RESPIRATORY HOME CARE Teresa Lanier B Th RRTNPS

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 ST ASV Non- 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 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 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 !