Recap - Innovatieve oplossingen voor chronisch zieken
RECAP - the sequel?
A lot of activities are still ongoing in the RECAP project, like the interviews with patients, GPs and hospitals in order to come up with a transnational comparative analysis of HF care and the analysis and piloting of home monitoring devices. However, with these activities still going on there are already some RECAP "spin-offs" which are worthwile mentioning here. The Early Warning Score (EWS) study from the Catharina Hospital Eindhoven turned out to be key in detecting derailed patients. Therefore they are now expanding this study from a ward environoment to home situations as well. Based on this RECAP success the Catharina Hospital obtained a grant to explore Early Early Warning Scores (EEWS) in a home situation. Currently all patients are treated the same. However, after a short interview professionals will get a better picture of the older patient and their home situation and activities, which helps professionals to better prepare the patient and make them able to take specific measures to undergo the surgery in the best possible way.
Because of the RECAP insights also other studies within the Catharina Hospital are now being expanded to a home situation, like e.g. Thoracic Electrical Impedance measurements to measure changes in the amount of moisture inthrathoracaal (by electrodes in shirt) for detecting impending cardiac decompensation. Another promising method to optimise home medication is the examination of the amount of blood in the lungs, which can now only be done in the hospital, but can be combined with impedance measurements to see how the heart responds to this fairly acute change to give a much better picture of the cardiac reserve to optimise home medication.
As you can see a lot of things are going on!
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