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August 2006


Features


Management of the Tracheostomy Patient in the Home
  by Joseph Lewarski, RRT, FAARC
  The management of home tracheostomy patients is complex and is not backed by much published literature. Caregivers must use limited data, consensus statements, and common sense.
  The Right Fit
Choosing an Ambulatory Oxygen System
  by James P. Stegmaier, RRT-NPS, RPFT, CCM
  Unlike in the past, home oxygen users are on the go, and HMEs must weigh financial as well as lifestyle issues when providing oxygen to these patients.
Reimbursement Challenges Hit Home
  by David Gourley, RRT
  Reimbursement for home respiratory care has been steadily cut since 1964. Now, with competitive bidding looming and capped rentals a reality, home medical equipment providers are scrambling to meet their patients' needs and make a profit.
Autotitrated CPAP
  by John D. Zoidis, MD
  CPAP with autotitration, which can adjust to each patient's individual requirements, has moved from the sleep lab to the home and has been shown to improve patient compliance.
What's in the Pipeline for Asthma?
  by Christopher Harris, MD
  The increase in its prevalence and severity has led researchers to investigate the mechanisms of asthma and new drugs that might have the potential to provide better therapy.


Departments

  Editor's Note
DRA: Could It Get Even Worse?
  by Marian Benjamin
  Spotlight
St Mary's Outreach Services
  by Dana Hinesly
  RT involvement helps a community of kids breathe a little easier.
  Point
NPPV Is an Important Adjunct to Palliative Care
  by Paul F. Nuccio, RRT, FAARC
  NPPV has a place in palliative care if it eases patient respiratory distress and allows them time to make their final farewells.
  Counterpoint
NPPV Does Not Have a Positive Role to Play in the Care of DNR/DNI
  by Jeff Whitnack, RRT/RPFT
  When patients opt for comfort care, that is what we should offer them, not an artificial prolongation of life.
  Tech Focus
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