Home-therapy

Ctirrently oxygen is the only medical gas finding wide application at the patient s home. 

Patients benefiting from short-term oxygen therapy include cluster headache patients, where inhalation of 100% oxygen has proven to bring relief of symptoms in up to 82% of patients [10.1). 

Long-term oxygen-therapy is indicated for all patients with a stable chronic lung disease (such as chronic obstructive pulmonary disease, cystic fibrosis etc.), who have an arterial PO2 (oxygen partial pressure) consistently less than or equal to 55 mm Hg when breathing air, at rest and awake [10.2]. These patients need a 

Liquid oxygen Oxygen is a refrigerated liquid (-183 °C). One litre of liquid oxygen corresponds to 853 L of gaseous oxygen at ambient conditions of 15 °C and 1 bar. 

Feeding of the evaporated oxygen occurs by means of a plastic tube (Fig. 10.1). 

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Number and type of bleeding episodes to assess adequacy of prophylactic treatment and home therapy... 

Haley, J. (1980) Leaving Home Therapy with Disturbed Young People, New York McGraw-Hill. 

Holzle, E. and Alberti, N. Long-term efficacy and side effects of tap water iontophoresis of palmoplantar hyperhidrosis— The usefulness of home therapy. Dermatologica 775 126,1987. 

In 31 previously untreated and minimally treated children with severe hemophilia A, who received full-length recombinant factor VIII (formulated with sucrose) for home therapy and surgery, there was no difference in the incidence of inhibitor formation compared with other recombinant products or plasma-derived products (2). 

Seremetis S, Lusher JM, Abildgaard CF, Kasper CK, Allred R, Hurst D. Human recombinant DNA-derived anti-haemophilic factor (factor VIII) in the treatment of haemophilia A conclusions of a 5-year study of home therapy. The KOGENATE Study Group. Haemophiha 1999 5(1) 9-16. 

Atzpodien et al., Home Therapy with Recombinant Interleukin-2 Atzpodien and Kircher, Out-patient Use of Recombinant Human Interleukin-2. ... 

Atzpodien, J., et al. "Home Therapy with Recombinant Interleukin-2 and Interferon Alpha-2b in Advanced Human Malignancies. Lance 1335 (1990) 1509-12. 

The initiation of outpatient parenteral antibiotics should be considered early in the treatment of IE, after the patient is stable clinically and responds favorably to initial antibiotics. Outpatient treatment has been demonstrated to be safe and effective in select situations. Patients considered for home therapy must be hemodynamically stable, compliant with therapy, have careful medical monitoring, understand the potential complications of the disease, and have immediate access to medical care. Advances in technology allow for the outpatient administration of complex antibiotic regimens that significantly reduce the cost of therapy. Simple regimens, such as single daily doses of ceftriaxone for streptococcal IE, are particularly attractive. Although... 

The client is diagnosed with subacute bacterial endocarditis (SBE) and is prescribed intravenous antibiotic therapy. Which assessment data indicates the client is ready for home therapy ... 

The client is ready for home therapy when the client is afebrile, has negative blood cultures, and has no signs of heart failure or embolization. Home therapy consists of approximately 5 more weeks of intravenous antibiotic therapy. 

The WBC level is elevated, which indicates the medication is not effective and the client is not ready for home therapy. 

El Shanawany T, Williams P, Pickersgill T, Jolles S. Self-administered hyaluronidase-facilitated subcutaneous immunoglobulin home therapy in a patient with primary immunodeficiency. J Clin Pathol 2010 63(9) 846-7. 

Prescribe home therapy and exercise as you would prescribe dmg therapy. 

Antibiotics are one ot the most commonly administered types ot drug therapy in the home. Any patient taking antibiotics, especially cephalosporins, is susceptible to superintedion. The nurse makes sure the patient knows the signs and symptoms ot superintedion. 

Educating the Patient and Family The nurse evaluates the patient s ability to understand the therapeutic drug regimen, ability to care for himself or herself in the home environment, and ability to comply with the prescribed drug therapy. If any type of assistance is needed, the nurse provides a referral to the discharge planning coordinator or social worker. 

Educating the Patient and Family Noncompliance is a problem with some patients once they are discharged to the home setting. It is important for the nurse to accurately evaluate the patient s ability to assume responsibility for taking dragp at home. The administration of antipsychotic dru becomes a family responsibility if the outpatient appears to be unable to manage his or her own drug therapy. 

Patients receiving bronchodilators or antiasthma drugs otten need to monitor their lung function at home with a peak flow meter. Doing so provides the patient and the physidan with valuable information about the status of the patient s condition and the effectiveness of therapy. Otten, trends in the readings can detect changes in the patient s airway and airflow even before any signs and symptoms are experienced. This allows possible intervention before a major problem arises. 

Ms. Moore, a patient in a jiursijTg home, has had a cough for the past 3 weeks. Ms. Moore s physician is aware of her problem and has ordered an expectorant but told her that he wants her to cough and raise sputum. Ms. Moore s family asks you if something can be given to their mother to stop her from coughing. Explain how you would discuss this problem and explain the prescribed therapy with Ms. Moore s family. 

Many patients receiving antihypertensive therapy commonly receive more than one drug, placing them at risk tor orthostatic hypotension. It it occurs, your patient may tall and be injured. So teach the following measures to follow while in the acute caretadlity and at home ... 

Can discharge home if PEF > 60% predicted/personal best and sustained on inhaled/oral therapy... 

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