The success of a respiratory therapy department depends on the performance of its personnel, and its managers are charged with ensuring that employees meet departmental expectations. One means to effect change is through a formal performance appraisal system.
A modified apparatus for measuring the single-breath carbon monoxide diffusing capacity of the lung (DLCO) is described. The modification permits simultaneous measurement of all lung volumes and capacities. In a comparison of conventional and modified devices, no significant differences for the measures of DLCO and total lung capacity were found.
Respiratory therapists who regard work in a rural community hospital as a bleak and unpromising career step may be overlooking opportunities not available in a big-city medical center.
There is increasing awareness of the benefits of home care for respiratory patients. This care is best given by skilled health care professionals whose goal is to meet patients' needs. What are the skills that a respiratory home care specialist must have? What are the activities that should be included in a comprehensive home visit? How can home care be evaluated? These and other questions are addressed in this article.
A common frustration experienced by respiratory care practitioners is a seeming unwillingness or inability of some patients, particularly elderly ones, to comply with instructions or derive any apparent benefit from efforts to educate them concerning their disease. It is helpful to consider why these patients may not learn. Awareness of age-related biologic, physiologic, psychologic, and social changes should allow for modification of education attempts to maximize understanding and compliance.
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