Background: Hemodialysis is a therapy that filters waste, removes extra fluid and balances
electrolytes (sodium, potassium, bicarbonate, chloride, calcium, magnesium and phosphate) when
the kidneys are in a state of renal failure. Aim of the study: Evaluate home self-car for clients
with hemodialysis. Design was used a quasi-experimental. Setting: Hemodialysis unit in Ashmon
district Hospital, Menofia governorate. The study sample A purposive sample of 80 clients
hemodialysis Tools used were (1) An interview questionnaire used to collect data from clients,
assistance related to demographic data and knowledge related to RF. (2) Client practices of self
care items, included Fluid, diet, medication and vascular access management. (3) Assessment of
client activities of daily living, (4) Check list assessment of safety home environment. Results:
finding of the present study revealed that, the age for more half of clients their age ranged from
aged over 40-60 years. There is statistically significant relation pre and post program related to
client's knowledge about RF, diet regimen, fluid, vascular access and medication. There is
statistically significant relation pre and post program related to clients self-care practices at
home related to fluid intake and diet, medication, vascular access and exercise, there is
statistically significant relation pre and post program related to HD clients related to daily living
activity and safe home environment. There is significant correlation clients satisfaction practices
pre and post program about RF. There is significant correlation between age, education levels and
occupational with client's practices about RF. Concluded: Revealed that. Improve client's self
car, effect positively through knowledge and practices towards health problems, through activity
of daily living for client with hemodialysis post program implementation. Recommendations:
Health educational program to improve clients self-care practice, before starting HD sessions
about medication, side effect of treatment, care of vascular access, diet and fluid restriction,
important exercise, prevention and management of complication.