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Home Care
Home Care Cards for Respiratory Exam
| Question | Answer |
|---|---|
| LOX Disadvantages | • Can cause burns • O2 lost through venting if not used frequently • Needs to be replenished frequently if venting loss |
| LOX Advantages | • Patient can be away from home for longer periods of time • Can be refilled as often as necessary • Quiet • Requires no electricity |
| Home Care Conditions | Stable- no longer needs acute/sub-acute care Can care for themselves safely Can accurately administer prescribed therapy If patient cannot, family/ caregivers must be able to perform therapy Home environment must be adequate |
| DC Specifics | Date of discharge Goal for home care (for that patient) Specific therapies with frequencies Equipment needed Patient/family instruction Home care agency selection Plans for follow up evaluation |
| Concentrator Advantages | • Never runs out • Needs a little maintenance by Pt • Cheaper than tanks and LOX |
| Concentrator Disadvantages | • Noisy • Requires electricity • Need other device for travel (tank, LOX) • Increased electric bill • Increased temperature (poorly ventilated room) |
| Functional Impairment Assessment | Poor hand strength Poor vision Poor hearing Poor cognitive ability Trouble with learning procedures Poor short term memory Ability to ambulate |
| Medicare Payments | • Payments capped at 13 mo • After that, Medicare only pays service fee • Pt responsible for remainder |
| Conflict of Interests | When and RCP engages in any activity which compromises of the motive for provision of any therapy procedures, the advice of counsel given to patients and/or family, or any manner profits from referral arrangements with home care providers. |
| CPAP Sleep Study Documentation | • Sleep study documenting 30 episodes of apnea lasting minimum of 10 sec per episode recorded during 6-7 hours of sleep |
| DC Planning Team | Utilization review Physician Social worker Home health RN Home health RCP Durable medical equipment -DME provider Physical therapist (PT) Occupational therapist (OT) Dietician Psychologist Family or caregivers |
| O2 Conserving Devices | Reservoir Cannula Transtracheal Delivery System Pulsed Dose System |
| Reservoir Cannula | • Operates like a NRB mask • As Pt exhales, small reservoir holds continuously flowing O2 • O2 in reservoir available as bolus for next inspiration • Saves O2 by not “wasting” it during exhalation |
| Transtracheal Delivery System | • Small catheter inserted through skin into trachea • Bypasses upper airways, so flow can be lower- saving O2 • Advantages: More appealing to the eye, Less visible • Disadvantages: Requires a lot of maintenance, invasive |
| Pulsed Dose System | • Reduces amount of O2 used by 50-75% • Makes tank last 10-20 hours longer • 2 types • Demand valve: gives O2 only during inspiration • Rate sensitive device: Gives O2 every 2-3 breathes |
| Nebulizer Compressor | 6-15 LPM |
| High Output Compressor | 50 PSI |
| O2 Concentrator Flow/FiO2 Relationship | Higher flow= Less O2 |
Created by:
geko546
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