Disease Management

Homecare Services by Diagnoses

Congestive Heart Failure

Heart Failure Program for patients needing Inotropic Therapy

Congestive Heart Failure occurs when the heart can’t adequately pump blood throughout the body. One of the results of this is fluid accumulation in various parts of the body. Our disease management program for heart failure is specifically designed to enhance patient health and education while reducing the number of hospitalizations. NBN Infusions provides all home equipment and services needed to treat heart failure with a laser like focus to improve the health of each patient. This is normally a global program,  however some individual therapies can be provided on a fee for service basis.

Ways We Can Help

  • Home Oxygen Therapy
  • Inotropes
  • Dietician home visits
  • Diet plans
  • Pharmacist home visits for global medication management and compliance
  • Case Management Services – weekly phone calls for current weight, edema status, medication compliance information
  • Provide accurate scales
  • CPAP
  • Respiratory Home Visits
  • Skilled Nursing Home Visits

Muscular Dystrophy

This is a group of diseases that involves weakening of the muscles. It is a degenerative disease, and depending on the type of Muscular Dystrophy, it can occur at various stages of life. This illness puts a great deal of stress on families. We feel that by obtaining all of your homecare services from one company, we can help reduce the stress impact that can occur from trying to coordinate your services through multiple companies. The NBN Group can offer professional nursing services and durable medical equipment, layering in each service or piece of equipment as the patient experiences the progression of the disease. Our experienced nurses can accompany children with MD to school, doctor’s appointments, and family parties. Our homecare durable medical equipment is much lighter and more portable than the equipment you will see in the hospital. We will help families take their loved ones into the community to have fun, learn new things and enjoy life to the fullest extent!

Ways We Can Help

  • Private Duty Nursing up to 24 hours per day
  • Home Oxygen Therapy
  • Suction Machine
  • Tracheostomy
  • Ventilator
  • Enteral therapy
  • Nebulizer
  • Hospital bed
  • CPAP or BiPAP
  • Cough assist
  • Dietician home visits
  • Respiratory Therapists home visits

Tetrology of Fallot

This is a cardiac anomaly that is indicative of four related heart defects that occur together. The way these heart imperfections can occur may vary. This congenital heart defect often causes babies to have blue skin tone due to poor blood flow. TOF can be associated with cleft lip and palate or other craniofacial differences. While this is an extremely serious diagnosis many children have an excellent prognosis. The NBN Group understands the stress and devastation that accompanies this diagnosis, but we help our families get through the difficult times and provide extraordinary care to these babies and children.  We will help families take their loved ones into the community to have fun, learn new things and enjoy life to the fullest extent!

Ways We Can Help

  • Private Duty Nursing in the home up to 24 hours per day
  • Ventilator
  • Tracheostomy
  • Suction machine
  • Pulse Ox
  • Enteral therapy
  • Oxygen therapy
  • Skilled nursing visits
  • Respiratory Therapist home visits
  • Pharmacist home visits
  • Dietician home visits

Sleep Apnea

Obstructive sleep apnea is caused by obstruction of the upper airway. During sleep, the muscles in the back of the throat relax causing the upper airway to become smaller. This is especially true during the deepest stages of sleep called Rapid Eye Movement or REM sleep. A hypopnea is a decrease in airflow, while an apnea is a pause in airflow. Apneas and hypopneas can occur due to blockage or if respiratory effort is not initiated. During a sleep study the number of apneas and hypopneas per hour are documented. This is called your apnea/hypopnea index or AHI. In some individuals the upper airway can actually collapse, causing a blockage of air movement into the lungs. When airflow is stopped for at least 10 seconds it is referred to as apnea. These apneas can occur many times each hour and hundreds of times each night.

Ways We Can Help

  • Continuous Positive Airway Pressure (training for CPAP provided by a respiratory therapist)
  • BiLevel Positive Airway Pressure (training for BiPap provided by a respiratory therapist)
  • Skilled Nursing Visits
  • Nutrition Counseling as Needed
  • Many types of masks and nasal pillows to ensure the best fit and compliance with prescribed equipment

Click Here for More Info on Sleep Apnea

Asthma

Asthma Management Program

Goal: To lower ER visits and reduce healthcare costs

Asthma is a respiratory disease of the airways, usually triggered by an allergic reaction, causing difficulty in breathing. With asthma there is inflammation of the air passages resulting in a temporary narrowing of the airways that carry oxygen to the lungs. Asthmatic symptoms may include coughing, wheezing, shortness of breath, and chest tightness.

Ways we can Help

  • An Initial Asthma Program evaluation is done by an RN to determine the frequency of phone calls and skilled nursing visits and length of stay in the program.
  • Provide nebulizers/neb meds, spacer, MDI’s as needed.
  • Provide care plans and patient education with skilled nursing visits or respiratory therapy visits as needed in the home.
  • Ensure asthma action plan is understood by patient/caregivers and a copy is given to all necessary caregivers. (e.g. – Schools)
  • Help patients identify co-pay assist programs.
  • Health Buddies will call patients to review care plans, medication administration, review trigger avoidance, and ensure all MD appointments are made and attended.
  • Skilled nursing visits include assessments of patient, physical inventory of all prescribed medication, ensuring medication adherence and a review of the Asthma Care Plan and follow up.
  • An Asthma trigger environmental survey will be performed.
  • Social Work consultation to address mental health and social needs of the patient as needed.

Diabetes

Diabetes Management Program

Goal: To educate, improve health and lower cost of overall care for patient.

Diabetes is a long-term disorder of the endocrine system that causes high blood sugar levels. Diabetes is a disease brought on by either the body’s inability to make insulin, which is defined as type 1 diabetes or by the body not responding to the effects of insulin, which is defined as type 2 diabetes.

Interdisciplinary Team

  • Registered Nurses
  • Pharmacists
  • Registered Dietitians
  • Health Buddies
  • Social Workers

Ways we can Help:

  • Initial Diabetes Assessment by Health Buddy and Registered Dietitian
  • Skilled Visit as needed to perform medication profile, and physical inventory of medication
  • Home glucose monitoring
  • Licensed Clinical Social Worker to address mental health needs and identify coping mechanisms to lower stress
  • Patient education to discuss the relationship between food, exercise, and medication and the effect is has on blood sugars
  • Ability to participate in contests to encourage achieving health goals
  • Communicating with health care providers

Perinatal Program

Goal: To provide care at home, reduce ER visits and admissions, and ultimately help our patients reach full term pregnancy.

Types of Programs: Gestational Diabetes, Preeclampsia, and Hyperemesis

Gestational Diabetes
Gestational diabetes only happens during pregnancy. Pregnant women who have never had diabetes before but who have high blood glucose (sugar) levels during pregnancy are said to have gestational diabetes. As with other types of diabetes, gestational diabetes affects how your cells use sugar (glucose). Gestational diabetes causes high blood sugar that can affect your pregnancy and your baby’s health.

Preeclampsia
Preeclampsia occurs during pregnancy when there is a sudden, sharp elevation in blood pressure, swelling (edema) and albuminuria (excess protein albumin leaks into the urine). Swelling tends to occur in the face, hands and feet.

Hyperemesis Gravidarum
Hyperemesis Gravidarum is a condition that occurs during pregnancy causing persistent severe vomiting leading to weight loss and dehydration.

Interdisciplinary Team

  • Registered Nurses
  • Pharmacists
  • Certified Home Health Aides
  • Health Buddies

How we can Help

  • RNs use a standardized curriculum
  • Certified Home Health Aides can be utilized when bed rest is ordered by physician
  • Home Infusion provided for hydration needs
  • Social Work consultation to address mental health and social needs of the patient
  • Patient Assessment will determine the frequency of phone calls, texts, and home visits performed by the team

In Home Nursing Care

Contact

2 Pin Oak Lane, Suite 250
Cherry Hill NJ 08003
Phone: 856-669-0211
Fax: 856-424-0680