1. Teresa Lanier, B.Th., RRT-NPS, RCP
RESPIRATORY HOME CARE
Teresa Lanier, B.Th., RRT-NPS, RCP

2. TOPICS OF DISCUSSION Role of a Respiratory Therapist in the Home
Struggles of Respiratory Home Care
Benefits of Respiratory Home Care

3. 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

4. Role of a Respiratory Therapist in the Home
Currently….. Sleep Therapy - Cpap Bipap Bipap ST ASV Non- Invasive Ventilation Invasive Ventilation COMPLIANCE

5. 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

6. Role of a Respiratory Therapist in the Home
Oxygen Therapy –
Oxygen Modalities
Oxygen Titration
Oxygen Trend Studies
COMPLIANCE

7. 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)

8. 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…

9. 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

10. 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

11. Struggles of Respiratory Home Care
Maintaining Compliance with therapy
Communication barriers
Patient Cost of Healthcare and equipment
Safety of Care-givers

12. Struggles of Respiratory Home Care
REIMBURSEMENT
Insurance
Guidelines
Paperwork

13. 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

14. OBJECTIVES MET ? Role of a Respiratory Therapist in the Home
Struggles of Respiratory Home Care
Benefits of Respiratory Home Care
Questions ?

15. THANK
YOU
HAVE A BLESSED DAY !