Home Infusion

Decillion Home Infusion
 

Infusion Therapy

What is Infusion Therapy?

Infusion therapy involves the administration of medication through a needle or catheter. It is prescribed when a patient’s condition is so severe that it cannot be treated effectively by oral medications. Typically, “infusion therapy” means that a drug is administered intravenously, but the term also may refer to situations where drugs are provided through other non-oral routes, such as subcutaneous infusion and intrathecal (into the membranes surrounding the spinal cord).

Home Infusion

Diseases commonly requiring infusion therapy include infections that are unresponsive to oral antibiotics, cancer and cancer-related pain, dehydration, gastrointestinal diseases or disorders which prevent normal functioning of the gastrointestinal system, and more. Other conditions treated with chronic infusion therapies may include Cancers, Congestive Heart Failure, Crohn’s Disease, Immune Deficiencies, Rheumatoid Arthritis, HIV, Multiple Sclerosis, Oncology, Psoriasis, Growth Hormone Imbalance, Hemophilia, and other rare or chronic conditions.

Intake Management

  • Customized referral forms

  • Dedicated toll free number

  • Immediate translation of all patient, prescriber, insurance, and drug information

  • Proactively contact prescriber/insurance for missing information

  • Receipt of referral to prescriber

Benefits Investigation

  • Electronically adjudicate a test claim under pharmacy, medical, and/or other insurance

  • Prior Authorization processing

  • Appeals Management

  • Step Therapy Protocol or other reimbursement issue processing

  • Funding Assistance

  • Transfer to Manufacturer Sponsored Patient Assistance Program

Fulfillment

  • Valuable data including patient, prescriber, utilization, and disease management notes are captured in CPR+

  • Product is packaged discreetly and shipped to patient’s location

  • Package is tracked and recorded

  • A Patient Care Advocate (PCA) personally contacts patients monthly for refills

Drug Therapy Management

  • Clinician proactively educates patient about adverse reactions

  • Clinician offers enrollment into disease management program, when available, to increase adherence and tolerance of medication

  • Live pharmacists and nurses available to answer patient questions

  • All conversations are recorded in RXVECTOR for continuity of care and future analysis


 

Download our patient education forms using the links below.


 

Total Parental Nutrition (TPN)

Total parenteral nutrition (TPN) is a method of feeding that bypasses the gastrointestinal tract. Fluids are given into a vein. This provides most of the nutrients the body needs. The method is used when a person cannot or should not receive feedings or fluids by mouth. Sick or premature newborns may be given TPN before starting other feedings. They may also have this type of feeding when they are unable to absorb nutrients through the gastrointestinal tract due to chronic disease.

Read More about TPN

TPN delivers a mixture of fluid, electrolytes, calories, amino acids, vitamins, minerals, and often fats. TPN can be lifesaving for very small or very sick babies. It can provide a better level of nutrition than regular intravenous (IV) feedings, which provide only sugars and salts. Infants who get this type of feeding must be checked to make sure they are getting the proper nutrition. Blood and urine tests help can the health care team know what changes are needed.

HOW IS TPN GIVEN?
An IV line is often placed in a vein in the baby’s hand, foot, or scalp. A large vein in the belly button (umbilical vein) may be used. Sometimes a longer IV, called a central line or peripherally-inserted central catheter (PICC) line, is used for long-term IV feedings.

Contact Decillion Healthcare at 614-389-8371 for more information. Our licensed pharmacists are available 24/7 for any questions you may have.

 

Cystic Fibrosis

Cystic Fibrosis (CF) is an inherited disease of the secretory glands. Secretory glands include glands that make mucus and sweat.

“Inherited” means the disease is passed from parents to children through genes. People who have CF inherit two faulty genes for the disease—one from each parent. The parents likely don’t have the disease themselves. CF mainly affects the lungs, pancreas, liver, intestines, sinuses, and sex organs.

Read More about Cystic Fibrosis

OVERVIEW
Mucus is a substance made by tissues that line some organs and body cavities, such as the lungs and nose. Normally, mucus is a slippery, watery substance. It keeps the linings of certain organs moist and prevents them from drying out or getting infected.

If you have CF, your mucus becomes thick and sticky. It builds up in your lungs and blocks your airways. (Airways are tubes that carry air in and out of your lungs.) The buildup of mucus makes it easy for bacteria to grow. This leads to repeated, serious lung infections. Over time, these infections can severely damage your lungs. The thick, sticky mucus also can block tubes, or ducts, in your pancreas (an organ in your abdomen). As a result, the digestive enzymes that your pancreas makes can’t reach your small intestine.

These enzymes help break down food. Without them, your intestines can’t fully absorb fats and proteins. This can cause vitamin deficiency and malnutrition because nutrients pass through your body without being used. You also may have bulky stools, intestinal gas, a swollen belly from severe constipation, and pain or discomfort.

CF also causes your sweat to become very salty. Thus, when you sweat, you lose large amounts of salt. This can upset the balance of minerals in your blood and cause many health problems. Examples of these problems include dehydration (a lack of fluid in your body), increased heart rate, fatigue (tiredness), weakness, decreased blood pressure, heat stroke, and, rarely, death.If you or your child has CF, you’re also at higher risk for diabetes or two bone-thinning conditions called osteoporosis and osteopenia. CF also causes infertility in men, and the disease can make it harder for women to get pregnant. (The term “infertility” refers to the inability to have children.

 

ANTIBIOTICS – ANTI-INFECTIVES

  • Antibiotics used to treat a wide variety of bacterial infections. They inhibit the growth of bacteria by interfering with the production of certain biochemicals necessary to sustain the bacteria’s life or by interfering with the bacteria’s ability to use nutrients. The body’s defenses then have a much easier time eliminating the infection.

    When used properly, antibiotics are usually effective. To treat an infection adequately, however, antibiotics must be taken regularly for a specified time. If they are not taken for the prescribed period, microorganisms resistant to the antibiotic may continue growing, and the infection could reoccur. Aminoglycosides, cephalosporins, erythromycins, penicillins (including ampicillin and amoxicillin), quinolones, and tetracyclines are some examples of antibiotics.

    Antibiotics do not counteract viruses, including those that cause the common cold, so their use in cold therapy is inappropriate.

  • Antivirals – Antiviral medications are used to combat viral infections. An antiviral drug called acyclovir is being used in the management of herpes infection. This medication reduces the reproduction of the herpes virus in initial outbreaks, lessens the number of outbreaks of recurrent infection, and speeds the healing of herpes blisters. Acyclovir does not cure the disease, however.

  • Vaccines –Vaccines were used long before antibiotics became available. A vaccine contains weakened or dead disease-causing microorganisms or parts of such organisms, which activate the body’s immune system to produce a natural defense against a particular disease (such as polio or measles). A vaccine is usually given to prevent a specific disease, but it may also be used in certain circumstances to alleviate or treat an infectious disease that has already taken hold.

  • Other Anti-infectives –Drugs called anthelmintics are used to treat worm infestations. Fungal infections are treated with antifungals, such as nystatin, that destroy and prevent the growth of fungi. A pediculicide is a drug used to treat a person infested with lice. And a scabicide is prescribed to deal with scabies.

 

IVIG – SCIG

Intravenous Immune Globulini (IVIG) is a sterile solution of concentrated antibodies extracted from healthy donors which is administered into a vein. IVIG is used to treat disorders of the immune system or to boost immune response to serious illness, and to treat immuno-suppressed recipients of bone marrow transplants. Antibodies are responsible for defending our bodies from pathogens, such as viruses and bacteria.

Read More about IVIG and SClg

There is a highly specialized and lengthy process used to manufacture IVIG. It begins in blood centers across the country where tens of thousands of healthy individuals donate their plasma (the portion of the blood where the immune globulins and other blood proteins are contained). The plasma from all of these individuals is then pooled together, and then chemically treated to isolate the immune globulins and remove any other blood proteins or blood-borne pathogens.

IVIG does not affect your immune systems ability to produce immune globulins; it simply increases the antibody level within your body. Antibodies whether those produced naturally by your body or those infused in the form of IVIG are eventually metabolized and eliminated by your body, usually in about 3-4 weeks. Regular infusions are necessary to maintain immune globulin levels within the desired range.

The most common side effects include headache, nausea, low-grade fever, chills, rash, neck/back stiffness, and fatigue. Generally, these side effects are mild and tolerable and most often, they can be alleviated by decreasing the rate of infusion. More serious side effects, such as allergic reactions, are rare, but have been reported. Should you develop an allergic reaction, your health care providers are sufficiently trained to handle this. Do not hesitate to contact your physician if your side effects are severe or persistent. It is possible to reduce the severity of the side effects associated with IVIG infusions. Your physician may suggest premedication with acetaminophen or antihistamines; corticosteroids are also an option your doctor might choose. It is also important to make sure that you are sufficiently hydrated before your infusions. Make sure that you are drinking plenty of water for several days before your infusion.

Currently there are 11 brands of IVIG available in the United States. They are all essentially therapeutically equivalent, however they do differ from each other in terms of sugar, sodium, and antibody content, as well as the presence of preservatives or latex. Your physician will examine all of these factors and identify the best brand for you.

SCIG
Subcutaneous immunoglobulin (SCIG) is administered upon a physician’s orders.

The nurse administering SCIG shall be knowledgeable of the indications for use, appropriate dosage, administration, monitoring parameters, side effects, toxicities, incompatibilities, stability, storage requirements, and potential complications.

First dose of SCIG may be given in the home with strict adherence to first dosing requirements and only when the pt meets first home dose eligibility criteria. Patients who may be excluded:

  • Allergy profile consistent with a known anaphylactic or severe systemic response (hypersensitivity) to immune globulin or blood products

  • Pregnancy

  • Selective IgA deficiency

  • Clinician judgment

First home doses of SCIG will be restricted to administration on weekdays during business hours with a physician available.

  • First home doses of SCIG will be restricted to use of nursing or subcontracted nursing agencies who have been educated and proven competent to administer SCIG

 

Pain Management

Acute pain can last a moment; rarely does it become chronic pain. Chronic pain persists for long periods. It is resistant to most medical treatments and cause severe problems.

Pain attacks the human body at every vulnerable target muscles, bones, and joints.

Read More about Pain Management

CAUSES AND TREATMENTS OD ACUTE AND CHRONIC PAIN

WHAT IS ACUTE PAIN?


Acute pain begins suddenly and is usually sharp in quality. It serves as a warning of disease or a threat to the body. Acute pain may be caused by many events or circumstances, such as:

  • Surgery

  • Broken bones

  • Dental work

  • Burns or cuts

  • Labor and childbirth

Acute pain may be mild and last just a moment, or it may be severe and last for weeks or months. In most cases, acute pain does not last longer than six months and it disappears when the underlying cause of pain has been treated or has healed. Unrelieved acute pain, however, may lead to chronic pain.

WHAT IS CHRONIC PAIN?
Chronic pain persists longer than 3 months, often despite the fact that an injury has healed. Pain signals remain active in the nervous system for weeks, months, or years. Physical effects include tense muscles, limited mobility, a lack of energy, and changes in appetite. Emotional effects include depression, anger, anxiety, and fear of re-injury. Such a fear may hinder a person’s ability to return to normal work or leisure activities.

Anything from a bad mattress to stomach ulcers can cause chronic pain. While it may begin with an injury or illness, pain can develop a psychological dimension once the physical problem heals.

NERVE PAIN
When nerve fibers get damaged, the result can be chronic pain. This can be evident in many different diagnosed patients, diabetes being one of the top causes.