Background: Home mechanical ventilation (HMV) is used as vital support in many subjects affected by chronic respiratory diseases. Such approach is useful to discharge precociously severe patients trying to reduce hospital costs and maintaining an appropriate standard of assistance. In the predischarge phase the medical-nursing team must solve care problems, burocratic-administrative troubles, caregivers' requests involving a remarkable consumption of time, human and economical resources. Aim and measures: The purpose of the present paper was to test typology and time consuption of items connected to the health-related activities carried out at the pre-discharge phase and at the day of discharge to home for patients requiring mechanical ventilation. The time was computed as minutes. Results: We have computed the times necessary for discharge of 10 patients (6 ventilated with non invasive mechanical ventilation and 4 with invasive MV), severely ill, hypercapnic affected by various respiratory diseases. Total doctor time consuming was 220 ± 12 minutes while nurse time consuming was 826 ± 59 minutes. The highest nurse time consuming was related to evaluate home enviroment (18% of the total time) and for caregivers' training for mecahnical ventilation use (52% of time). The time necessary for tracheostomized patients was twice that for non invasive MV patients and the time spent by nursing staff was about three times higher than that spent by doctors. Conclusions: The pre-discharge protocol for home ventilated patients is complex and demands a high time consuming for nurses in particular for patients ventilated by means of a tracheostomy.
|Translated title of the contribution||Time consuming of physicians and nurses before discharge in patients with chronic respiratory failure submitted to home mechanical ventilation|
|Number of pages||9|
|Journal||Rassegna di Patologia dell'Apparato Respiratorio|
|Publication status||Published - Dec 2005|
ASJC Scopus subject areas
- Pathology and Forensic Medicine
- Pulmonary and Respiratory Medicine