You have successfully logged out.

Hello !

Home care services

Treatment of chronic diseases at home

Treating people at home in their living rooms, instead of at the hospital, is an approach that can improve quality of life for many patients.[1,2] “People with severe or chronic diseases often suffer from depression and anxiety. They have the feeling that they are powerless and have little control over their life,” says Heike Spaderna, Professor for Health Psychology at the University of Trier. Being able to choose the treatment time and having more time for yourself and your family can make a big difference in terms of mental health.

Where will we get well fastest?

High-quality home therapies

Female nurse is greeted at the open front door by a man standing at the entrance to the apartment building with a young boy in his arms.

Is treatment at home just as effective and safe as it is in a hospital?

Some patients might fear they will only receive second-rate treatment at home. This couldn’t be farther from the truth, as the experience from our home-treatment caregivers are encouraging.

Two female hands embrace a small model house from both sides.

“A key point for successful treatment at home is the fact that the patients are not alone. Having family or friends to help out and competent caregivers to monitor the treatment is crucial.”

Prof. Dr. Heike Spaderna, Professor for Health Psychology at the University of Trier

If these conditions are in place, treatment at home may be an enormous psychological advantage for the patient.[2]

Dialysis therapy

Hemodialysis at home

Claudia and Matthias Hatscher have a special hobby: the married couple in their forties loves Marvel films. They used to go to the movies frequently together to watch 'Iron Man' or 'The Incredible Hulk'. They also visited Cologne’s gaming convention Gamescom every year.Starting in 2018, this became almost impossible: After a heart attack, and due to various pre-existing conditions, Matthias’s kidneys grew weak. A kidney transplant failed, and he needed dialysis. 

“Before something like this happens, you just can’t imagine what it means,” says Claudia Hatscher. More than anything, dialysis means lost time. Usually, patients must visit a dialysis center at least three times a week – and they are not able to choose their appointments. Once there, patients must wait four to six hours before the machines have cleansed their blood of toxic substances. In healthy people, this is a process that is handled by the kidneys. If dialysis patients must work for a living, their life often consists solely of dialysis and work. “And traveling back and forth,” adds Claudia Hatscher. “A normal family life was no longer possible. Our three children had just entered adulthood, and we actually wanted to have more time for us again.” Instead, last year, the couple from Baesweiler were running on empty.

Claudia and Matthias Hatscher during home dialysis. Claudia sitting near by Matthias both looking straight to the camera.

Claudia and Matthias Hatscher order all the necessary materials using a special app. They receive regular visits from the B. Braun Home Service for equipment maintenance and support. Their dialysis machine is connected to the internet and it transmits all the vital data, such as the patient’s weight or blood pressure, to the doctors at the dialysis center. If there are any problems or discrepancies, the Hatschers can call their dialysis trainer at B. Braun. If this person is not available, a B. Braun service hotline provides round-the-clock reliability. Matthias drives to the dialysis center near Erftstadt (in the Cologne region) only once a month for a checkup.

The majority of dialysis patients are no longer able to work. Their bodies are too exhausted from the dialysis procedure, which often must be carried out as quickly as possible. Matthias Hatscher has been able to continue with his job. He works full-time as a business clerk.

Two female hands embrace a small model house from both sides.

“Home dialysis has major advantages, even from a medical perspective. People who receive their treatment at home are healthier and have better results than patients in dialysis centers.[3,4,5]”

Simone Klein, Head of the Home Hemodialysis Service at B. Braun in Germany
Man lying on a bed, upper body elevated by pillow or backrest. A dialysis machine can be seen in the background.

Home Parenteral Nutrition

How do we support patients receiving Parenteral and Enteral Nutrition at home?

B. Braun has over 20 years of experience in organizing and administering home care. It can be very complex to effectively implement follow-up care, especially when it comes to therapies that require intensive and highly demanding procedures.  

Male nurse prepares an infusion bag on a table in a brightly lit living room. Hand sanitizer can also be seen on the table.
A woman with very short hair is lying next to a boy on a sofa, both with their upper bodies raised. They look at each other with a smile. In the background, a male nurse hangs an infusion bag on a rack.

Choosing your way to live with Parenteral Nutrition

Parenteral and enteral nutrition can even be combined with mobility and being on home artificial nutrition does not exclude patients from traveling. This can be an additional improvement in their quality of life. 


  1. Health Quality Ontario. In-home care for optimizing chronic disease management in the community: an evidence-based analysis. Ont Health Technol Assess Ser. 2013 Sep 1;13(5):1-65. PMID: 24167539; PMCID: PMC3804052.
  2. Persson HL, Lyth J, Lind L. The Health Diary Telemonitoring and Hospital-Based Home Care Improve Quality of Life Among Elderly Multimorbid COPD and Chronic Heart Failure Subjects. Int J Chron Obstruct Pulmon Dis. 2020 Mar 9;15:527-541. doi: 10.2147/COPD.S236192. PMID: 32210547; PMCID: PMC7069558
  3. Ting GO, Kjellstrand C, Freitas T, Carrie BJ, Zarghamee S. Long-term study of high-comorbidity ESRD patients converted from conventional to short daily hemodialysis. Am J Kidney Dis. 2003 Nov;42(5):1020-35. doi: 10.1016/j.ajkd.2003.07.020..
  4. Weinhandl ED, Nieman KM, Gilbertson DT, Collins AJ. Hospitalization in Daily home hemodialysis and Matched Thrice-Weekly In-Center Hemodialysis Patients. Am J Kidney Dis 2015 Jan;65(1):98-108. doi: 10.1053/j.ajkd.2014.06.015.
  5. Rydell H, Ivarsson K, Almquist M, Segelmark M, Clyne N. Improved long-term survival with home hemodialysis compared with institutional hemodialysis and peritoneal dialysis: a matched cohort study. BMC Nephrology (2019) 20:52.
  6. Braet A, Weltens C, Sermeus W. Effectiveness of discharge interventions from hospital to home on hospital readmissions: a systematic review. JBI Database System Rev Implement Rep. 2016 Feb;14(2):106-73. doi: 10.11124/jbisrir-2016-2381. PMID: 27536797.
  7. Linertová R, García-Pérez L, Vázquez-Díaz JR, Lorenzo-Riera A, Sarría-Santamera A. Interventions to reduce hospital readmissions in the elderly: in-hospital or home care. A systematic review. J Eval Clin Pract. 2011 Dec;17(6):1167-75. doi: 10.1111/j.1365-2753.2010.01493.x. Epub 2010 Jul 13. PMID: 20630005
  8. ​Pironi L, Boeykens K, Bozzetti F, Joly F, Klek S, Lal S, Lichota M, Mühlebach S, Van Gossum A, Wanten G, Wheatley C, Bischoff SC. ESPEN guideline on home parenteral nutrition. Clin Nutr. 2020 Jun;39(6):1645-1666. doi: 10.1016/j.clnu.2020.03.005. Epub 2020 Apr 18. PMID: 32359933.
  9. ​Bischoff SC, Austin P, Boeykens K, Chourdakis M, Cuerda C, Jonkers-Schuitema C, Lichota M, Nyulasi I, Schneider SM, Stanga Z, Pironi L. ESPEN guideline on home enteral nutrition. Clin Nutr. 2020 Jan;39(1):5-22. doi: 10.1016/j.clnu.2019.04.022. Epub 2019 May 30. PMID: 31255350.