Objective: To identify the needs of nursing guidance for the self-care of the clients on hemodialysis.
Method: Descriptive-exploratory research whose data were collected by means of individual interviews with clients who were on hemodialysis therapy, using the Orem conceptions.
Results: 43 clients were included in self-care system totally compensatory for the needs of guidance: nutritional therapy, fluid intake, hemodialysis complications, anticoagulation physical activity, emotional problems has been the group membership and leisure activities.