Ventilator Management

The Complex Respiratory Program at the Good Shepherd Rehabilitation Hospital Pediatric Unit is designed for children, from birth to age 21, with acute or chronic lung disease with varying oxygen or ventilatory needs. It is a comprehensive rehabilitation program designed to minimize symptoms and prevent complications related to the patient’s primary or secondary respiratory problems.

Degrees of Respiratory Support Appropriate for the Program:

Non Invasive Oxygenation Needs

  • Acute oxygen needs secondary to new diagnosis
  • Secretion management
  • Chronic oxygen need/weaning

Tracheostomy Patients

  • Oxygenation management
  • Planned decannulation
  • Secretion management
  • Transition to home training

Tracheostomy, needing prolonged ventilatory support

  • Ventilation management
  • Transition to home training
  • Secretion management

The Process:

  • First, each child receives a comprehensive evaluation from the interdisciplinary clinical team at them Good Shepherd Rehabilitation Hospital Pediatric Unit (see reverse).
  • An individualized care plan is then developed for each child.
  • During his or her stay, each child receives daily medical management by a pediatrician and therapies including: respiratory, physical, occupational, speech or recreational therapy.
  • Each child and their family will participate in weekly meetings with the care team to develop goals, assess progress and discuss the treatment plan.
  • Full discharge planning and family/patient education is provided to ensure that each child is safely transitioned to home with maximum functional capacity and independence.
  • Care Management will facilitate home needs to include: equipment, supplies and home care as needed.

Program Goals:

  • To optimize each patient’s respiratory function
  • To improve functional independence for mobility, self-care and communication
  • To provide patient and caregiver education and training on the use and care of respiratory equipment, including tracheostomy tubes, ventilators, nebulizer machines, CPAP masks
  • To educate the patient and caregiver regarding bronchial hygiene, breathing training/retraining and conditioning exercises and techniques
  • To reduce the burden of care and prevent caregiver burnout by obtaining appropriate equipment and connecting the family to community resources
  • To optimize the medical and pharmacological management for the patient

Appropriate diagnostic groups:

  • Chronic lung disease(CLD)/bronchopulmonarydysplasia (BPD)
  • Cystic fibrosis
  • Severe persistent asthma
  • Neuromuscular disorders
  • Acquired and congenital anomalies of the large airways
  • Cancers affecting therespiratory system
  • Traumatic brain injuriesrequiring respiratory support
  • Spinal cord injuries requiringrespiratory support
  • New tracheostomy patients

Good Shepherd Rehabilitation Hospital Pediatric Unit
2855 Schoenersville Rd.
Bethlehem, PA  18017

Phone: 610-807-4200

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