Complex Care Involving Ventilation In The Community.

Unlocking The Adult Service

A variety of conditions

Muscular Dystrophies ie; Duchennes, Beckers, Myotonia, FSH and ‘Limb Girdle’

Neuromuscular ie; Motor Neuron Disease, Mitocondrial Myopathy, Myasthenia gravis, SMA, Guillane Barre, Kyphoscoliosis

Neurological ie; Brain stem lesion, Ondines curse, Morbid obesity (OSA)

High level spinal injury

The Key To The Provision Of Adult Services. Continuity Funding Care GP’S and district nurses Hospitalisation Other disciplines Respite

Bi-level Interfaces

Profile lite

Oracle Fischer Paykell

Resmed Mirage Total Face

Acclaim Breas Breeze Comfort curve

Mojo Swift

Activa NV Nasal Aire

Performa Trac

De-vilbiss

i Mask

Tracheostomies

Shiley Kapitex Portex Bivona Boston Moores

A Common Path !

T ransfer to non-ICU area

T raining started

Re-adm ission needs agreed

Follow -up and supervision from HVS

DISCHARGED HO ME

NHS 24, Ambulance, detailed em ergency needs Equipment, care, supplies, inform ation all in s itu

Hom e for overnight stay, HVS present

Funding agreed, carers advertised for (if required)

Adjustm ents to hom e environm entReview of current equipment (if any)

M ultidisciplinary m eeting(s)

Refer for Social W ork supportand funding, Carenap w ritten.

? Independant Living Fund application

G P and D/N m ade aw are of changes in health needsT raining / tutorials offered. D/N given supplies list

O utings in hospital.T hen on to trips homefor assessment

Apply to Health Board for purchaseof equipm ent and allocation of funds

to meet health care costs, incl' support.

Accepted for hom e VentilationChoice of ventilation, Tracheostom y or 'Mask'

Stabilised, assessed for home ventilation.Discussed w ith G P, Social W orker, O T and Com munity nursing

Em ergency adm ission in respiratory fa ilure.Adm itted to ICU. Stabilised on ventilator.

E lective adm ission forconsideration of long term ventilation