Dettenmeier P A
AACN Clin Issues Crit Care Nurs. 1990 Aug;1(2):267-79. doi: 10.4037/15597768-1990-2005.
Home mechanical ventilation has evolved to permit discharge of patients on portable negative or positive pressure mechanical ventilators. Assessment of the patient for home discharge is initiated by a multidisciplinary team. The nurse, physician, social worker, respiratory therapist, speech therapist, occupational therapist, home health nursing agency, durable medical equipment supplier, and caregivers constitute the team. The crucial links to a successful patient discharge are an involved family and a well-developed plan of care, although patient finances also are important. The nurse develops, coordinates, and implements the teaching plan over a period of 2 or more weeks. The home caregivers provide total care for the patient several days before discharge. The home health agency and the durable medical equipment supplier provide services which ease the transition of care from hospital to home. One alternative to home discharge is placement in an extended care facility.
家庭机械通气技术已经发展到允许使用便携式负压或正压机械通气机的患者出院。多学科团队会对患者进行家庭出院评估。该团队由护士、医生、社会工作者、呼吸治疗师、言语治疗师、职业治疗师、家庭健康护理机构、耐用医疗设备供应商以及护理人员组成。尽管患者的经济状况也很重要，但成功让患者出院的关键环节是有参与度的家庭和完善的护理计划。护士会在两周或更长时间内制定、协调并实施教学计划。家庭护理人员在患者出院前几天为其提供全面护理。家庭健康机构和耐用医疗设备供应商提供服务，以缓解从医院到家庭的护理过渡。家庭出院的一种替代方案是安置在长期护理机构。
