POCS

Don't Just Go With the Flow

5 factors to consider when helping a patient select a portable oxygen concentrator

By Paul Miller

Post-acute care and chronic therapy treatment plans often combine the use of portable oxygen concentrators (POCs) to significantly enhance patients’ mobility, autonomy and overall quality of life. POCs provide oxygen therapy, which is crucial for patients with COPD, interstitial lung disease or other respiratory conditions. Unlike traditional oxygen tanks, these devices are lightweight with ease of mobility, allowing patients to move freely and engage in daily activities without being tethered to a stationary unit.

This increased mobility allows patients to participate in social, recreational and physical activities, including physical therapy, which can lead to improved mental and emotional well-being. Additionally, the autonomy gained from using portable oxygen concentrators empowers patients to manage their own care more effectively, reducing the need for constant supervision and support.

Navigating the world of durable medical equipment can be challenging, especially when it comes to selecting the right POC. With numerous options available, how can you ensure you're providing the best device to meet your patients' needs and deliver the highest quality care? To help, we’ve compiled the top aspects homecare providers should consider when evaluating POCs and their patients’ oxygen therapy requirements.

ONE

Oxygen Delivery Options

Not all POCs are created equal when it comes to oxygen delivery. Some offer pulse flow, others provide continuous flow and some offer both. Understanding the different oxygen delivery methods is essential to meeting your patients' needs.

Continuous Flow vs. Pulse Flow

Continuous flow delivers a steady supply of oxygen, measured in liters per minute (LPM) like oxygen provided in the hospital or from home stationary units. Pulse flow, on the other hand, delivers oxygen only when the patient inhales, releasing a dose of oxygen known as a bolus. This method conserves oxygen but may not be suitable for all patients, particularly those with high breathing rates, shallow breathing or other physiological or disease-related limitations. It's crucial to evaluate your patient’s oxygen requirements at rest, during different levels of exertion and at night to ensure restful sleep.

TWO

Oxygen Output

When evaluating a POC, it's essential to understand its maximum oxygen output. This measurement indicates the highest amount of oxygen the device can deliver, which is crucial for ensuring it meets your patients' prescribed oxygen levels.

Meeting Prescribed Oxygen Levels: Patients' oxygen needs can vary significantly based on their activity levels, so it's important to choose a POC that can provide adequate oxygen therapy in all scenarios. For instance, a patient might need a higher oxygen flow rate during physical exertion compared to when they are resting.
Understanding Manufacturer Settings: It's also important to understand the manufacturer’s settings on the POC. The numbers on the dial (e.g., 1, 2, 3) do not correspond directly to liters per minute (LPM) but rather to the device's specific settings. For a patient utilizing pulse dose delivery, it is important that proper titration occur under clinical supervision to ensure that you are accurately matching the device's capabilities to your patients' needs and prescriptions.
High Flow Requirements: For patients requiring higher continuous flow levels, it's crucial to select a POC that can meet these demands. Some smaller, lighter POCs may not provide sufficient oxygen output for patients with high flow requirements. In such cases, consider devices that deliver both continuous flow and high-volume pulse dose, offer reliable 24/7 performance and may also function as both a POC and a stationary unit.

THREE

Use, Battery Performance & Portability

User-Friendly Interfaces: A user-friendly interface can make it easier for patients to operate their POC independently. Look for devices with high-resolution displays, intuitive controls, easy-to-read indicators, appropriate breath detection response and clear communication of alerts and alarms. This can help reduce the learning curve for operation, increase confidence in use and adherence to therapy.

Battery Performance: Battery life can refer to both the duration of time a device will operate on its battery, and just as important, the expected lifespan of the battery. It's important to inquire about the battery duration on different settings, the recharge time, warranty and the expected useful life. Additionally, check if the battery can be charged in a car or at home, understand the recharge times and voltage compatibility for international travel. Discuss various power access situations to identify any limitations and ensure the POC is fully functional on all power sources for optimal performance.

Portability: Device portability includes the weight, size and ease of transport. Consider if the POC is available with carrying options like shoulder straps, backpacks or wheeled carts. Devices designed for integrated mobility can encourage the patient’s adherence to oxygen therapy, which in turn can improve their quality of life.

FOUR

Maintenance Requirements

Maintenance Schedule: Understanding the maintenance schedule is vital for ensuring the POC remains in good working condition. Following the manufacturer’s regular maintenance guide can prevent unexpected breakdowns and extend the lifespan of the device.

Ease of Cleaning: A POC that is easy to clean will save time and effort for both patients and caregivers. Look for devices with removable and washable filters and ensure that cleaning instructions are straightforward. This will help maintain the device's performance and hygiene.

FIVE

Warranty & Support

Warranty Period: A longer warranty period indicates the manufacturer's confidence in their product's durability and reliability. Ensure that the warranty service can be easily obtained through your equipment provider and that replacement parts are readily available.

Customer Support: Reliable customer support is essential for addressing issues that may arise with the POC. Ask about the availability of technical support and the response time for service requests. Good customer support can make a significant difference in the overall experience of using the POC.

Choosing the right POC is essential for patient well-being. By evaluating these critical elements, homecare providers can make informed decisions that enhance patient outcomes and satisfaction. A thoughtful approach involves not only evaluating specifications but also ensuring comprehensive training for both patients and caregivers. Selecting the right equipment sets the stage for successful oxygen therapy.

Paul Miller is executive cice president of Sales at O2 Concepts, a leader in POC technology. With over 20 years of experience in home medical equipment and durable medical equipment sales leadership, he specializes in strategic growth and customer success. Learn more at o2-concepts.com.