The Science Journal of the American Association for Respiratory Care

1997 OPEN FORUM Abstracts

Merging Sales and Clinical Skills

Robert W King, RCP, Sunday, December 7, 1997.

Relating clinical skills in respiratory homecare is synonymous with ethical, informed patient care. E'th-i-cal (adj.) relating to morality of behavior. Informed meaning that in an ideal situation: 1) The Respiratory Care Practitioner is knowledgeable about the patient's diagnosis or the diagnostic sequelae of the condition around which sales are to be made. 2) The patient or caregivers are informed honestly of goals, benefits, and possible side effects, or alternative choices for the sale in question. The Sale, in our field, can be: information, a diagnostic test or series of tests, a treatment modality trial (compressor / nebulizer, oxygen system, CPAP, assisted ventilation), a piece of medical equipment (bed, mobility device) and more. The sale is always transfer of ownership of property from one person to another in return for money. The question of who is paying the money, ideally should not effect the quality of information, appropriate testing, treatment and necessary equipment delivered to the patient.

Subjective and objective assessment of patient respiration at home alerts the home respiratory care practitioner to possible treatment choices toward optimum patient ventilation and functional independence. Good patient skills, while remembering we are a guest in our patient's homes, are a must. We offer healthcare information toward active informed compliance and consent for safe patient participation in the modality of the therapy chosen.

AARC 50th Anniversary, December 6 - 9, 1997, New Orleans, Louisiana.

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