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, would no...