Organization of home care in patients receiving nocturnal ventilatory support

C. F. Donner, S. Zaccaria, A. Braghiroli, M. Carone

Research output: Contribution to journalArticlepeer-review

Abstract

Patients on long-term mechanical ventilation, when clinically stable, need an adequate environment to continue their treatment. Usually this environment is their home. The task of respiratory home care is to provide health services to patients and caregivers at home, to restore and maintain an acceptable clinical status and to minimize the effects of respiratory failure and disability. The organization can be summarized in the following steps: 1) Inhospital education, to ensure the patient's confidence with the devices prescribed, and emergency measures, but also to ensure a realistic estimate on the part of the patient of the benefit and results that dan be achieved. A specific training is reserved to the family and caregivers. 2) home care setting, to tailor the home environment to the new needs of the patient. 3) Follow-up planning, including clinical and functional checks and a sort of troubleshooting guide for possible problems regarding the ventilator and other accessories. A regular monitoring of patients and the application of appropriate rehabilitation programmes will increase the quality of life and improve the cost-effectiveness of treatment, mainly by decreasing the need for hospitalization.

Original languageEnglish
Pages (from-to)380-399
Number of pages20
JournalEuropean Respiratory Monograph
Volume3
Issue number8
Publication statusPublished - 1998

Keywords

  • Chronic care
  • Home care
  • Home mechanical ventilation
  • Oxygen therapy
  • Rehabilitation
  • Respiratory failure
  • Respiratory insufficiency

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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