**6. Unique environments eg rural home setup**

Home dialysis has resulted in a multitude of benefits for patients. Most importantly with convenience, independence and improvement in biochemical and likely mortality figures. The availability of electricity and running water should not disparage patient's eligibility for dialysis. In Australia the possibility of solar powered dialysis has been shown to be a feasible option, if not completely then to significantly offset the power costs of dialysis [17]. Similarly the lack of running water should also not be a limiting factor. Illustrated below is an example of how home dialysis became a possibility for a patient living on a farm over 200km from the nearest major city.

**Figure 12.** An Example of a rural home water treatment setup: (A) The borehole is approximately 2 km from the pa‐ tient's residence and is determined by the geology of the area. (B) An intermediate pumping station operated using air pressure. (C) Storage tanks are continually replenished from the bore to ensure an uninterrupted water supply. (D) A basic pre filtration cartridge filter (located in the silver casing) and two micron filters pre treat the water (E) A second pump located approximately 100m from the patients residence (F) A second set of micron filters and carbon tanks. This is located underneath the patients home and feeds directly to dialysis machine inside the bedroom.
