More than 100,000 children and young people across the UK are living with serious illness or exceptional health needs. The number who are fully dependent on technologies such as long-term ventilation continues to grow and their needs are becoming increasingly complex and time-intensive.
In spite of mounting evidence that they fare better at home, many spend months, even years, in hospital, simply because there isn’t adequate support for them to leave. Once home, it is important not to underestimate the impact on the whole family in supporting these children with high-level medical needs, many of who are at constant risk of serious, even life-threatening complications. Managing the profusion of medications and complicated medical procedures, normally the province of healthcare professionals, can place an enormous strain on families.
Community nurses often have people with chronic respiratory disease on their caseloads and among the vital skills needed to manage this group is the measurement of resting oxygen saturation by pulse oximetry, which can help the nurse decide whether or not to refer the patient onto a specialist oxygen service for assessment. Many elderly patients also have a diagnosis of chronic lung disease and will be receiving long-term oxygen therapy. Pulse oximetry is helpful in assessing whether the prescribed oxygen flow rate is correct for the individual — this may change over time if the patient’s condition deteriorates. This article examines the latest techniques and equipment in home oxygen therapy and the author pays particular attention to pulse oximeters, which are an affordable clinical assessment tool and can easily be added to the equipment already used by community nurses.
