i hope this helps.
I've done both, PD and now home hemo.
With PD, you can do it yourself.
With home hemo, my hospital trained its patients to be self sufficient, and you can do that yourself too (from the needling, setting up of the machine, and cleaning up). I only require assistance from my wife when I leak blood from the needling - I ask her to grab a kleenex to wipe the blood
, and this occurs if I puncture the vein but I pull the needle out immediately afterwards (trying to find the hole in the vein), or when I pull out the needle and I don't put the gauze over the site fast enough.
Other than that, I rarely require assistance on dialysis.