Welcome to Health Care POV | sign in | join
New Grad NP

The Heart Home

Published March 8, 2012 9:09 AM by Beverly Clayton
I am seeking the help of my online community. Several blogs ago I had mentioned the desire to start my own business, but was unsure what I actually wanted to do, so I purchased the book, "How to Start an Independent Practice" by Carolyn R. Zaumeyer. This book was filled with a step by step approach to all the tools one will need to start a successful business. After reading her book, I was excited and ready to take the first step. I wrote my blog and received a great response with support from NPs who have started their own businesses and offered to assist me when I was ready. Unfortunately, I just stopped; I do not really know what happened. I started to ask myself questions introducing doubt in my spirit.

Now I am faced with a dilemma and an idea for a business. I am hoping this is something that is doable. Ok, here goes! My boyfriend was diagnosed with CHF six years ago and now he is faced with two options: heart transplantation and/or the left ventricular assist device (LVAD) which is considered a bridge to transplantation. Either way he will need after care for a minimum of six months after he is discharged from the hospital to home.

With limited family support and having to work full-time, and the family leave act not applicable, I decided to work on a business plan for "The Heart Home." The business is starting a transitional flat for individuals who need interim care to assist with managing the LVAD in a home-like setting, creating the confidence building techniques to accept this machine that is supporting their hearts. This service could be offered in the "Heart Home" or in the clients' homes. My boyfriend could be the test, where I become a recognized provider for insurance companies and I provide a service for reimbursement where I am able to take a leave of absence or even quit my job to care for someone with an LVAD.

My role would be the liaison for family and friends and providing reassurance and constant care to the client, by assisting with transitioning back to a "near" normal life with the LVAD. Soon I will be receiving the training on the care and troubleshooting of the LVAD, and I will be the primary caregiver.

The specialization of the care with clear care planning and goal setting would set me apart from a long term care facility for individuals who need rehab for hip and knee replacements, and other surgeries where they are too unstable to go home and the family support is limited. Also the nursing care is very broad and many nurses who work in the long-term care facilities are LPNs, so there would be a huge learning curve to place someone in that type of facility, in my opinion. I am sure this is all wishful thinking, especially when dealing with the insurance companies. I have thought about this many different ways and I truly feel helpless of the situation. I plan to reach out to all my colleagues for advice to really help me evaluate if this is a worthwhile endeavor, but I say, "How can it not be?"

2 comments

It's been almost a year since you posted, but I would like to know what happened. I am an LVAD RN and think that your idea is beautiful. We often send our patients to a hotel for a few days after the implant bc they need some more time before going all the way home. It would be good to have this apartment close to the hospital that does the implants, so if there is an emergency, you are near by. But families often experience shock and sort of "freak out" when they realize all of the expectations of them. I hope things work out for you and God Bless your family

Lindsey West February 13, 2013 6:00 PM

My Lvad has given me another chnace at life. A wife of almost 50 years, 7 children and 15 grandchildren are all very grateful for this opportunity.Will the new self contained mechanism with no open port be adaptable for my current Lvad? If so, how soon? I received my Lvad in Februery of 2011 and am getting stronger as each day passes. Please advise me of new upcoming changes.

Eronn Eronn, POMqSoeeQLvs - KHfaLaYjGsvgXQRiJ, OOLDSAiRsjCUoiEv June 11, 2012 11:27 AM
JXZfKaqooXOVOYtA OK

leave a comment



To prevent comment spam, please type the code you see below into the code field before submitting your comment. If you cannot read the numbers in the image, reload the page to generate a new one.

Captcha
Enter the security code below:
 

Search

About this Blog

Keep Me Updated