Advisory Board

Lois Dixon, MSN, RN
Clinical Nurse Educator,
Genesis Medical Center, Davenport, IA

Jan Foster, RN, PhD, MSN, CCRN
Asst. Professor for Adult Acute and
Critical Care Nursing
Houston Baptist University, TX

Mikel Gray, PhD, CUNP, CCCN, FAAN
Nurse Practitioner and Professor of Urology,
School of Nursing, University of Virginia,
Charlottesville, VA

Tracey Hotta, RN, BScN, CPSN
Past-president, American Society of
Plastic Surgery Nurses
Toronto, Ontario, Canada

Tim Op't Holt EdD, RRT, AEC, FAARC
Professor, Dept. of Respiratory care and Cardiopulmonary Sciences
University of South Alabama
Moblile, AL

Victoria-Base Smith, PhD(c), MSN, CRNA, CCRN
Clinical Assistant Professor,
Nurse Anesthesia,
University of Cincinnati, OH

Current Issue

Best Practices in Managing the Indwelling Urinary Catheter for the Homecare Patient
By Mary H. Wilde, RN, PhD and Feng Zhang, RN, BS

Tracheostomy Care in the Home Care Patient
Tim Op’t Holt, EdD, RRT, AE-C, FAARC
Jennifer McDaniel, RRT-NPS
Kathleen Deakins, MSHA, RRT-NPS, FAARC

By 2050, an estimated 27 million people will need some type of long-term care. Home healthcare and hospice agencies are the major providers of community based long-term care. Currently, about 7.6 million people receive community-based care for post-acute and chronic conditions, often with multiple co-morbidities. This number is expected to increase as the population ages. This issue of Perspectives focuses on best practices in the management of home care patients, in particular patients with either an indwelling catheter or a trachesotomy.
Although there is ample research-based evidence regarding indwelling urinary catheter management in acute and long-term care settings, there is limited home care information. Dr. Wilde’s and Mr. Zhang’s article describes the application of evidence-based practices for the home care patient.

Care of the tracheostomy in the home is a growing trend due to the increased efforts to transition patients to less costly points of care, along with the technologic advances that allow caregivers to deliver limited forms of medical care in the home.

This issue is accredited for Nurses

Ventilator-Associated Pneumonia and Tracheostomy
Charles G. Durbin Jr, MD, FCCM, FAARC
Ventilator-associated pneumonia (VAP) is defined as a lower respiratory tract infection occurring at least 2 days after beginning mechanical ventilation. While VAP is named for its association with mechanical ventilation, it is believed to be caused by oral or nasotracheal intubation and only coincidently related to mechanical ventilation. VAP is considered to be clinically significant with an estimated associated mortality rate of 24% to 50%. In addition to increasing the likelihood of death in the ICU or hospital, VAP survivors have a reduced life expectancy after hospital discharge. For example, a study by Ranes revealed that 25.9% of survivors of VAP were dead 1 year later, and 44.7% survived no more than 5 years.

This issue is accredited for both Nurses and
Respiratory Therapists

Perspectives is published quarterly by Saxe Healthcare Communications. Please direct your correspondence to:

Saxe Healthcare Communications
P.O. Box 1282
Burlington, VT 05402
Fax: (802) 872-7558

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