer and monitor the dialysis treatment. Leaving a blind person, alone, on home hemodialysis is paramount to sitting them in the middle of a road, hoping that they don't get run over. The medical and nursing professionals charged with oversight of this situation failed miserably.
People with or without vision impairments should not be forced to give up their adult sense of self when they are diagnosed with kidney failure. If she believed she could dialyze at home, and her doctor believed she could dialyze at home, then she should be supported in that decision in life and in death. I applaud her provider for supporting her. Obviously this is a tragic outcome but it was her decision. From the article she is described as "a very independent person" and as such she picked a form of dialysis that would best maintain her independence.
The decision on how to manage kidney failure should be left up to the person with the disease in consultation with their doctor. The decision is theirs even when the person is partially sighted.