complex care involving ventilation in the community. unlocking the adult service
TRANSCRIPT
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