South Florida Hospital News
Monday July 22, 2019

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September 2018 - Volume 15 - Issue 3




All County Health Care Offers Innovative Home Treatment for COPD Patients

Many people living with chronic conditions, such as chronic obstructive pulmonary disease (COPD), heart disease or diabetes used to struggle when it came to dealing with these serious issues at home after being discharged from a hospital. However, with the help of All County Health Care, a Medicare-certified, state-licensed, and ACHC-accredited home health care agency that serves Dade, Broward and Palm Beach counties, they are now able to stay in the comfort of their own homes while receiving the high-quality, compassionate care they need.

In addition to providing home health aides, skilled nursing care, and physical therapy services, All County also specializes in a number of areas, including cardiac care, wound care, diabetes care and low-vision rehabilitation services. The agency also has a pulmonary team dedicated to treating patients with COPD using IPV (intrapulmonary percussive ventilator) therapy - the only home health agency in the tri-county area that provides this innovative service.
“All County has made a substantial commitment in resources and personnel toward improving the quality of life for people suffering with chronic obstructive pulmonary disease,” explained Chief Respiratory Therapist Ed Salazar of the disease that is the fourth-leading cause of death in the U.S. “While IPV therapy is not a new technology - it’s based on principles that have been in use for the past 30 years in intensive care units to treat sick lungs—there is now a machine that allows technicians to delivery this treatment safely and effectively to COPD patients in their own homes.”
IPV consists of a high-frequency percussive device (HFPD) combined with a high-efficiency nebulizer. The HFPD is delivered internally as patients breathe in the medicated aerosol.
“Imagine setting up a pneumatic escalator; little puffs of low-pressure air are delivered into the airway at 150 to 600 cycles a minute, which goes into a patient’s lungs. As the air comes out, it transports mucus with it,” explained Salazar. “Because you are treating patients internally instead of externally, it is better able to dilate airways and mobilize secretions, which is what makes it so effective.
“It is no more uncomfortable than using a standard nebulizer treatment,” he added. “It is such a beneficial therapy; the outcomes are remarkable.”
All County’s specially trained pulmonary nursing team has treated more than 1,000 patients since 2013, and clinical data shows a less than 5 percent readmission rate for a 12-month period with high acuity COPD patients.
In addition to using IPV therapy to treat COPD, which can include lung diseases such as emphysema, chronic bronchitis, refractory (non-reversible asthma), some forms of bronchiectasis, and a wide range of other respiratory problems, All County offers conventional treatments including the vest airway clearance therapy; respiratory medicinal teaching; oxygen therapy education; breathing exercise education; chest physio therapy; ventilator management education; tracheotomy care and training, and nebulizer equipment/medication education.
Patients with chronic heart problems are able to utilize All County’s experienced cardiac nurses, physical and occupational therapists and home health aides to get the specialized care, attention, medication and education they need, and All County’s diabetic team provides education, monitoring and treatment of patients with Type 1 or Type II diabetes. Specially trained occupational therapists provide low-vision rehabilitation services in the home for patients diagnosed with macular degeneration, diabetic retinopathy, central vision loss, traumatic brain injury, glaucoma, Stargardt’s disease, macular holes, cataracts, stroke and more.

To learn more about all of the services that All County Health Care provides, call 1-888-717-7170 or visit

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