Products & Services
Products & Services
- Immunoglobulin (Ig) Therapy
- Cardiovascular Inotrope Therapy
- Total Parenteral Nutrition (TPN)
- Anti-infective Therapy
- Pain Management Therapy
- Transplant Services
Immunoglobulin (Ig) Therapy
Immunoglobulin is a blood component that has been used since 1952 to treat immune deficiency. Ig therapy has been used extensively in the treatment and prevention of a variety of infectious and inflammatory diseases.
Patients with comprised immune systems who have these conditions often benefit from passive immunity provided by Intravenous immunoglobulin (IVIG) therapy.
The effects of Ig treatments typically last 15-30 days and our nurses will visit every 2-6 weeks depending on your prescribed cycle. Because IVIG and subcutaneous immunoglobulin (SCIG) are given repeatedly over a period of time, home infusion can be a cost effective and a convenient alternative to receiving infusions at a hospital or outpatient center.
Preferred Homecare | LifeCare Solutions is a leading provider of immunoglobulin (Ig) therapy services; we understand our patient’s needs for personalized care, safety, and clinical expertise.
Benefits and services our team offers:
- Clinical expertise to help patients avoid hospitalizations altogether by providing appropriate and timely therapy in the home
- Efficient intake, insurance verification and prior authorization assistance from expert Ig specific team members
- Access to all FDA approved brands which includes intravenous (IVIG) and subcutaneous (SCIG) administration options
- Patients retain the same brand therapy if transferring services to a Preferred Homecare | LifeCare Solutions pharmacy
- Expert clinical pharmacists will partner with the ordering physician to initiate the most clinically appropriate and cost effective Ig product for patients naïve to Ig therapy
- Monitoring of pertinent lab values such as IgG, IgA, renal, and liver function
- Regular calls from the Preferred Homecare | LifeCare Solutions pharmacy team to monitor patient response to prescribed treatment and assess for any adverse reactions, concerns, or questions
- Coordinate and arrange all nursing visits, lab draws, and delivery of supplies and equipment
- Maximizing immunoglobulin therapy based on lab results (pharmacokinetic monitoring) and patient assessment
- Coordinate with patient’s health care team to ensure enhanced communication and expected responses to prescribed therapies
- Personalized care, attention and education from our high-tech, high-touch nurses while fostering patient independence at home to achieve the best possible outcomes
- Self-administration and pump training by expert registered nurses for our patients on subcutaneous Ig therapy (SCIg)
- First dosing capabilities in the home, based on patient medical history, safety of the patient, and collaborative decision making between the physician and clinical team
- In-home therapy administration or in one of our Ambulatory Infusion Suites (AIS)
- 24/7/365 clinical support
Some of the Approved Indications and Conditions Treated with Immunoglobulin (Ig)
- Primary Immunodeficiency Syndrome
- Idiopathic Thrombocytopenic Purpura (ITP)
- Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)
- Chronic Lymphocytic Leukemia
- BMT
- Kawasaki Syndrome
- Pediatric HIV
- Guillain-Barre Syndrome
- Multifocal Motor Neuropathy
If you feel you could benefit by being at home or alternate-site for infusion therapy for your Ig treatments, contact Preferred Homecare | LifeCare Solutions or your physician and discuss the options available to you.
Cardiovascular Inotrope Therapy
Heart Failure (HF) or Congestive Heart Failure (CHF) is a disease that affects approximately 6 million people in the United States. Each year, over 600,000 patients are newly diagnosed with heart failure. In-home Inotropic infusion therapy is used as a bridge to a heart transplant for adults and children, and to help manage advanced heart failure.
Milrinone and dobutamine are the most common inotropic therapies used in the home as the intravenous (IV) treatments for heart failure. These medications are given either as a continuous IV infusion 24 hours a day, or less commonly ordered as intermittent “pulse therapy” that consists of a 24-48 hour dose a few times a week.
The treatment of heart failure patients is multifaceted and intricate, so choosing the right home infusion provider is critical. The mission of our program at Preferred Homecare | LifeCare Solutions is to improve quality of life by enabling patient independence and providing expert care at home.
Benefits and services our team offers:
- Clinical expertise to help the patient avoid or reduce hospital stays and re-admissions
- Efficient intake, insurance verification and prior authorization assistance
- Clinical Liaisons to coordinate care and inotrope therapy initiation from the hospital to home
- Extensive disease state patient education to foster confidence and independence
- Nursing visits, lab draws, and delivery of supplies and equipment including back-up pumps
- Regular calls from the Preferred Homecare | LifeCare Solutions pharmacy team to monitor patient response to prescribed treatment and assess for any adverse reactions, concerns, or questions
- Highly skilled infusion nurses, pharmacists and registered dietitians accurately applying prescribed care to ensure the best outcomes
- Coordination with the patient’s health care team to optimize communication and expected responses to prescribed therapy
- Individualized care plans that focus on enriching quality of life
- 24/7/365 clinical support
Some of the Conditions Treated with Inotropic Drug Therapy
- Congestive Heart Failure
- Heart Failure
- Cardiomyopathy
- COPD
- Hypotension
- Transplant Rejections
If you feel you could benefit by being at home for your intravenous cardiac drug therapy, contact Preferred Homecare | LifeCare Solutions or your Physician and discuss the options available to you.
Total Parenteral Nutrition (TPN)
When we eat, our body breaks down the food through digestion into small nutritional elements. These elements are then absorbed into our blood so they can be used for energy and to support life. If an illness or an obstruction occurs and a person cannot digest food normally, these nutritional elements can be provided by directly infusing them into the blood stream. This form of intravenous therapy is called parenteral nutrition (PN).Parenteral nutrition can provide all the nutrients a person needs to maintain health, however, it does not affect a person’s ability to eat. Over 400,000 people in the US, Europe, and Canada are living at home on parenteral nutrition.
There are two types of parenteral nutrition:Total Parenteral Nutrition (TPN) & Peripheral/Partial Parenteral Nutrition (PPN). TPN is infused into a large vein in the body and can provide a fairly concentrated formula to meet the nutritional needs of each individual. TPN infused through a large vein can be long term; months or years, if needed. PPN is infused in a smaller vein in the arm and is not as concentrated as TPN; it is also only used for the short term; a week or two at the most.
Parenteral nutrition infusion therapy can be adjusted to fit each patient’s lifestyle. To enable mobility and independence a patient is given a portable pump and backpack in order to enjoy a normal routine even while receiving their nutrition infusion. Other patients choose to receive their nutrition infusion therapy at night. Home TPN therapy can be administered safely and effectively in the comfort of the patient’s home thus reducing and/or preventing the need for extended hospitalization.
Benefits and Services Our Infusion Team Offers:
- Each patient is followed by a clinical team of experts who specialize in parenteral nutrition infusion therapy
- Home visits by skilled nurses to educate the patient and caregiver on set up and administration of parenteral nutrition, line care, assessment, and lab draws as ordered
- Our team is there every step of the way to help patients become independent and resume normal daily activities as much as possible
- A skilled support team of pharmacists, nurses and dietitians to collaborate with the patient’s healthcare team and physician in order to create the best nutrition plan for the patient while on, or transitioning off PN
- Ongoing monitoring and communication with the physician regarding patient’s progress
Conditions Treated with Parenteral Nutrition Therapy
- Short Bowel Syndrome
- Mechanical Bowel Obstruction
- Malabsorption
- Crohn’s Disease
- Ulcerative Colitis
- Massive Bowel Resection
- Enteritis
- Bowel Dysmotility
- Conditions requiring bowel rest such as severe Pancreatitis and Bowel Fistulas
- Severe malnutrition with mechanical inability to eat and failed tube feeding trial
Anti-infective Therapy
Anti-infective therapies are among the most common home infusion and alternate site therapies provided. These medications are used to treat infections that have been unresponsive to oral medication therapy.
The medication is administered through a needle or catheter that has been placed in your venous system.
Administration methods may vary from intravenous (IV) push, to gravity, elastomeric device or rate controller, or electronic pump.
Home infusion anti-infective therapy is typically a short term therapy that can be administered from 3 days to 8 or more weeks. Home infusion therapy allows you to receive the medication in the comfort of your home.
Benefits and services our team offers:
- Expedited discharge from hospital and/or emergency room
- Efficient intake, insurance verification and prior authorization assistance
- Understanding and coordinate of current medications as well as PICC line tip verification to help ensure patient safety
- Weekly calls from the Preferred Homecare | LifeCare Solutions pharmacy team to certify the prescribed therapy is going well and address any patient questions or concerns
- Coordinate and arrange all nursing visits, lab draws, and delivery of supplies and equipment
- Lab value monitoring and reporting related to prescribed therapy
- Maximizing anti-infective therapy based on lab results through pharmacokinetic monitoring and patient assessments
- Personalized care, attention and education from our high-tech, high touch nurses while fostering patient independence at home to achieve the best possible outcomes
- Coordination with the patient’s health care team to ensure enhanced communication and expected responses to prescribed therapy
- First dosing capabilities in the home, based on medication, patient medical history and safety of the patient
- 24/7/365 clinical support
Some of the Indications and Conditions Treated with Anti-infectives
- Cellulitis
- Osteomyelitis
- Bacterial Endocarditis
- Chronic Urinary Tract Infections
- Wound Infections
- Cystic Fibrosis
- Bacteremia
- Septic Arthritis
- Pneumonia
- Cytomegalovirus
- Fungal Infections
- Respiratory Tract Infections
- Sinusitis
- Abscesses
- AIDS Related Opportunistic Infections
- Lyme Disease
If you feel you could benefit by being at home or an alternate infusion site for your anti-infective treatments, contact Preferred Homecare | LifeCare Solutions or your physician and discuss the options available to you.
Pain Management Therapy
Pain Management therapy is often prescribed and initiated in acute care settings, such as a hospital, but can be safely and effectively managed in the home. In-home pain management treatments can be administered either intravenous (IV) into a vein, or intrathecal (IT) into the area around the spine.
Physician ordered intravenous pain management can be delivered in the home with an electronic ambulatory drug delivery pump device. This ambulatory pump gives a continuous dose with the option of additional on-demand patient controlled dosing, or PCA. The pain being treated could be related to disease or injury, such as short-term use following surgery or chronic use associated with malignancy. In either case, it is most effective to stay ahead of the pain with continuous therapy than it is to try to catch up once in severe pain.
In-home pain management therapy is administered through a portable pouch which contains the medication and is attached by tubing to an electric infusion pump. The Preferred Homecare | LifeCare Solutions team will manage the intravenous or subcutaneous access device, teach the patient and caregivers to manage the pump, and provide comprehensive ongoing assessments. The pump can be reprogrammed as needed when pain levels change making pain management less stressful and complicated for patients and caregivers.
Narcotic pain management may also be delivered through a surgically implanted subcutaneous (under the skin) internal intrathecal pump. This pump delivers pain medication directly to nerve receptors near the spine via a thin flexible catheter. Some of the advantages of intrathecal therapy include fewer and more tolerable drug side effects while providing more effective pain relief. These pumps are usually not visible but can be felt through the skin. The commonly used Medtronic Synchromed II pump can hold either 20ml or 40ml of narcotic medication. A programmer computer is used to scan the pump from outside the body and takes readings of the pump performance, programs the administration rate and any extra doses as prescribed. A specialized needle is then inserted through the skin to refill the reservoir of the pump with medication as needed. Preferred Homecare | LifeCare Solutions’ clinicians are specifically trained to care for these automated computerized pumps.
Benefits and services our team offers:
- Clinical liaison discharge care coordination, initial education, and hospital set-up for continuous pain medication therapy
- Timely in-home service to help avoid re-hospitalizations
- Expert clinical staff trained in specific pain management protocols, devices, and access
- Extensive patient and provider education and support
- Efficient intake and insurance authorization and approval
- Regular calls from the Preferred Homecare | LifeCare Solutions pharmacy team to monitor patient response to prescribed treatment and assess for any adverse reactions, concerns, or questions
- Coordination of nursing visits, lab draws, and delivery of supplies and equipment
- Coordination with the patient’s health care team to ensure enhanced communication and monitor for expected responses to prescribed therapies
- Personalized care, attention and education from our high-tech, high-touch nurses while fostering patient independence at home
- 24/7/365 clinical support
Some of the Indications and Conditions Treated with Pain Management Therapy:
- Acute Post-Op Pain
- Severe Chronic Pain
- Malignant and Non-Malignant Pain
- Bone Metastasis
- Sickle Cell Disease
- Small Bowel Obstruction
- Neuropathic Pain
- End of Life Palliative
If you feel you could benefit from receiving Pain Management Therapy at home, contact Preferred Homecare | Life Care Solutions or your physician and discuss the options available to you.
Transplant Services
Complex infusion therapy management associated with pre- and post-transplant needs require focused care and attention. The Preferred Homecare | LifeCare Solutions clinical team is deeply knowledgeable and experienced in pre- and post-transplant therapy and is committed to our patients in achieving the best possible outcomes. Our transplant program supports the needs of both our pediatric and adult patients by coordinating all essential care components related to transplant infusion therapy.
Therapies provided to our transplant patients are related to immunotherapy, specialty injectables, nutrition (TPN and enteral), heart failure inotropes, anti-infectives, antivirals and antifungals.
Preferred Homecare | LifeCare Solutions is a leading provider of pre- and post- transplant support therapies; we understand our patient’s needs for personalized care, safety, and clinical expertise.
Benefits and services our infusion team offers:
- Clinical liaison discharge care coordination and initial education
- Timely in-home service to help avoid re-hospitalizations
- Extensive patient and provider education
- Efficient intake and insurance authorization and approval
- Regular calls from the Preferred Homecare | LifeCare Solutions pharmacy team to monitor patient response to prescribed treatment and assess for any adverse reactions, concerns, or questions
- Coordination of nursing visits, lab draws, and delivery of supplies and equipment
- Coordination with the patient’s health care team to ensure enhanced communication and monitor for expected responses to prescribed therapies
- Personalized care, attention and education from our high-tech, high-touch nurses while fostering patient independence at home
- 24/7/365 clinical support
Transplant types cared for in the home setting:
- Autologous and Allogenic Blood/Bone Marrow Transplants
- Solid Organ Transplants
If you feel you could benefit by being at home for infusion therapy related to your transplant needs, contact Preferred Homecare | LifeCare Solutions or your physician and discuss the options available to you.
