University Teaching Trust Being discharged from hospital with oxygen Turnberg Building Respiratory Medicine 0161 206 0865 © G16071504W. Design Services, Salford Royal NHS Foundation Trust, All Rights Reserved 2016. Document for issue as handout. Unique Identifier: MED 42 (16). Review date: August 2018. What is supplemental oxygen therapy? What will happen at my oxygen review appointment? Oxygen is needed to enable the organs in the body to work efficiently. You may need a further oxygen assessment As you breathe in air, the lungs take the oxygen from the air and moves it into the blood stream and then to the vital organs in the body. Sometimes the lungs cannot get enough oxygen into the blood and this can put a strain on the heart and blood vessels and increase fatigue from lack of oxygen to the muscle tissues. If the oxygen level is slightly low, this does not usually lead to breathlessness. However, your medical condition itself may cause breathlessness. Most breathless patients have a good oxygen level and do not benefit from oxygen therapy. 1 As your condition improves and your medical team begins to plan your discharge home it may be felt that your oxygen levels are still slightly low and you may be issued with a temporary supply of oxygen to be used at home until you are reviewed by the Home Oxygen Therapy Service (HOTS). If this is required the oxygen team will visit usually 5 to 6 weeks after your hospital discharge and perform a simple blood test from the lobe of your ear. This is not painful but may cause slight discomfort. The blood will be tested immediately and will show the oxygen level in your blood. If your blood oxygen level has improved you will be able to stop using your temporary oxygen therapy. If your blood oxygen level remains low you may need to continue with the oxygen therapy. In order to improve oxygen level and reduce the strain on the heart and lungs, it is sometimes necessary to use oxygen for more than 15 hours a day (including overnight). This type of usage is called LTOT (long term oxygen therapy). This is given to prevent complications but it may not help the sensation of breathlessness. However, you might also be given ambulatory oxygen (oxygen on the go) to reduce breathlessness if your oxygen level falls to low levels during exercise. The oxygen team will provide further information and advice about this. If you do not need a further assessment The specialist will review your current prescription and make sure this is still appropriate for your needs. © G16071504W. Design Services, Salford Royal NHS Foundation Trust, All Rights Reserved 2016. Document for issue as handout. Unique Identifier: MED 42 (16). Review date: August 2018. 2 My Oxygen Prescription DO NOT alter your flow rate. This prescription is set at a safe level for you and should only ever be changed by a specialist. (patients prescription be written here in free text - with instructions how to use) Do I need to take any special precautions when using oxygen therapy? usually within a week to check your progress. You will then be visited at regular intervals. Yes. Oxygen therapy can cause fire if used near a naked flame. No one should smoke anywhere near the oxygen source even when it is not in use. Patient Name: Do not use products containing yellow paraffin. My follow up Do not use near any naked flames or heat sources. You will be seen at home for a routine safety visit by HOTS on What happens next? The specialist oxygen team will organise for oxygen equipment to be delivered to your home. This will be installed by a specialist technician who will instruct you on how to use the equipment and provide safety information. You will have a formal oxygen review by the specialist nurse on The oxygen supplier will notify the fire service that oxygen has been installed at your home. The fire service is routinely notified when oxygen equipment is installed in any new address. The home oxygen therapy service will visit you at home 3 Contact details Home Oxygen Therapy Service 0161 206 0865 © G16071504W. Design Services, Salford Royal NHS Foundation Trust, All Rights Reserved 2016. Document for issue as handout. Unique Identifier: MED 42 (16). Review date: August 2018. 4 © G16071504W. Design Services Salford Royal NHS Foundation Trust All Rights Reserved 2016 This document MUST NOT be photocopied University Teaching Trust Information Leaflet Control Policy: Unique Identifier: MED 42 (16) Review Date: August 2018 For further information on this leaflet, it’s references and sources used, please contact 0161 206 0865. If you need this interpreting please telephone Copies of this information are available in other languages and formats upon request. In accordance with the Equality Act we will make ‘reasonable adjustments’ to enable individuals with disabilities, to access this treatment / service. Email: [email protected] Salford Royal operates a smoke-free policy. For advice on stopping smoking contact the Hospital Specialist Stop Smoking Service on 0161 206 1779 Salford Royal NHS Foundation Trust Stott Lane, Salford, Manchester, M6 8HD If you would like to become a Foundation Trust Member please visit: If you have any suggestions as to how this document could be improved in the future then please visit: Telephone 0161 789 7373 www.srft.nhs.uk/ for-members http://www.srft.nhs.uk/ for-patients www.srft.nhs.uk
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