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  • I had a complete knee replacement at Roanoke Memorial Hospital in December 2010. I was released from the hospital on a cold and snowy day. The representative from Advanced Home Care who brought me the CPM machine – Mr. Parker – did an extraordinary thing for me that day. He risked the dangers of the icy, snow-covered roads and […]

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Respiratory Services

The comprehensive respiratory therapy program at Advanced Home Care is available to evaluate and treat all types of patients, from premature infants whose lungs are not fully developed to elderly patients suffering from Chronic Obstructive Pulmonary Disease.

Our program includes an individual assessment of each patient’s home care needs and participation in planning discharges.  We also provide necessary education to patients and their caregivers and offer around-the-clock emergency service to ensure the best possible care for our respiratory patients. Our Respiratory Services include:

Aerosol Therapy (click for details)

Advanced Home Care’s aerosol therapy program provides treatment for Medicare and Medicaid patients who suffer from respiratory illnesses such as asthma, emphysema and Chronic Obstructive Pulmonary Disease (COPD). These treatments may include low-maintenance compressors or portable nebulizers. Medication refills are sent to patients’ homes monthly and are coordinated through an automated delivery system.

CPAP/BiPAP Systems (click for details)

Advanced Home Care offers the latest in CPAP/BiPAP systems to serve patients with obstructive, central and complex sleep apnea.  We have a wide variety of mask and machine styles, which patients can test in their homes.  We are available to help patients in the event their pressure settings need to be changed.  In addition, we work with area sleep labs to arrange for sleep studies when needed.

To encourage compliance on the part of our patients, we contract with a third-party monitoring service that routinely contacts patients to make sure they are using their CPAP/BiPAP machines.  We also ask whether they are encountering any problems with their machines or need any supplies or replacement parts.  This constant contact helps ensure compliance on the part of our patients and reduces the likelihood that the patient will become symptomatic again.

Physicians who may question whether their patients have obstructive sleep apnea can also take advantage of our R U Sleeping program. This multi-stage screening process gives physicians a questionnaire that they can use to evaluate their patients’ daytime sleepiness and perhaps refer them for a sleep study.  Patients can also obtain CPAP or BiPAP machines from Advanced Home Care for use at home.

Home Ventilator Program (click for details)

Patients who require either invasive or noninvasive ventilator assistance to help them breathe can benefit from Advanced Home Care’s home ventilator program.

Prior to discharge from the hospital, our respiratory therapists perform an in-hospital assessment of the patient’s needs and then prepare their home environment for the transition from hospital to home.  Working in conjunction with the physician, patient and caregiver, we help identify the best ventilator for each individual patient.  We also teach the patient, caregiver and any involved nursing agencies how to clean and protect the airway and maintain the efficiency of the ventilator.  And because most units are portable, we explain to patients and caregivers how to travel with their ventilators.

Because we believe in continual assistance, our respiratory therapists will visit patients to check on their status, address any concerns they or their caregivers may have and provide progress reports to their referring physician.  Our respiratory therapists are also available for emergency assistance 24 hours a day, seven days a week, 365 days a year.

Oxygen Saturation Testing (click for details)

The respiratory therapists at Advanced Home Care are available to monitor patients’ lung function through oxygen saturation testing.  This simple, non-invasive testing method includes spot testing, overnight testing and continuous monitoring and is designed to measure how much oxygen is present in the patient’s lungs.

These tests can help physicians determine whether respiratory therapy is necessary or, if a patient is already receiving respiratory therapy, whether a different therapy may be more appropriate.

Oxygen Therapy (click for details)

Oxygen therapy can be delivered in numerous ways, and at Advanced Home Care, our Best Fit program helps patients find the model that works best for them.

  • Our respiratory therapists begin by examining the patient’s lifestyle and physiological needs:
  • Do they need occasional oxygen or continuous oxygen?
  • Do they travel?
  • How much weight can they physically carry?
  • Do they need a small tank that can be carried or a larger tank on wheels?
  • Is a portable concentrator the best fit?

Then, they identify the system that best meets the patient’s needs and show the patient how to use the equipment.  This can include lessons in oxygen safety, teaching the patient breathing exercises to increase lung function, explaining how to travel while using oxygen therapy and showing the patient how to change out the oxygen tank.  Our respiratory therapists are also available for ongoing consultations in case patients need help selecting a new oxygen therapy system to meets any changing needs.

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