Transcript respiratory home care

RESPIRATORY HOME
CARE
Teresa Lanier, B.Th., RRT-NPS,
RCP
TOPICS OF DISCUSSION
• Role of a Respiratory Therapist in the
Home
• Struggles of Respiratory Home Care
• Benefits of Respiratory Home Care
Role of a Respiratory
Therapist in the Home
10 years ago…..
PAP set ups – follow ups
COPD, CH F Education
Oxygen titrations
Oximetry (spot checks, overnight)
Respiratory equipment training
Patient assessments
Advocacy with doctors and family
Role of a Respiratory
Therapist in the Home
Currently…..
Sleep Therapy Cpap
Bipap
Bipap ST
ASV
Non- Invasive Ventilation
Invasive Ventilation
COMPLIANCE
Role of a Respiratory
Therapist in the Home
COPD – CHF Management Education and Assessments
Nutrition
Fall and Winter Advice
Therapy modalities
Compliance with meds. and therapies
Train… Re-train… and Train again…
COMPLIANCE
Role of a Respiratory
Therapist in the Home
Oxygen Therapy –
Oxygen Modalities
Oxygen Titration
Oxygen Trend Studies
COMPLIANCE
Role of a Respiratory
Therapist in the Home
Equipment Training –
Flutter valve
Nebulizer (portable, stationary) and
supplies
Compressors, Cough Assist
Suction machine and supplies
Regulators (straight flow, conserving)
CPAP, BIPAP, BIPAP ST, ASV,
NIHV, IHV…. and supplies (MASK)
Role of a Respiratory
Therapist in the Home
Concentrators
LOX – Liquid Qxygen
POC- portable oxygen concentrators
(pulse dose – continuous flow)
Tanks ( beautiful green tanks)
AND………..
DME – wheelchairs, commodes, walkers,
rollators, canes, transfer benches, shower
chairs.. Etc…
Role of a Respiratory
Therapist in the Home
Bronchodilator Therapy –
Nebulizers
MDI’s - DPI’s
Drug Classifications
LABA – SABA- Steroids – Anticholinergic
Cost of therapy…
Billing Medicare … Part B or Part D
COMPLIANCE
Role of a Respiratory
Therapist in the Home
Addition services ..
Enteral Therapy
In home PT / INR testing
Power Wheelchairs
Personal Emergency Response System
last but not least…..
….ADVOCACY
Struggles of Respiratory
Home Care
• Maintaining Compliance with therapy
• Communication barriers
• Patient Cost of Healthcare and
equipment
• Safety of Care-givers
Struggles of Respiratory
Home Care
REIMBURSEMENT
Insurance
Guidelines
Paperwork
Benefits of Respiratory
Home Care
• Relationships that are built between the
therapist, patients and their family
• Life perspectives – thankfulness for
health, abilities, possessions and family
• Satisfaction of making a difference in
someone's life
OBJECTIVES MET ?
• Role of a Respiratory Therapist in the
Home
• Struggles of Respiratory Home Care
• Benefits of Respiratory Home Care
• Questions ?
THANK
YOU
HAVE A BLESSED DAY !