What specific precautions or restrictions do you recommend when prescribing home hemodialysis for a patient with ESKD who lives alone?  

Have done a few times, many many years ago, never slept well given monitoring available in 70’s. Leg shunt, or if fistula, Sears wee alert, tried a computer-monitored system with dial-up modem and memory on floppies. Decided never to do it again, now retired, even with current technologies, ...