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Adequate nutrition and hydration promote wound healing and help to prevent infection. Drink plenty of water.

People with ostomies swim, water-ski, play tennis and football, jog, scuba dive, and participate in practically any sport or activity. Most would rather have the ostomy than their previous medical conditions.

Home Infusion Patient Care

Offering patients the opportunity to receive infusion and injectable therapy in the comfort of their own homes allows patients to maintain their normal routines and lifestyle, and enjoy the companionship and support of family and friends, which has been shown to improve the healing process.  Managing complex in-home infusion therapy requires dedicated and specialty-trained professionals.
 

The Premier Point Approach


Premier Point's infusion clinicians have an average of 10 years of infusion experience, and are certified in the safe delivery of complex and chronic types of infusion therapy including Chemotherapy, IVIG, and IV Antibiotics to patients as young as one-year old.

We also provide a seamless intake, treatment, and follow-up experience for patients and referring physicians by:

  • Obtaining the necessary pre-approvals from insurance providers
  • Working with the referring physician to develop a personalized plan of care
  • Coordinating with our dedicated specialty pharmacy to ensure the appropriate medications are available
  • Providing detailed treatment status reports to the patient and entire medical team
  • Ensuring patients adhere to all medical follow-up appointments with our proprietary appointment reminder system.

We perform most types of home infusion therapies including:

  • Anti-infectives
  • Chemotherapy
  • Growth hormones
  • Hydration therapy
  • Inotropic therapy
  • Pain management
  • Parenteral and enteral nutrition
  • Tocolytic therapy

And Specialty Infusions including:

  • Immunotherapy
  • Biologics therapy
  • Factor
  • Pre and post transplant therapy
  • Self-injectables

Our clinicians utilize ultrasound guidance equipment to minimize patient's discomfort, stay with the patient during the entire infusion therapy session to ensure treatment is administered accurately, and continuously monitor patient's vitals, allowing our clinicians to respond more rapidly to adverse conditions, should they occur. We also strongly believe in the benefits of continuity of care – the assigned nurse remains with the patient throughout the care program, and can readily coordinate home health aide; occupational, physical, or speech therapy, or medical social worker services, should the need arise.

To learn more about our in-home infusion services, click here to submit an online request. You can also download or electronically submit a patient referral form.

Wound Care

Many of us have sustained a wound – while playing sports, working on a DYI project, or as a result of an accidental fall. Fortunately, most wounds are not serious and we fully recover. However, some wounds – surgical wounds, wounds caused by blunt trauma, lacerations, abrasions, or contusions, can penetrate the inner layers of the skin or become inflamed or infected and life-threatening.
 

The Premier Point Approach


Our team of wound-care trained clinicians understand the needs of patients with acute, chronic and painful wounds. We are CHAP accredited, and trained to perform wound care service for various types of wounds including pressure ulcers; venous stasis ulcers; surgical wounds; and skin graft and radiation wounds.

The Premier Point nursing team, in coordination with the patient's physician, work to determine the cause of the wound and current status including:

  • Redness or discoloration around the wound
  • The temperature of the skin around the wound
  • Visible drainage, color, and odor
  • Swelling
  • Presence of a fever

Based upon the clinician's assessment and the patient's pain level, we establish an appropriate plan of care that could include wound vac cleansing and repacking, compression therapy, or topical antibiotics. We also take comprehensive measurements to monitor the healing progress; assess the body's overall health, nutrition, and hydration needs; and educate the patient and/or caregiver on proper wound maintenance.

If you or a loved one are suffering from one of the wounds described below, or need additional help in your home to properly care for a wound, contact us today or download a patient referral form. Our certified WOC nurses will ensure the proper medical supplies are on hand for your specific type of wound, coordinate any referrals for other specialists including dieticians and vascular specialists, if needed, and ensure you receive the very best care in the comfort of your home, without multiple visits to your physician's office.
 

Pressure Ulcer

A pressure ulcer is an area of skin that breaks down due to constant pressing against the skin. Pressure on the skin reduces blood flow to the area; without enough blood, the skin can die, and an ulcer may form.

Pressure ulcer formation is a complex process that sometimes cannot be halted even with excellent multidisciplinary care. The skin is the largest organ in the body, and its integrity is dependent upon the function of all other organ systems for nutrition, circulation, and immune function. The progression of an aggressive disease can sometimes overwhelm the skin of a high risk patient, even when preventative actions are taken.
 

Venous Stasis Ulcer

The exact cause of venous ulcers is not certain, but they are thought to occur when venous valves (usually of the leg) that exist to prevent backflow of blood do not function properly, causing the pressure in veins to increase. Primary risk factors include older age, obesity, previous leg injuries, blood clots, and infection/inflammation of a blood vessel, and they account for 80 percent of lower extremity ulcerations. Venous ulcers are often recurrent, and open ulcers can persist from weeks to many years.
 

Surgical Wounds

Surgical wounds are made in a sterile environment where many variables can be controlled such as bacteria, size, location and the nature of the wound itself. Although surgical wounds are closely monitored, infections can occur due to dirty or poorly maintained wound dressings, close proximity to areas of contamination (such as near the mouth or groin), debris or foreign objects, and generally poor health or decreased immune function.

Surgical wounds are classified into one of four types to better predict the risk of infections and wound healing outcomes:

Class I wounds are clean wounds that show no signs of inflammation and do not involve the respiratory, gastrointestinal or genitourinary tracts.

Class II wounds are clean wounds with a higher risk of infection such as those involving the gastrointestinal, respiratory or genitourinary tracts, or are opened to remove pins or wires.

Class III wounds are contaminated wounds created when an outside object comes in contact with the wound such as a bullet, knife blade or other pointy object.

Class IV wounds are dirty-infected due to a foreign object (such as a bullet or other debris) lodged in the wound
 

Skin Graft

Skin grafting is most often used in the treatment of severe burns. First or second-degree burns usually heal with little or no scarring. With third-degree burns, however, the skin is destroyed and there may be damage to underlying tissues. A skin graft is used to permanently replace damaged or missing skin or to provide a temporary wound covering. This covering is necessary because the skin protects the body from fluid loss, aids in temperature regulation, and helps prevent disease-causing bacteria or viruses from entering the body. Skin that is damaged extensively by burns or non-healing wounds can compromise the health and well-being of the patient.

Ostomy Patient Care

When a patient has a diseased gastrointestinal system or the bladder is not functioning properly, it can sometimes lead to the removal of all or a part of the large or small intestine and an ostomy. An ostomy is a surgically created opening in the body for the discharge of body wastes. A stoma is the actual end of the ureter or small or large bowel that can be seen protruding through the abdominal wall.

It takes time to become comfortable with an ostomy. At the time of discharge, many patients experience a significant number of technical, emotional, social, marital/family, and sexual difficulties. Concerns include doubt of their ability to properly care for the stoma, questions concerning their ability to return to work or school, engage in sports or recreational activities, and the stigma associated with pouching systems.  The Premier Point nursing staff can help.
 

The Premier Point Approach


Our ostomy nurses are certified by the Wound, Ostomy and Continence Nursing (WOCN) Certification Board, and have completed numerous hours of additional in-service training, making them experts in the care of ostomy patients. Our clinicians understand the adverse effect stomas can have on patients' quality of life, and our care plans are designed to address critical stages of the treatment path. We help patients to avoid medical post-operative hemorrhage, often occurring during the first 48 hours after discharge, as well as infections and other medical challenges that occur throughout the healing process. Our early-stage care plans include:

  • Inspecting the stoma and surrounding skin for signs of irritation, bruises, rashes or any indicators of fungal infection
  • Capturing precise measurements of the size and depth of the stoma during the early stages of healing to ensure proper appliance sizing and avoiding effluent contact with the skin
  • Working with the patient to identify a pouching system and accessories that best fit their lifestyle and medical needs. We also teach patients and caregivers how to properly change the pouch and techniques for cleansing the skin and pouch to avoid irritation
  • Monitor laboratory results including CBC and electrolytes for signs of imbalance and, if detected, aid in determining replacement needs
  • Administering medications, including IV's, as required to address pain and discomfort

We also help patients to overcome the many psychological challenges that accompany stomas including facilitating appropriate referrals to social workers or therapists to address the normality of feelings of anger, depression, and grief over loss; daily emotional ups and downs, and future expectations.

To learn more about our wound, ostomy, and continence services, contact us to schedule a personal consultation, or download a referral form to initiate care.