1998 OPEN FORUM Abstracts
IDENTIFYING HIGH RISK PATIENTS USING HOME OXYGEN WITH THE ASSESSMENT TOOL FOR EQUIPMENT MANAGEMENT (ATEM) OF OXYGEN CONCENTRATORS.
Karen M. Pfaff. RN, Larry E. Johnson MD, PhD, Lora A. Hasse, PhD, Franciscan Home Health Service, Cincinnati, OH 45247.
Background: The ATEM has been shown to comprehensively assess the knowledge and functional ability of clients and caregivers to safely manage home oxygen concentrators. This study was conducted to assess the risk characteristics of clients using home oxygen.
Methods: Seven regional home care companies participated, using the ATEM 5-30 days after initial equipment set-up and training, in the assessment of clients with COPD (n=150; ave age=71), CHF (n=50; ave age=78), pneumonia (n=24; ave age=73), and lung cancer (n=39; ave age=64). Other characteristics measured included current smoking status and subjective nutritional state.
Results: COPD CHF PNEUM LUNG CA
ATEM: Client/care giver does NOT know:
proper liter flow 8% 8% 12% 7%
hours/day use 9 12 8 15
safe concentrator 3 4 17 8
oxygen safety 16 16 25 18
equip maintenance 9 6 17 8
proper storage 9 10 12 3
backup tank use 20 10 17 15
time left in tank 16 18 29 26
response to equip 7 4 4 10
response to medical 3 2 0 3
Other: current smokers 17 6 8 13
poor nutrition 4 8 8 13
Conclusions: Many clients using home oxygen concentrators demonstrate knowledge deficits following initial training regarding safe oxygen use. Certain diagnoses are associated with different risk characteristics, and perhaps the need for different intervention strategies. Continuing assessments on these same clients, including occurrence of adverse outcomes, will suggest further innovative educational opportunities.
The 44th International Respiratory Congress Abstracts-On-Disk®, November 7 - 10, 1998, Atlanta, Georgia.