Managing your parent's dialysis from thousands of miles away
Your parent needs dialysis 3 times per week. You're managing from another country. We make it work—with real-time monitoring, weekly health reports, and a companion at every session.
The dialysis challenge for NRI families
Your parent has chronic kidney disease. They need dialysis 3 times per week, 4 hours each session. That's 156 hours per year. You're thousands of miles away.
The Real Challenges
- • Medical adherence: Is your parent actually going to dialysis?
- • Health changes: How do you know if they're getting sicker?
- • Medication compliance: Are they taking prescribed medications?
- • Nutrition: Are they following the kidney diet?
- • Lifestyle: Are they reducing fluid intake (crucial for dialysis)?
- • Complications: What if complications develop and you don't notice?
The Cost of Poor Management
Skipped sessions → kidney deterioration. Unmanaged nutrition → fluid overload. Medication non-compliance → anemia. Without coordinated support, dialysis patients often have poor outcomes—and you won't know until it's a crisis.
How Presence manages dialysis care
Presence handles the in-person dialysis management so you can focus on remote medical oversight.
At Every Dialysis Session
- • Pre-session reminder WhatsApp (day before)
- • Companion arrives 30 minutes early
- • Hourly updates during session (blood pressure, comfort, observations)
- • Real-time intervention if complications develop
- • Post-session report within 1 hour
Weekly Reports (Every Monday)
- • Attendance: Did they attend all 3 sessions?
- • Health observations: Energy level, signs of illness
- • Blood work (if available): Weekly results interpretation
- • Weight trend: Weight at each session
- • Symptoms: Nausea? Cramps? Low BP?
- • Medication compliance: Are they taking prescribed meds?
Monthly Medical Reviews
- • Comprehensive blood work interpretation
- • Comparison to previous month
- • Doctor's assessment and adjustments
- • Nutrition recommendations
- • Medication changes
- • Overall kidney function trajectory
Emergency Intervention
- • Low blood pressure: Immediate technician alert
- • Muscle cramps: Companion coordinates pain management
- • Access problems: Medical team notification
- • You're notified immediately via WhatsApp
- • Hospitalization coordination if needed
Dialysis logistics & costs
Standard Schedule
Long weekend without dialysis is as long as medically safe.
Monthly Costs
Presence Support Cost
Still 80-90% cheaper than Western dialysis care
Warning signs to watch for
Presence monitors all of these and escalates to doctor if needed. But you should also know:
Access Problems
Fistula stops working, swelling, infection, redness
Infection Signs
Fever, chills, discharge at access site
Cardiac Signs
Chest pain, shortness of breath, fainting
Low Blood Pressure
Dizziness, weakness, severe leg cramps during session