West Plains DCI was the fifth Mid-Missouri clinic to open. It opened on January 8th, 1988. It originally opened in the Ozarks Medical Center Hospital and moved to it’s current location in 1993. It is a 15 station facility that provides in-center hemodialysis to patients in the south-central portion of the state. It offers 2 home therapies, peritoneal dialysis and home hemodialysis. We also offer early chronic kidney disease (CKD) education.
Our warm and caring clinical staff has more than 20 years of experience caring for people with kidney failure. We operate under the mission, “We are a non-profit service organization. The care of the patient is our reason for existence.”
Grant Mathews, M.D.
Nurse Manager (In-center and home)
Nurse Manager (PD and CKD Educator)
In-center hemodialysis is performed at a dialysis facility. Hemodialysis treatments are scheduled three times a week. The length of the treatment is prescribed by a physician and generally lasts 4 hours. To start treatment, specially trained nurses and dialysis technicians insert two needles, connected to dialysis tubing, into a person’s access (usually in the arm) to circulate the blood out of the body, through the tubing, into the dialysis machine to remove the excess fluid and waste, and then back into the person’s body. Nurses and technicians are always there watching and monitoring the treatment.
Peritoneal dialysis, or PD, is a daily treatment. PD is a procedure that removes wastes, chemicals and extra fluid from your body. This type of dialysis uses the peritoneal membrane, the thin, natural lining of your abdomen, to filter your blood. The peritoneal membrane acts as the artificial kidney. Although it is there to protect your organs, it has many tiny holes, or pores, in it that can be used to filter waste products and other chemicals from your blood. To prepare for PD, a surgeon places a permanent tube called a catheter into the lower abdomen to carry solution in and out of the abdomen. The sugar in the solution, called dextrose, draws wastes, chemicals and extra fluid from your blood through the peritoneal membrane and into the dialysate solution that is in your abdomen. After several hours, the used solution is drained from your abdomen through the catheter and into an empty bag. Your abdomen is then refilled with fresh dialysate and the cycle is repeated. Each cycle of draining used dialysate and refilling with fresh dialysate is called an exchange. There are two common types of PD: Continuous Ambulatory Peritoneal Dialysis (CAPD) and Continuous Cycling Peritoneal Dialysis (CCPD).
CKD Education is available for clients with kidney disease that are not yet on dialysis. Education involves numerous aspects including: making clients aware of causes of kidney disease, the functions of kidney, and how to prevent kidney, which could prolong the need for dialysis. A Registered Nurse, Dietician, and Social Worker collaborate together, along with the referring physician, in assisting with kidney disease education.
Home hemodialysis is where a dialysis patient and a trained partner can perform hemodialysis treatments in the comfort of the patient’s home. Home hemodialysis requires the completion of a training course with a dialysis nurse teaching the necessary skills to dialyze safely at home. The equipment and supplies are delivered directly to the patient’s home. The staff is available to answer phone calls 24 hours a day. Home hemodialysis treatments allow for flexibility in the time of day a patient completes treatment.