Enhanced Care Services for Complex Physical Health Needs - Health Now

Our approach to comprehensive Enhanced Care Services for Complex Physical Health Needs in Community and Home Settings

At Health Now Ltd, we recognise that individuals with complex physical health conditions deserve the highest quality of care in the comfort and familiarity of their own homes.

Our enhanced care services are designed to support people with serious medical needs, enabling them to maintain their independence and quality of life while receiving specialist clinical support.

Our enhanced complex holistic physical health management support the following conditions:

Enhanced Care Services Overview

1. Advanced Enteral Feeding Support PEG and Gastrostomy Tube Management

Our specialist care team provides comprehensive support for individuals requiring enteral feeding through PEG (Percutaneous Endoscopic Gastrostomy) tubes and other gastrostomy devices. This enhanced service includes:

Bolus feeding administration: Carefully timed and measured feeding regimens as prescribed by the nutrition team, ensuring optimal nutritional intake
Tube maintenance and care: Daily cleaning, position checking, and monitoring for displacement or complications
Hydration support: Ensuring adequate fluid intake through the feeding tube with appropriate flushing techniques
Medication administration: Safe delivery of prescribed medications through the feeding tube
Stoma site care: Maintaining healthy skin around the insertion site and monitoring for signs of infection or irritation
Emergency management: Immediate response to tube blockages, displacement, or equipment failure

Our trained care professionals work closely with nutrition teams and community nurses to ensure feeding regimens are optimised to meet individual nutritional needs while preventing complications such as aspiration or tube-related infections.

2. Respiratory Support and Airway Management

Cough Assist Therapy

For individuals with neuromuscular conditions such as Motor Neurone Disease (MND), Duchenne Muscular Dystrophy, Tracheostomy or spinal injuries, our care team provides expert support with cough assist devices. This specialised service includes:

Device operation and monitoring: Ensuring correct pressure settings and cycle timing as prescribed by respiratory specialists
Treatment scheduling: Regular morning and evening sessions to maintain optimal lung function
Secretion clearance: Supporting the mobilisation and removal of respiratory secretions
Equipment maintenance: Basic cleaning and troubleshooting of cough assist machinery
Emergency protocols: Recognising when additional interventions may be required

Research demonstrates that regular use of cough assist devices significantly reduces the risk of respiratory infections and hospitalisation for individuals with compromised cough reflexes.

Upper Respiratory Suctioning

Our enhanced care includes safe and effective upper respiratory suctioning for individuals who cannot clear secretions independently. This involves:

Oral suctioning: Using Yankauer suction catheters to remove saliva and secretions from the mouth and upper throatAirway assessment: Continuous monitoring of breathing patterns and oxygen saturation
Infection control: Strict adherence to hygiene protocols to prevent cross-contamination
Equipment management: Maintaining suction devices, replacing consumables, and ensuring optimal function

3. Oxygen Therapy Management

Comprehensive Oxygen Support

For individuals with chronic respiratory conditions such as end-stage COPD, pulmonary fibrosis, or heart failure, our care team provides round-the-clock oxygen therapy management. Services include:

Long-term oxygen therapy (LTOT): Supporting individuals who require oxygen for 15+ hours daily
Equipment monitoring: Ensuring concentrators, cylinders, and delivery systems function optimally
Oxygen saturation monitoring: Regular checks to ensure levels remain within prescribed ranges
Emergency supply management: Immediate access to backup oxygen supplies during equipment failure
Mobility support: Assistance with portable oxygen systems to maintain independence and activity levels

Studies show that appropriate long-term oxygen therapy can significantly improve life expectancy and quality of life for individuals with severe hypoxaemia.

4. Medication Management and Administration

Our enhanced care encompasses the safe administration of complex medication regimens that involve Time-Critical and Specialist Medications, including:

Controlled substances: Secure handling and administration of opioids and other controlled medications
Insulin therapy: Blood glucose monitoring and insulin administration for individuals with unstable diabetes
Emergency medications: Including buccal midazolam for seizure management and rescue medications for Parkinson’s disease
Psychotropic medications: Careful monitoring and administration of antipsychotic medications
Pain management protocols: Multi-modal approaches to managing chronic and acute pain

All medication administration follows strict protocols established by prescribing clinicians and is conducted by appropriately trained care professionals.

5. Wound Care and Pressure Ulcer Management

Our care team provides wound management services, including:

Conventional dressing applications: Emergency dressing changes when VAC (Vacuum Assisted Closure) systems fail
Pressure ulcer prevention and treatment: Implementing positioning schedules and appropriate dressing regimens
Skin integrity monitoring: Regular assessment for new wounds or deteriorating skin conditions
First aid interventions: Immediate care for skin tears and minor injuries while awaiting specialist nursing input

6. Continence Care and Stoma Management

For individuals with complex continence needs, our services include:

Catheter care: Management of urethral and suprapubic catheters, including bladder washouts and troubleshooting blockages
Stoma care: Support with colostomy, ileostomy, and urostomy management, including appliance changes and skin care
Bowel medication administration: Delivery of medications through stomas when clinically indicated
Infection prevention: Strict hygiene protocols to minimise urinary tract and stoma-related infections

Community stoma care services demonstrate that expert support significantly improves quality of life and reduces complications for individuals living with stomas.

7. Physiological Monitoring and Observation

For individuals with unstable medical conditions, our care includes:

Blood pressure monitoring: Regular checks for individuals with cardiovascular instability
Oxygen saturation measurement: Continuous or regular monitoring using pulse oximetry
Blood glucose monitoring: Frequent testing for individuals with unstable diabetes
Temperature and vital signs: Comprehensive physiological assessment
Symptom tracking: Detailed documentation of condition changes and treatment responses

8. Nutritional Support and Monitoring

Our enhanced services address complex nutritional needs, including:

Eating disorder support: Careful monitoring of food and fluid intake for individuals at risk
Dysphagia management: Support for individuals at high risk of aspiration or choking
Weight monitoring: Regular assessment for individuals experiencing rapid weight loss
Nutritional supplementation: Administration of prescribed nutritional products

9. Complex Moving and Handling

For individuals at high risk during movement, such as those with spinal injuries, our services include:

Multi-carer transfers: Coordinated movement using specialist techniques and equipment
Pressure relief positioning: Regular repositioning to prevent pressure ulcers
Hoisting and transfer aids: Expert use of mechanical aids for safe movement
Fall prevention strategies: Environmental modifications and mobility assessments

10. End-of-Life and Palliative Care

For individuals choosing to remain at home for end-of-life care, our compassionate services provide:

Symptom management: Pain and symptom control in collaboration with palliative care teams
24-hour monitoring: Continuous support during unpredictable symptom fluctuations
Family support: Emotional and practical support for relatives and carers
Dignity preservation: Maintaining comfort and respect throughout the dying process

Research consistently demonstrates that individuals receiving quality end-of-life care at home experience better pain control and family satisfaction compared to institutional care.

11. Epilepsy Management

For individuals with unstable epilepsy requiring frequent hospitalisation, our services include:

Seizure monitoring: Recognition and documentation of seizure activity
Emergency medication administration: Timely delivery of rescue medications
Environmental safety: Modifications to reduce injury risk during seizures
Recovery support: Post-seizure care and monitoring

12. Home Dialysis Support

For individuals requiring home dialysis treatment, our services provide:

Treatment monitoring: Observation during dialysis procedures
Equipment management: Basic maintenance and troubleshooting of dialysis equipment
Vascular access care: Monitoring and care of fistulas or catheters
Complication recognition: Early identification of treatment-related problems

14. Pain Management and Rescue Medications

Our enhanced care includes expert pain management through:

Multi-modal approaches: Combining pharmacological and non-pharmacological interventions
Rescue medication protocols: Rapid response to breakthrough pain episodes
Inhaler therapy: Proper administration and monitoring of respiratory medications
Pain assessment: Regular evaluation using validated pain scales

Quality Assurance and Clinical Governance

All enhanced care services are delivered within a robust clinical governance framework, including:

Competency-based training: All care professionals receive specialist training relevant to their role
Regular supervision: Ongoing clinical supervision and support from registered nurses
Risk assessment: Comprehensive evaluation of individual care needs and environmental factors
Care planning: Individualised care plans developed in collaboration with healthcare professionals
Continuous monitoring: Regular review and adjustment of care interventions

Partnership Working

Health Now Ltd works collaboratively with:

Community nursing teams: Seamless coordination with district nurses and specialist nurses
Hospital discharge teams: Smooth transitions from acute to community care
GP practices: Regular communication about care needs and condition changes
Specialist clinicians: Direct liaison with consultants and specialist services
Equipment suppliers: Coordination with medical equipment providers and maintenance services

Outcomes and Benefits

Our enhanced care services will consistently deliver:

Reduced hospital admissions: Proactive management preventing avoidable emergency presentations
Improved quality of life: Enabling individuals to remain in their preferred environment
Enhanced family confidence: Supporting relatives through education and respite
Cost-effective care: Delivering complex care at home reduces healthcare system costs
Personalised support: Tailored interventions reflecting individual preferences and needs

Health Now Ltd is committed to delivering exceptional enhanced care services that enable individuals with complex physical health needs to live with dignity, comfort, and independence in their own homes. Our highly trained team works tirelessly to ensure that every person receives the specialist care they deserve, supported by evidence-based practices and delivered with compassion and respect.