Beyond Treatment: The Power of Patient Education

Beyond Treatment: The Power of Patient Education

Recently, I received a call from an out-of-state friend asking if I would speak with one of his friends who was about to start hyperbaric oxygen therapy (HBO₂) for radiation-related complications. I agreed and told him to share my number. A few days later, the gentleman called. He was upset and considered stopping treatment after only two dives because he had experienced ear problems during his first session. He had been advised to try nasal spray and sinus medication, and as we talked, it became clear that many of his questions about the therapy had not been answered. His wife later joined the call and helped explain the situation more clearly. I reviewed how HBO therapy works, what to expect during treatment, and why improvement can take time. By the end of our conversation, they seemed to better understand the process and felt more comfortable moving forward.

That conversation made me think more about the importance of making sure patients are well informed before they begin treatment. This is simply the approach that has worked best for me; I am not suggesting it is the only way. In my experience, properly educating patients about HBO₂ and setting realistic expectations can reduce anxiety and improve their willingness to attend scheduled dives.

Whenever possible, I like to meet with patients before treatment to explain HBO2, review what they can expect, and answer any questions or concerns they may have. Often, I bring patients to the chamber room, show them the chambers, and give them time to ask questions. This frequently helps ease their fears. We also provide a three-page information sheet that explains HBO2, outlines what to expect, and answers common questions.

Before treatment begins, I personally call patients to schedule their dives, review expectations, and cover safety-related instructions. My goal is for them to arrive prepared and relaxed. During the call, I explain what is and is not allowed in the chamber, making sure they understand that only approved items may enter. I also review the importance of not smoking before or after treatment and remind diabetic patients that their blood glucose level must be at least 120 before treatment. I also use this time to address any remaining questions or concerns.

For the first treatment, patients are asked to arrive 30 minutes early for a formal orientation. During this time, I review the process in detail and orient them to the chamber. I explain the benefits of the therapy, the daily routine, and what they may experience during treatment, including noise, temperature changes, and pressure effects. I also review the risks of HBO₂, with emphasis on barotrauma and prevention. I make sure patients know how to clear their ears and understand the importance of reporting any pain right away. I also discuss oxygen toxicity, the use of an air mask, possible vision changes such as myopia, and confinement anxiety. Finally, I review fire risk and prevention, including grounding and why we are strict about what can and cannot enter the chamber. Patients sign documentation confirming that orientation was completed, risks and consent were reviewed, questions were answered, instructions were provided, and they verbally acknowledged understanding the information covered.

I have found that this approach helps reduce patients' fear of the unknown and improves safety because they understand what is expected of them and the possible consequences of not following instructions.

How does your facility prepare patients for HBO₂? Review your education and orientation process today and look for opportunities to improve the patient experience before treatment even begins.

C. David Campbell
CHT, HCS, HCPD