Building Capacity in Long-Term Care: Supporting Homes to Provide Intravenous Therapy

  • Alexandra Papaioannou McMaster University; St. Peter’s Hospital
  • Afeez Abiola Hazzan State University of New York
  • George Ioannidis St. Peter’s Hospital
  • Denis O'Donnell Medical Pharmacies Group Limited
  • Daphne Broadhurst Medical Pharmacies Group Limited
  • Hrishikesh Navare Medical Pharmacies Group Limited
  • Loretta M. Hillier St. Peter’s Hospital
  • Diane Simpson McMaster University
  • Mark Loeb McMaster University
Keywords: long-term care, intravenous therapy, education

Abstract

Background

Typically, long-term care home (LTCH) residents are transferred to hospital to access intravenous (IV) therapy. The aim of this study was to pilot-test an in-home IV therapy service, and to de-scribe outcomes and key informants’ perceptions of this service.


Method

This service was pilot-tested in four LTCH in the Hamilton-Niagara region, Ontario. Interviews were conducted with six caregivers of residents who received IV therapy and ten key informants representing LTC home staff and service partners to assess their perceptions of the service. A chart review was conducted to describe the resident population served and service implementation.

Results

Twelve residents received IV therapy. This service potentially avoided nine emergency department visits and reduced hospital lengths of stay for three residents whose IV therapy was initi-ated in hospital. There were no adverse events. The service was well received by caregivers and key informants, as it provided care in a familiar environment and was perceived to be lessstressful and better quality care than when provided in hospital. 

Conclusion

IV therapy is feasible to implement in LTCHs, particularly when there are supportive resources available and clinical pathways to support decision-making. This service has the potential to increase capacity in LTCHs to provide medical care.

Author Biographies

Alexandra Papaioannou, McMaster University; St. Peter’s Hospital
Department of Medicine, Division of Geriatric Medicine; Geriatric Education and Research in Aging Sciences (GERAS) Centre
Afeez Abiola Hazzan, State University of New York

The College at Brockport

George Ioannidis, St. Peter’s Hospital

Geriatric Education and Research in Aging Sciences (GERAS) Centre

Loretta M. Hillier, St. Peter’s Hospital
Geriatric Education and Research in Aging Sciences (GERAS) Centre
Diane Simpson, McMaster University
Department of Family Medicine, Division of Emergency Medicine
Mark Loeb, McMaster University
Department of Pathology and Molecular Medicine, Division of Clinical Pathology
Published
2018-12-10
How to Cite
Papaioannou, A., Hazzan, A. A., Ioannidis, G., O’Donnell, D., Broadhurst, D., Navare, H., Hillier, L. M., Simpson, D., & Loeb, M. (2018). Building Capacity in Long-Term Care: Supporting Homes to Provide Intravenous Therapy. Canadian Geriatrics Journal, 21(4), 310-319. https://doi.org/10.5770/cgj.21.327
Section
Original Research