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HOME CARE

RESPIRATORY THERAPY
Caity Usher, Sabrina Addotey, Anjali Panchal, Kavina Shalin

Roles and Responsibilities • Mental Health: Improved mental well-being


• Homecare RTs are required to be licensed from being at home and forming bonds
• Perform respiratory assessments, pulse- • Hospital Visits: Reduces the need for visits
oximetry and equipment performance, and and shortens stays
manage airways and ventilation (invasive • Palliative Care: More comfortable
and non-invasive). treatment at home
• Part of a multidisciplinary care team to Assessments Used
create plans and goals for homecare • Provide oxygen therapy and airway
patients and educate and update families. management/tracheostomy care
This includes reviewing and recommending • Help with continuous positive airway
medications, oxygen, and aerosol therapy pressure therapy (CPAP & BiPAP) for
effectiveness. treating obstructive sleep apnea
• Play an important role in pulmonary rehab • Begin and monitor the progress of “invasive
services for patients with COPD, chronic and non-invasive ventilatory devices, lung
bronchiolitis, or lung diseases. recruitment maneuvers,” “high flow nasal
Importance of Homecare RTs cannula therapy,” “suctioning,” and “point
• Education: Teach proper use of equipment of care testing devices.”
and medication • Deliver “pulmonary rehabilitation services.”
• Independence: Continue lives at home and • Schedule device setups and servicing and
maintain routine supervise “client oxygen authorizations and
• Quality of life: Maintain a similar quality of funding” according to provincial guidelines.
life while receiving care

Equipment Used

Oxygen Liquid O2 Tank +


O2 Continuous Positive Nasal Reservoir Pendant Reservoir
Conserving Portable Liquid O2
Concentrator Airway Pressure Cannula Cannula
Device Tank

It holds liquid O2, Nasal prongs that Nasal prongs that


Preserves O2 Allows for open
Pulls room air to which can be added take stored O2 take stored O2
by allowing O2 airways by lightly
create almost to a portable tank from nasal storage from a pendant
flow during pressurizing room air
pure O2 for a more mobile during early during early
inspiration while sleeping
lifestyle inspiration inspiration
References

Clarke B. T. (2016). Home care in respiratory therapy. Canadian journal of respiratory therapy: CJRT = Revue

canadienne de la therapie respiratoire : RCTR, 52(2), 51–52.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4948574/

Clinical Gate. (2015, December 12). Home Care Patient Assessment.

https://clinicalgate.com/home-care-patient-assessment/

Home Care Ontario. (n.d.) Respiratory Therapy – Home Care Ontario.

https://www.homecareontario.ca/home-care-services/services/respiratory-

therapy#:~:text=Ventilation%20and%20airway%20management%3B,Cardiopulmonary%20resuscitati

on.

Respiratory Therapy Society of Ontario. (2021, March 11). Respiratory Homecare Solutions.

https://www.rtso.ca/respiratory-homecare-solutions-rrt/

Respiratory Therapy Society of Ontario. (2020, October 21). Registered Respiratory Therapist Role Profile

Across Multiple Practice Settings in Ontario. https://www.rtso.ca/registered-respiratory-therapist-

role-profile-across-multiple-practice-setting-in-ontario/

Starck, D. (2019, June 4). The Value of Home Respiratory Care. HomeCare.

https://www.homecaremag.com/june-2019/home-respiratory-care

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