Communication system for the nonverbal severely disabled.
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Prerequisites for success in domiciliary assisted respiration for chronic respiratory insufficiency are the understanding of the patient and his active participation in the treatment as well as adjustment and attitude of his environment. The authors report their experience in 89 patients. Spirographic data were obtained in 72 patients which permitted subdivision into a group with restrictive disturbances and one with obstructive changes. The differences in prognosis in these two groups of patients were surprising. The survival rates in the obstructive diseases after 3, 5 and 10 years were 54%, 38% and 33% respectively; the corresponding values for the restrictive diseases were 84%, 84% and 69%. These differences are statistically significant. The restrictive changes are therefore considerably more favorable to assess, also with respect to a better quality of life.
The activities of the Society for Domiciliary Assisted Respiration founded in the Languedoc-Roussillon region in 1973 are reported. Up to September 30, 1976, 281 patients were treated, 189 are still alive. Obstructive chronic bronchopneumopathies were predominant. In the second place were restrictive respiratory insufficiences and respiratory muscle failure in the third. Obviously, careful attention by a specially trained doctor and nurse must be guaranteed, as well as technical support. Blood gas analyses and spirographic investigations control the course of treatment. Domiciliary assisted respiration not only prolongs the life of numerous patients, but also improves its quality.
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