Intensive Care at Home

https://intensivecareathome.com/is-it-true-that-patients-with-neuron-motor-disease-with-tracheostomy-have-a-better-quality-of-life-at-home-rather-than-in-icu/ Is it True that Patients with Neuron Motor Disease with Tracheostomy have a better Quality of Life at Home Rather than in ICU? Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Hi it’s Patrik Hutzel from INTENSIVE CARE AT HOME where we provide tailor made solutions for long-term ventilated Adults & Children with Tracheostomies whilst providing quality care and where we also provide tailor made solutions for hospitals and Intensive Care Units to save money and resources where we provide win-win situations for all of our stakeholders and clients. In today’s blog, I want to focus more on motor neuron disease patients and truth if they have a tracheostomy or not. So after having worked in intensive care and also with intensive care at home for over 20 years, I have found very different approaches when it comes to tracheostomies for MND or motor neuron disease clients. When I first started working with intensive care at home in Germany over 20 years ago, we were looking after many MND clients at home that had a tracheostomy and they overall reported a very good quality of life or quality of end of life at home rather than spending time in ICU or being denied a tracheostomy in the first place and basically often dying a long and painful death on non invasive ventilation such as BIPAP or CPAP. The best example to give you there is probably Stephen Hawking. Stephen Hawking lived with MND for decades on a ventilator with a tracheostomy and look at his contribution to science and to humanity. And he really lived life to the fullest, even though he had many perceived limitations with MND, he was paralysed, ventilated and had a tracheostomy. So with intensive care at home with what we’re currently doing, we’re also having some clients with MND on ventilation with tracheostomies. But unfortunately, my experience here in Australia is that, not many patients with MND actually get offered a tracheostomy. And I believe, there is clearly some misinformation for patients that suffer from MND because very few MND patients get offered a tracheostomy. This is wrong on all levels and MND patients need to be given a choice. As the disease is progressing and the ability to breathe is fading away MND patients need to be offered a tracheostomy and ventilation so they can actually have a choice to prolong their life and go home with a service like intensive care at home. Continue reading at: https://intensivecareathome.com/is-it-true-that-patients-with-neuron-motor-disease-with-tracheostomy-have-a-better-quality-of-life-at-home-rather-than-in-icu/

https://intensivecareathome.com/dads-on-the-ventilator-has-guillain-barre-syndrome-in-icu-for-many-months-can-he-go-home-instead/ Dad's on the Ventilator& has Guillaine-Barre Syndrome in ICU for Many Months!Can He Go Home Instead? Here are the phone options One day 1:1 consulting and advocacy FACE TO FACE or via zoom $20,000 per day https://intensivecarehotline.thrivecart.com/one-day-11-consulting-in-person-face/ Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb Hi, it’s Patrik Hutzel from intensivecareathome.com, where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies and also for patients on BiPAP (bilevel positive airway pressure), CPAP (continuous positive airway pressure), non-invasive ventilation and also where we provide home care for complex patients including Home TPN (total parenteral nutrition), Home IV infusions, Home IV potassium infusions and so forth. We provide tailor-made solutions for our clients but also for hospitals and intensive care units whilst providing quality care for our clients. Now, in today’s video blog, I want to answer a question from one of our readers who says my father is on the ventilator with tracheostomy and immobile. He has Guillain-Barre Syndrome and he’s in ICU. The ICU says he will be in ICU for many months. Can he go home instead with Intensive Care at Home? The short answer to this is an absolute yes. I have looked after so many patients in intensive care with Guillain-Barre Syndrome that are there for many months on end to be weaned off the ventilator often successfully, but it takes a lot of time. Patients are in ICU in an environment that’s not conducive to recovery. It’s not a holistic environment. It’s an environment that is noisy, loud. There’s no natural daylight. The lights are on all day long, 24 hours a day. There’s people running around 24 hours a day. It’s not a conducive environment for someone who needs long-term intensive care, which is what’s happening with all Guillain-Barre patients when they are in ICU on a ventilator with a tracheostomy, they need long-term intensive care to get them off the ventilator. And that’s when Intensive Care at Home is a really good solution. We have provided hundreds of thousands of hours at home with Intensive Care at Home, looking after ventilated and tracheostomy, adults and children and your father will be in very good hands. And if you are in ICU watching this, I can assure you your patients will be in very good hands with Intensive Care at Home because we’re bringing the expertise in our client’s home. More importantly, we can free up your ICU bed that is in high demand. That can be used for someone that’s critically unwell. Whereas a long-term patient, can be moved home. Now, if you are an NDIS (National Disability Insurance Scheme) support coordinator watching this, and you have a patient with Guillain-Barre or a participant with Guillain-Barre Syndrome and you don’t know how to go about funding for NDIS, for nursing care, in particular for specialized nursing care for patients to go home from intensive care. Please contact us as well because we can walk you through the process. Or if you are looking for an NDIS support coordinator, or a specialist NDIS support coordinator, please contact us as well. We have our own NDIS support coordinator here at Intensive Care at Home and we can help with the advocacy with the NDIS as well. Continuation... https://intensivecareathome.com/dads-on-the-ventilator-has-guillain-barre-syndrome-in-icu-for-many-months-can-he-go-home-instead/

https://intensivecareathome.com/words-cannot-express-how-much-i-love-working-for-intensive-care-at-home-my-role-is-not-only-to-keep-my-patients-safe-but-to-aid-in-increasing-their-quality-of-life/ Words Cannot Express How Much I Love Working for Intensive Care at Home. My Role is Not Only to Keep my Patient’s Safe But to Aid in Increasing their Quality of Life Here are the phone options One day 1:1 consulting and advocacy FACE TO FACE or via zoom $20,000 per day https://intensivecarehotline.thrivecart.com/one-day-11-consulting-in-person-face/ Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline 30 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $3,299 https://intensivecarehotline.thrivecart.com/thirty-days-11-phone-consulting-us/ 14 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $1,999 https://intensivecarehotline.thrivecart.com/fourteen-days-11-phone-consulting-us/ 7 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $1,299 https://intensivecarehotline.thrivecart.com/seven-days-11-phone-consulting-us/ 4 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $999 https://intensivecarehotline.thrivecart.com/four-days-11-phone-consulting-us/ 2 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $499 https://intensivecarehotline.thrivecart.com/two-days-11-phone-consulting-us/ You don’t have to use the 2, 4, 7, or 14 days in a row and you can use the days at your own pace. Here's the hour option Book 60 minutes 1:1 phone consulting and advocacy for $249 (can be credited towards any of the options above)- click on the link https://intensivecarehotline.thrivecart.com/one-hour-11-phone-consulting-us/ Or you can join the membership here where you have access to me in the membership area for only $97/month where I advise daily and where you also have access to more material including all of our eBooks! Furthermore, you’ll get a 20% discount for 1:1 phone consulting and advocacy if you are a member! https://intensivecarehotline.com/intensivecaresupport-org-membership/ Here is also a link to case studies https://intensivecarehotline.com/category/questions/ https://intensivecareathome.com/category/case-studies/ Hi Patrik, Thank you very much for getting this to me, and moreover thank you for the very kind words! I remember when Patrik and Cathy interviewed me for almost two hours asking patient specific questions to see if I would fit for ICAH and I left feeling like that was the most difficult interview I’d been in, however I got a call days later with a job offer from Patrik. I was so excited and still feel quite lucky that I was given the opportunity. Working with ICAH was my first introduction to healthcare in Australia and it was the most influential, difficult and beautiful and intimate jobs I’ve ever encountered. I learned to drive in Australia through ICAH, learned to know the Mornington Peninsula, Gippsland, the Melbourne CBD; learned to deal with intense social dynamics of families and learned that to understand those dynamics comes a great deal of empathy and love. Most importantly, I learned to care deeply for the ICAH patients and families I was privileged to care for: Mary and Ava, Lianne, April, Kaye, and RJ, Carol and Jeff and her family and Paul and family and beautiful little Sarah. Continuation... https://intensivecareathome.com/words-cannot-express-how-much-i-love-working-for-intensive-care-at-home-my-role-is-not-only-to-keep-my-patients-safe-but-to-aid-in-increasing-their-quality-of-life/

Intensive Care at Home Now in India! Meet Rajiv Mathur from Critical Care Unified Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcare

https://intensivecareathome.com/will-a-tracheostomy-and-ventilation-work-in-the-community/ Will a Tracheostomy and Ventilation Work in the Community? Here are the phone options One day 1:1 consulting and advocacy FACE TO FACE or via zoom $20,000 per day https://intensivecarehotline.thrivecart.com/one-day-11-consulting-in-person-face/ Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Good morning, good evening, good afternoon, wherever you are. Thank you for coming onto this livestream. My name is Patrik Hutzel, and I’m your host of today’s livestream. If you’re watching this in replay, I want to welcome you as well. So, this is another Intensive Care at Home livestream. Today’s livestream is about, “Will a tracheostomy and ventilation work in the community?” So, coming back to a couple of topics from the last two live streams, the first topic that I talked about in this series was, “Will a tracheostomy work?”, and this is a question we get quite frequently from families in intensive care, is a tracheostomy going to work? I broke that down in much detail a couple of weeks ago, and you can go back to that livestream. It would be now being published here on the YouTube channel of course, but also now in our intensivecareathome.com website. So this is a question we get quite frequently, is a tracheostomy going to work? I broke it down in much detail on that live stream a couple of weeks ago, and I explained it when a tracheostomy is working in ICU, what’s the purpose? I explained in much detail that a tracheostomy in ICU should always be temporary, but obviously, there are outliers, there are exceptions to the rules, which then led me to my next YouTube live about this specific topic, which was last week, where I talked about, “Is a tracheostomy going to work in the community?” I broke that down in much detail and answered some questions there. Today, we’re taking this further. Today, we’re talking about, “Will a tracheostomy and ventilation work in the community?” Again, these are all real questions from real clients or readers that want to know about this particular subject. Now, before I go into today’s topic, you may want to find out what makes me qualified to talk about today’s topic. So again, my name is Patrik Hutzel. I’m the founder and managing director of Intensive Care at Home, a very unique and highly specialized home care nursing service, where we send intensive care nurses into the home, to bring intensive care into the home, to replicate an ICU bed in the community, to bring a genuine alternative to a long-term stay in intensive care into the community. We have been successfully providing Intensive Care at Home services in Australia since 2013. Now, prior to that, I was working in the Intensive Care at Home space in Germany in the early 2000s, where I was part of a startup service in Germany where we were the pioneering service in Germany setting up Intensive Care at Home. So, I come with extensive experience in this space. On top of that, I have worked for over 20 years in intensive care as a nurse, as well as 5 years of that time, I’ve spent as a nurse unit manager in intensive care. So, I have combined both worlds. I am also the founder and director of Intensive Care Hotline, where we consult and advocate for families all around the world in intensive care . You can find more information there at intensivecarehotline.com. With Intensive Care at Home, we employ hundreds of years of intensive care nursing experience in the community, or critical care nursing experience in the community. I do believe that is unmatched by any organization worldwide where we bring that level of expertise into the community. Currently, we are operating all around Australia, where we send our nurses into the home. Continuation... https://intensivecareathome.com/will-a-tracheostomy-and-ventilation-work-in-the-community/

https://intensivecareathome.com/what-can-you-do-for-my-mother-at-home-theres-no-quality-of-life-in-icu-intensive-care-at-home/ What Can You Do for My Mother at Home? There is No Quality of Life in ICU! INTENSIVE CARE AT HOME! Here are the phone options One day 1:1 consulting and advocacy FACE TO FACE or via zoom $20,000 per day https://intensivecarehotline.thrivecart.com/one-day-11-consulting-in-person-face/ Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb Hi, it’s Patrik Hutzel from intensivecareathome.com, where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies. And where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality services for long-term ventilated adults and children and medically complex adults and children at home. Including Home TPN (Total Parenteral Nutrition), BiPAP (bilevel positive airway pressure), CPAP (continuous positive airway pressure) ventilation as well as tracheostomy care without ventilation, as well as IV potassium, and IV electrolyte infusions at home as well. Now in today’s videos, I want to answer a question from one of our readers who says, and this is from Juliette who says, “What can you do for my mother at home? There’s no quality of life in ICU. She’s been there for six weeks now. Can you take her home?” Well, this is going to be a really short video today. But of course, we can take your mother home. I mean that’s bread and butter for us to take long-term patients out of ICU, assuming they are ventilated, have a tracheostomy. But even if there are other issues such as maybe it’s palliative care. Maybe it’s Home TPN in particular, maybe it’s an electrolyte imbalance such as low potassium, high potassium, we can manage all of that at home. Or maybe your mom is CPAP dependent, BiPAP-dependent in ICU. Maybe she is hemodynamically unstable, then we would need to make an assessment whether we can manage that at home. Let’s just say she’s inotrope or vasopressor dependent, but we can assess that and take her home from there. But the reality is that after six weeks in ICU, of course, there is no quality of life in ICU. And you want your mom at home, I guess there’s the added-on benefit. You are probably and are probably other family members, you are spending day and night in intensive care to be with your mom and that’s not healthy either. On top of that, the intensive care unit probably needs to free up the bed. There’s a high demand on ICU beds. The most sought-after bed in a hospital is the intensive care bed without the shadow of a doubt. The most sought-after staff in the hospital are intensive care, nurses, intensive care doctors. So, by taking a patient home from intensive care, you’re also taking the pressure off the hospital and the intensive care unit in particular. So, there’s only benefits by taking your mom home. It’s only creating a win-win situation and we can help you with all of that. The next step really is to reach out to us to take the next steps, talk to the ICU, look at the funding. Again, from a funding perspective, we are currently predominantly operating all around Australia. The NDIS (National Disability Insurance Scheme) is one of the funding bodies that our clients are using, but we are also TAC (Transport Accident Care) funded in Victoria, ICare in New South Wales, and NIISQ (National Injury Insurance Scheme in Queensland) and DVA in all around Australia, the Department of Veteran Affairs. We also have received funding from public hospitals and Departments of Health. So one way or another, you should reach out to us. Continuation... https://intensivecareathome.com/what-can-you-do-for-my-mother-at-home-theres-no-quality-of-life-in-icu-intensive-care-at-home/

https://intensivecareathome.com/why-a-tracheostomy-and-ventilation-improves-the-quality-of-life-for-mnd-motor-neuron-disease/ Why tracheostomy ventilation and INTENSIVE CARE AT HOME improves the quality of life for MND(motor neuron disease)! https://intensivecareathome.com/category/blog/ Here are the phone options One day 1:1 consulting and advocacy FACE TO FACE or via zoom $20,000 per day https://intensivecarehotline.thrivecart.com/one-day-11-consulting-in-person-face/ Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline 30 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $3,299 https://intensivecarehotline.thrivecart.com/thirty-days-11-phone-consulting-us/ 14 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $1,999 https://intensivecarehotline.thrivecart.com/fourteen-days-11-phone-consulting-us/ 7 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $1,299 https://intensivecarehotline.thrivecart.com/seven-days-11-phone-consulting-us/ 4 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $999 https://intensivecarehotline.thrivecart.com/four-days-11-phone-consulting-us/ 2 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $499 https://intensivecarehotline.thrivecart.com/two-days-11-phone-consulting-us/ You don’t have to use the 2, 4, 7, or 14 days in a row and you can use the days at your own pace. Here's the hour option Book 60 minutes 1:1 phone consulting and advocacy for $249 (can be credited towards any of the options above)- click on the link https://intensivecarehotline.thrivecart.com/one-hour-11-phone-consulting-us/ Or you can join the membership here where you have access to me in the membership area for only $97/month where I advise daily and where you also have access to more material including all of our eBooks! Furthermore, you’ll get a 20% discount for 1:1 phone consulting and advocacy if you are a member! https://intensivecarehotline.com/intensivecaresupport-org-membership/ Here is also a link to case studies https://intensivecarehotline.com/category/questions/ https://intensivecareathome.com/category/case-studies/ Hi, it’s Patrik Hutzel from Intensive Care at Home with a quick tip for families in intensive care and with a quick tip for patients with motor neuron disease (MND) or ALS (Amyotrophic Lateral Sclerosis). So, we’re currently dealing with an inquiry where there is a client at home with motor neuron disease. The client is in his mid-fifties and he’s been diagnosed with motor neuron disease around two years ago. Obviously, there is a gradual functional decline in MND patients and decline is now at the stage where he needs BiPAP 16 hours a day, noninvasive ventilation, and BiPAP 16 hours a day, he also now needs the Cough Assist. Now the client is inquiring whether he should have a tracheostomy as the next step and could he then have 24 hours Intensive Care at Home nursing if he ends up with a tracheostomy. The client says that the MND, the neurology team and the respiratory team advises him that a tracheostomy wouldn’t be in his “best interest”, and that he should be thinking about palliative care and end-of-life care instead. Now the client is obviously smart enough, he and his family are smart enough to do their own independent research. Continuation... https://intensivecareathome.com/why-a-tracheostomy-and-ventilation-improves-the-quality-of-life-for-mnd-motor-neuron-disease/

https://intensivecareathome.com/my-mom-cant-be-weaned-off-the-ventilator-in-icu-can-intensive-care-at-home-help-us-to-bring-her-home/ MOM CAN’T BE WEANED OFF THE VENTILATOR IN ICU. CAN INTENSIVE CARE AT HOME HELP US TO BRING HER HOME? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline

https://intensivecareathome.com/should-the-tracheostomy-cuff-be-inflated-for-cpap-mode-for-a-client-at-home/ Should the Tracheostomy Cuff be Inflated for CPAP Mode for a Client at Home? Here are the phone options One day 1:1 consulting and advocacy FACE TO FACE or via zoom $20,000 per day https://intensivecarehotline.thrivecart.com/one-day-11-consulting-in-person-face/ Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb Hi, it’s Patrik Hutzel from Intensive Care at Home, where we provide tailor-made solutions for long-term, ventilated adults and children with tracheostomies. And where we also provide tailor-made solutions for hospitals and intensive care units, whilst providing quality services for long-term ventilated patients and medically complex patients at home including Home TPN (Total Parenteral Nutrition), Home BiPAP (bilevel positive airway pressure), Home CPAP (continuous positive airway pressure), IV potassium and IV magnesium infusions as well as home IV antibiotics. So we cover the whole range that’s available for patients in intensive care. We can do that at home. So in today’s blog, I want to answer a question from a reader, “Should a tracheostomy cuff be inflated for CPAP mode for a client at home?” The short answer is absolutely yes. There are exceptions to the rule. The exceptions are for pediatrics or kids, because they, generally speaking, don’t have cuffed tracheostomy tubes. But for adults, the tracheostomy cuff for CPAP mode should be up because, otherwise, it’s just leaking and the PEEP (Positive End-Expiratory Pressure) won’t be delivered, which defeats the purpose. More importantly, by not having the cuff up. There’s also a risk for aspiration and then your client ending up with an aspiration pneumonia. So, even with a cuff up, there is a risk for micro aspirations, but it’s much, much lower with the cuff being up. Again, there’s one exception that I’ve seen over the years, where the cuff isn’t going up for adult patients with CPAP or with ventilation at home, the exception is if there’s a risk for pressure sores in the back of the throat in the trachea, but that’s a very rare exception. I’ve never really seen it over many years with but one client in out of hundreds of clients, whether it’s in ICU or at home. So, but it also tells me that the person who’s asking this question probably doesn’t have a professional service at home because when you look at our website at intensivecareathome.com, you will be seeing a section there, the Mechanical Home Ventilation Guidelines. When you look at the mechanical home ventilation guidelines, which are a result of 25 years of Intensive Care at Home in Germany and more than 10 years of Intensive Care at Home in Australia. The evidence-based mechanical home ventilation guidelines demand that only critical care nurses with a minimum of two years of critical care nursing experience can look after ventilated and tracheostomy patients at home. Anything else is not safe, even deadly. It’s telling me that whoever is looking after this patient with CPAP and tracheostomy at home doesn’t really know what they’re talking about because otherwise, this question wouldn’t even come up because the CCRN (Critical Care Registered Nurse) would know that. And they would never have the cuff down. I wouldn’t be surprised if this particular client is going back to ICU all the time and is not looked after properly at home and therefore, is at very high risk of either dying or going back into hospital case in point. Continuation... https://intensivecareathome.com/should-the-tracheostomy-cuff-be-inflated-for-cpap-mode-for-a-client-at-home/

https://intensivecareathome.com/mom-will-need-intensive-care-at-home-in-approximately-2-weeks-because-of-tracheostomy-bipap-help/ Mom will Need INTENSIVE CARE AT HOME in Approximately 2 Weeks, Because of Tracheostomy & BiPAP! Help! Here are the phone options One day 1:1 consulting and advocacy FACE TO FACE or via zoom $20,000 per day https://intensivecarehotline.thrivecart.com/one-day-11-consulting-in-person-face/ Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline 30 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $3,299 https://intensivecarehotline.thrivecart.com/thirty-days-11-phone-consulting-us/ 14 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $1,999 https://intensivecarehotline.thrivecart.com/fourteen-days-11-phone-consulting-us/ 7 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $1,299 https://intensivecarehotline.thrivecart.com/seven-days-11-phone-consulting-us/ 4 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $999 https://intensivecarehotline.thrivecart.com/four-days-11-phone-consulting-us/ 2 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $499 https://intensivecarehotline.thrivecart.com/two-days-11-phone-consulting-us/ You don’t have to use the 2, 4, 7, or 14 days in a row and you can use the days at your own pace. Here's the hour option Book 60 minutes 1:1 phone consulting and advocacy for $249 (can be credited towards any of the options above)- click on the link https://intensivecarehotline.thrivecart.com/one-hour-11-phone-consulting-us/ Or you can join the membership here where you have access to me in the membership area for only $97/month where I advise daily and where you also have access to more material including all of our eBooks! Furthermore, you’ll get a 20% discount for 1:1 phone consulting and advocacy if you are a member! https://intensivecarehotline.com/intensivecaresupport-org-membership/ Here is also a link to case studies https://intensivecarehotline.com/category/questions/ https://intensivecareathome.com/category/case-studies/ Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb Hi, it’s Patrik Hutzel from Intensive Care at Home where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomy and where we also provide tailor-made solutions for hospitals and intensive care units, whilst it’s providing quality services for long-term, ventilated adults and children and medically complex adults and children at home including Home TPN (Total Parenteral Nutrition), BiPAP (bilevel positive airway pressure), CPAP (continuous positive airway pressure) ventilation and tracheostomy care. Now, in today’s video, I want to answer a question from Maura. Maura says, “Mom had a laryngectomy 27 years ago due to throat cancer. Mom is now 72 years old. My mom will be discharged from hospital in approximately two months but will need tracheostomy care and she will be permanently on BiPAP due to COPD (Chronic Obstructive Pulmonary Disease). My mom had a double leg below the knee amputation in April. We are looking to use Intensive Care at Home to get my mom out of ICU as quickly as possible.” Now, I’m very sorry Maura to hear what your mom is going through there. It looks like she was very independent before this hospital admission. Even with the tracheostomy and very few people at home can be independent with the tracheostomy. But now it looks like she’s coming to a point where she needs 24-hour specialized nursing care, especially since she’s on a ventilator on BiPAP with a tracheostomy. So, you have come to the right place. I mean, this sounds like it’s bread and butter for us. This is what we do all day, every day. And we can, bring the intensive care into the home rather than your mom spending the next few months in ICU. So you have absolutely come to the right place. What we’ll do is we’ll start working on the funding with you because she will need 24-hour nursing funding, which will be approximately half of the cost of an intensive care bed in a hospital. So, it’s a win-win for everyone. And it’ll free up the ICU bed, but more importantly, it improves the quality of life for your mom and it will improve your quality of life because it sounds to me like you are spending day and night in intensive care with your mom. And that’s certainly not a good position to be in. Then we’ll start setting up your home with the equipment that’s needed. And also select a team of intensive care nurses that want to work with your mom. And, you are also involved in the selection process when we start hiring. So, I hope that answers your questions and helps you to be confident in taking the next steps. This is bread and butter for us. I’d love to hear more from you. Please contact us on one of the numbers on the top of our website or send us an email to info@intensivecareathome.com. Now, if you have a family member in a similar situation, please contact us at intensivecareathome.com, on one of the numbers on the top of our website or send us an email to info@intensivecareathome.com. If you are at home already and you have insufficient support or you have regular hospital readmissions, regular ICU unit readmissions because you don’t have the 24-hour intensive care nurses coming to you for ventilation, tracheostomy, BiPAP, CPAP or you need Home TPN. Please contact us as well. Continuation... https://intensivecareathome.com/mom-will-need-intensive-care-at-home-in-approximately-2-weeks-because-of-tracheostomy-bipap-help/

https://intensivecareathome.com/how-long-will-my-son-be-sedated-after-the-tracheostomy/ HOW LONG WILL MY SON BE SEDATED AFTER THE TRACHEOSTOMY? Book your free 15 minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review , click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ So today’s question is from a reader who asks, how long is a patient going to be sedated after tracheostomy in ICU? And another reason the reader has given me some context is, he said that, his 20-year old son has cerebral palsy and he’s now at the point where he needs a tracheostomy and he wants to know, how long will his son be sedated after the tracheostomy? Now, it really depends. But the goal of a tracheostomy in ICU is always to minimize sedation. So therefore, as soon as the tracheostomy is done, you should be able to stop sedation. Because ventilation with a breathing tube or an endotracheal tube is very uncomfortable. Therefore, it’s one of the main reasons why someone needs to go into an induced coma, and you want to minimize the time spent in an induced coma. You want to minimize the time spent being on addictive drugs, such as morphine, fentanyl, midazolam, or propofol. Propofol is not addictive, but midazolam and certainly morphine and fentanyl are. So you want to minimize the time spent on chemical restraints, if you will. And furthermore, especially when it comes to patients with cerebral palsy, motor neuron disease, spinal injuries, any neuro degenerative conditions that need ventilation, you absolutely should minimize the time spent in the induced coma and on sedation because you want to get back home as quickly as possible. And, especially in your son’s case with cerebral palsy, he should be able to go home as quickly as possible with our service Intensive Care at Home. Because that’s a safe way to get your son home. You told me he’s also ventilated, he’s on BIPAP ventilation. He now needs a tracheostomy. So, you should be able to go home from ICU as quickly as possible with the ventilator as well. So the only way to really make that transition possible is with 24-hour intensive care nurses and 24-hour intensive care nursing. Because you need to make sure that the airway is stable, that you’ve got someone competent managing an unstable airway, which is what a tracheostomy is. And that’s according to the evidence-based home mechanical ventilation guidelines. That clearly provide the evidence that the transition from intensive care to home, on a ventilator with the tracheostomy, can only be done with 24-hour intensive care nursing at home. Now, I know that you are in Australia and you should be getting NDIS (National Disability Insurance Scheme) funding for our service. The NDIS is funding, home care nursing for nurses, for patients on ventilation with tracheostomy. And you should be checking that out. You should be contacting us. If you have any questions about the NDIS and how to obtain funding there. I really hope that answers your question. And if you have a loved one in intensive care, you should be contacting us as well here at intensivecareathome.com. Call us on one of the numbers on the top of our website, or send us an email to info@intensivecareathome.com. Also have a look at our case studies because there, we highlight more about what we can do for our clients, how clients can live at home with ventilation and tracheostomies. And you can look at our case studies as well. Intensive care at home Case studies And if you are at home already and you need support for your critically loved one, and you have insufficient support or insufficient funding, please contact us as well. We can help you with all of the above. And if you are an intensive care nurse or a pediatric intensive care nurse with a minimum of two years, ICU or pediatric ICU experience, and you ideally have a critical care certificate, please contact us as well. Check out our career section on our website. www.intensivecareathome.com/careers Continuation... https://intensivecareathome.com/how-long-will-my-son-be-sedated-after-the-tracheostomy/

Will a Tracheostomy and Ventilation Work in the Community? Here are the phone options One day 1:1 consulting and advocacy FACE TO FACE or via zoom $20,000 per day https://intensivecarehotline.thrivecart.com/one-day-11-consulting-in-person-face/ Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline

https://intensivecareathome.com/will-a-tracheostomy-work-in-the-community/ Will a Tracheostomy Work in the Community? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Hello and welcome to another Intensive Care at Home and Intensive Care Hotline YouTube livestream. Today’s topic is, “Will a tracheostomy work in the community?” And that’s a question we get quite frequently. It’s actually a question that ties right in from my last podcast or my last YouTube live stream last week. The topic last week was, “Is the tracheostomy going to work?” And out of the questions that came in from that live stream, I thought, “Well, that is a question that needs to be answered as well, “Will the tracheostomy work in the community?”” So, last week’s YouTube live was all about what’s a tracheostomy? How is this going to work? When should it be used? What are the outcomes? and so forth. So, today we look much deeper, and look will the tracheostomy work in the community? Let’s just say someone needs a tracheostomy for much longer periods of time than expected. Let’s just say someone needs a tracheostomy for the rest of their life, God forbid. Then you need to inevitably think about whether you can go in the community, and we will break that down today, when a tracheostomy is advisable in the community? What resources you will need to make that safe in the community and avoid hospital readmissions, avoid ICU readmissions and make home care and home stay predictable so that an admission back to ICU or a hospital is not necessary full stop. But we’ll talk about that today. So, in more detail on today’s topic, in case you are wondering what makes me qualified today to talk about today’s topic, my name again is Patrik Hutzel. I’m a critical care nurse by background. I have worked in intensive care/critical care for over 20 years in three different countries. I have worked as a nurse unit manager for over five years in intensive care. I’ve been the founder and managing director of Intensive Care at Home, where we provide Intensive Care at Home as a genuine alternative to a long-term stay in intensive care where we take patients home from intensive care directly. We avoid emergency department or emergency room admissions, so we deliver on what we are promising, which is Intensive Care at Home. I’m also the founder and director of the Intensive Care Hotline at intensivecarehotline.com. We are providing consulting and advocacy service for families in intensive care all around the world. We have been consulting and advocating for families all around the world for the last 10 years, just as much as we have been providing Intensive Care at Home for the last 10 years. We are predominantly working, or we are operational with Intensive Care at Home all around Australia. We are an NDIS (National Disability Insurance Scheme), TAC (Transport Accident Commission), iCare, NIISQ (National Injury Insurance Scheme in Queensland), and DVA (Department of Veteran Affairs) approved community service provider. We have also received funding through departments of health and through hospitals directly. So, whether you are a patient in intensive care, whether you’re a family having a loved one in intensive care and you’re considering Intensive Care at Home, please contact us one way or another. You may also want to contact us if you’re an NDIS support coordinator and you’re looking for nursing care for your participant, for your client. If you don’t know how to go about the advocacy for funding for your NDIS participant, please contact us. We can help you with all of that. If you’re an intensive care consultant, please contact us as well. If you’re a hospital executive and you’re looking how to more efficiently manage your ICU beds and partner with your consumers, which is part of the accreditation standards for hospitals, you know where we are. Continuation... https://intensivecareathome.com/will-a-tracheostomy-work-in-the-community/

https://intensivecareathome.com/is-a-tracheostomy-going-to-work/ Is a Tracheostomy Going to Work? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Hello and welcome to another Intensive Care at Home and intensivecarehotline.com livestream. Welcome to the show and I also want to welcome everyone that’s watching this stream on replay. As always, you are welcome to type in your questions into the chat pad. I will go through today’s topic and then I will also answer questions that came in during the week. So, let’s get started with today. Before we get started with today’s topic, just a couple of housekeeping issues. In case you are wondering what makes me qualified to talk about today’s topic, which is, “Is a tracheostomy going to work?” It’s a question we get quite frequently from our readers and clients. Before I go into today’s topic and break it down, what makes me qualified to talk about today’s topic? I’m a critical care registered nurse and I have been working in critical care intensive care for over 20 years in three different countries. I have been working as a nurse unit manager for over five years in intensive care. I’m the founder and managing director of Intensive Care at Home. With Intensive Care at Home, we provide a genuine alternative to a long-term stay in intensive care for predominantly long-term ventilated adults and children with tracheostomies. We also provided a genuine alternative to a long-term stay in intensive care for adults and children on BIPAP (bilevel positive airway pressure), CPAP (continuous positive airway pressure), or non-invasive ventilation. We also provide Home TPN (total parenteral nutrition), home IV infusions including electrolyte management such as potassium infusions at home, also IV antibiotics at home. We also do NDIS (National Disability Insurance Scheme) nursing assessments, or we provide nursing assessments in general. That’s what we do in a nutshell with Intensive Care at Home. I’m also the founder and managing director of intensivecarehotline.com. Intensive Care Hotline is a consulting advocacy service for families in intensive care. We have been consulting and advocating for families in intensive care all around the world, for the last 10 years. You can find more information at intensivecareathome.com and intensivecarehotline.com. With Intensive Care at Home, we are also now providing NDIS specialist support coordination. We are currently operating all around Australia with Intensive Care at Home. We are NDIS accredited. We are a TAC (Transport Accident Commission) provider, iCare in New South Wales provider, NIISQ (National Injury Insurance Scheme, Queensland) provider, DVA (Department of Veteran Affairs) provider all around Australia. We also have received funding through some public hospitals and departments of health. So, either way, if you have a loved one in intensive care and you want to go home for the conditions that I mentioned, please contact us and we can help you. Now, without further ado, let’s talk about today’s topic, “Is a tracheostomy going to work?” It’s a question we get quite frequently, but the answer is that it really depends. It depends on the goals of care. So, let’s run through a few scenarios when a tracheostomy is working or what should be the goal. Continuation... https://intensivecareathome.com/is-a-tracheostomy-going-to-work/

https://intensivecareathome.com/what-is-the-purpose-of-a-tracheostomy/ What is the Purpose of a Tracheostomy? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Here are the phone options One day 1:1 consulting and advocacy FACE TO FACE or via zoom $20,000 per day https://intensivecarehotline.thrivecart.com/one-day-11-consulting-in-person-face/ 30 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $3,299 https://intensivecarehotline.thrivecart.com/thirty-days-11-phone-consulting-us/ 14 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $1,999 https://intensivecarehotline.thrivecart.com/fourteen-days-11-phone-consulting-us/ 7 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $1,299 https://intensivecarehotline.thrivecart.com/seven-days-11-phone-consulting-us/ 4 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $999 https://intensivecarehotline.thrivecart.com/four-days-11-phone-consulting-us/ 2 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $499 https://intensivecarehotline.thrivecart.com/two-days-11-phone-consulting-us/ You don’t have to use the 2, 4, 7, or 14 days in a row and you can use the days at your own pace. Here's the hour option Book 60 minutes 1:1 phone consulting and advocacy for $249 (can be credited towards any of the options above)- click on the link https://intensivecarehotline.thrivecart.com/one-hour-11-phone-consulting-us/ Or you can join the membership here where you have access to me in the membership area for only $97/month where I advise daily and where you also have access to more material including all of our eBooks! Furthermore, you’ll get a 20% discount for 1:1 phone consulting and advocacy if you are a member! https://intensivecarehotline.com/intensivecaresupport-org-membership/ Here is also a link to case studies https://intensivecarehotline.com/category/questions/ https://intensivecareathome.com/category/case-studies/ Hello and welcome to another Intensive Care at Home and intensivecarehotline.com live stream. Today’s livestream is about, “What’s the purpose of a tracheostomy?” Before we go into today’s topic, just a few things about me in case you’re wondering what makes me qualified to talk about today’s topic. Again, my name is Patrik Hutzel, founder of Intensive Care at Home and intensivecarehotline.com. I’m a critical care nurse. I have worked in critical care for over 20 years in three different countries. I have worked as a nurse unit manager for over five years in intensive care. I am the founder and managing director of Intensive Care at Home, where we provide intensive home care for predominantly long-term ventilated adults and children with a tracheostomy. We also provide BIPAP (bilevel positive airway pressure) or CPAP (continuous positive airway pressure), nursing care at home with intensive care and critical care nurses, Home TPN (total parenteral nutrition), Home IV Fluids, Home IV antibiotics, seizure management, and the list goes on. I’m also the founder and managing director of intensivecarehotline.com. With Intensive Care Hotline, we are providing a consulting and advocacy service for families in intensive care, all around the world. We advocate and help clients or families in intensive care all around the world, and you can find out more at intensivecarehotline.com. Continuation... https://intensivecareathome.com/what-is-the-purpose-of-a-tracheostomy/

https://intensivecareathome.com/my-mother-is-in-and-out-of-icu-needing-bipap-high-co2-carbon-dioxide-for-copd-chronic-obstructive-pulmonary-disease-what-should-i-do/ My Mother is In and Out of ICU Needing BiPAP, High CO2 for COPD, What Should I Do? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb Hello, and welcome to another Intensive Care at Home livestream. Thank you so much for coming on live to the show, or if you’re watching this on replay, I appreciate all of you for your ongoing support. If you like the content that I’m creating, I encourage you to subscribe to my YouTube channel, click the like button, click the notification bell, and share the video with your friends and families, of course. Also, comment or ask questions while I’m live on the stream here. Today’s show will be about, “My mother is in and out of ICU needing BIPAP (bilevel positive airway pressure). She has high CO2 (carbon dioxide) for COPD (chronic obstructive pulmonary disease). What should I do? Is home care an option?” We will talk about this question from a reader today in much detail, and I will also answer your questions. If you have any questions, type them into the chat pad and I will get to them as quickly as possible. Also, for anyone watching this on replay, I know most people don’t have the time to get on a livestream, but they watch this on replay. Again, I want to encourage you to post your questions on the chat pad. I will get back to them or make another video about it. One way or another, your question will be answered, but often not in real time, especially if you’re watching it on replay. In case you’re wondering what makes me qualified to talk about today’s topic, again, my name is Patrik Hutzel, I am a critical care nurse by background. I have worked in critical care for over 20 years in three different countries. I have also worked as a nurse unit manager for over five years whilst working in critical care. I’m also the founder and managing director of Intensive Care at Home. In Intensive Care at Home nursing service, where we are predominantly looking after long-term ventilated adults and children with tracheostomy at home instead of ICU. We’re providing a genuine alternative to a long-term stay in intensive care. We’re also looking after patients that are on BIPAP, which is our topic today, BIPAP, CPAP. We are also providing home TPN (Total Parenteral Nutrition), IV infusion, such as saline, electrolytes such as potassium, magnesium, IV antibiotics. Pretty much anyone that needs a critical care nurse in the community, we can provide that with Intensive Care at Home. We have been in business for the last 10 years. I’ve also been part of pioneering Intensive Care at Home in Germany over 20 years ago. I have a lot of experience in that space, and I argue we are the market leader for Intensive Care at Home in Australia currently. We employ hundreds of years of intensive care nursing experience and critical care nursing experience in the community, which I believe is unmatched by any other provider. We also are the only provider in Australia that actually has third-party accreditation for Intensive Care at Home. We have all the policies, procedures, we have the know-how. We have thing intellectual property to make that happen. We also employ hundreds of years of critical care nursing experience in the community, which is once again, unmatched by any other providers. Continuation... https://intensivecareathome.com/my-mother-is-in-and-out-of-icu-needing-bipap-high-co2-carbon-dioxide-for-copd-chronic-obstructive-pulmonary-disease-what-should-i-do/

https://intensivecareathome.com/can-you-live-a-long-life-with-a-tracheostomy/ Can You Live a Long Life with a Tracheostomy? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Hello and welcome to another Intensive Care at Home and intensivecarehotline.com livestream. Today’s question is, again, a question that we get very frequently. It’s one of the most frequently asked questions whether it comes to patients in intensive care or families in intensive care, or whether it comes to Intensive Care at Home services. It’s a question that comes up over and over again. It also comes back to, once again, to the purpose of a tracheostomy, because the purpose of a tracheostomy can be many folds, but many families get confused about it. I also believe that intensive care teams don’t explain it well enough to really understand the purpose of a tracheostomy, and its many implications, but also its usefulness for certain situations. So, I want to dive into that today in much depth. I also, want to welcome our viewers who watched this on the replay if you couldn’t make the livestream. So, before we go into today’s topic, in case you are wondering what makes me qualified to talk about such a topic as, “Can you live a long life with a tracheostomy?”, my name is Patrik Hutzel. I am a critical care nurse by background. I have been working in critical care/intensive care for over 20 years in three different countries. I have been working as a nurse unit manager in intensive care for over five years. I am the founder and managing director of Intensive Care at Home, where we are providing a genuine alternative to a long-term stay in intensive care and where we are providing quality of life and in some situations quality of end-of-life at home for long-term intensive care patients, predominantly with ventilation, tracheostomy, BIPAP (bilevel positive airway pressure), CPAP ventilation (continuous positive airway pressure), home TPN (total parenteral nutrition) other medically complex patients as well that are not necessarily ventilated, but that have still intensive care nursing needs. So, that’s a bit of my background. I’m also a counsellor and consultant for families in intensive care. I’m an advocate and consultant for families in intensive care, and I have been advocating and consulting families in intensive care for the last 10 years as part of my intensivecarehotline.com consulting and advocacy business. Now, if you have any questions regarding today’s topic, please type them into the chat pad or you can dial in live on the show with the numbers that I put below this video, but these are also the numbers where you can get hold of us during the week. After I’ve gone through today’s topic, I will also answer other questions that have come in during the week. So, to really make sure you are getting the most value by spending time with me on this video, whether it’s in real time or whether it’s after you are watching this on replay. So, can you live a long life with a tracheostomy? Let’s dive right into this today. The short answer of it is it depends. Like many questions when it comes to intensive care, complex care, intensive care at home, it’s often not a clearcut answer. But we really need to go one step back here and discuss really what’s the purpose of a tracheostomy. When do you need a tracheostomy? What’s the purpose? What’s the shelf life of a tracheostomy? And that’s very different for different people. Continuation... https://intensivecareathome.com/can-you-live-a-long-life-with-a-tracheostomy/

https://intensivecareathome.com/why-is-there-a-negative-impression-of-a-tracheostomy-i-thought-it-was-part-of-the-course-in-icu/ Why is There a Negative Impression of a Tracheostomy? I Thought it Was Part of the Course in ICU? How To Wean A Critically Ill Patient In Intensive Care Off The Ventilator And The Breathing Tube! https://intensivecarehotline.com/questions/wean-critically-ill-patient-intensive-care-off-ventilator-breathing-tube/ Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Hello and welcome to another Intensive Care at Home and intensivecarehotline.com livestream. Today’s topic is “Why is There a Negative Impression of a Tracheostomy? I thought it was part of the normal course in ICU”. I’m your host, Patrik Hutzel, founder and managing director of Intensive Care at Home and Intensive Care Hotline. I am bringing this topic to you today, and it was actually a request from one of our viewers who was actually on another live stream who asked the question and I didn’t have time to elaborate on it then, which is why I’m doing a designated live stream to that very question today. We will be going for approximately an hour. I will go through today’s topics and then I will also have time to answer some questions that came in during the week. Or if someone wants to dial in live on the show and answer their question on the phone live on the show, I can also share the phone number that you can contact me on while I’m on the live stream here. So just let me know what you would like to do. Now, before I get into today’s topic, you may wonder what makes me qualified to talk about today’s topic. So again, my name is Patrik Hutzel. I’m the founder and managing director of Intensive Care at Home and intensivecarehotline.com. With Intensive Care at Home, we are providing services for predominantly long-term ventilated adults and children with tracheostomy at home, but also for adults and children that are not ventilated, have a tracheostomy, but also for adults and children that are BiPAP (bilevel positive airway pressure), or CPAP (continuous positive airway pressure) ventilated that require home TPN (Total Parenteral Nutrition), home IV fluids, home IV antibiotics, seizure management and so on. Basically, everyone that needs an intensive care nurse in the home or a critical care nurse in the home to keep them out of home predictably. We are currently operating all around Australia in all major capital cities, including rural and regional areas. We are also starting to operate in the United States as well as we have inquiries from the UK as well. If you’re in the UK, please contact us as well. We can point you in the right direction one way or another. My background is critical care nursing. I have worked in critical care for over 20 years in three different countries where I also worked as a nurse unit manager for over five years. I was also part of pioneering Intensive Care at Home in Germany nearly 25 years ago and we successfully rolled out Intensive Care at Home there and then just as much as we rolled it out successfully in Australia in the last 10 years. I have also been consulting and advocating for families in intensive care for over 10 years as part of my intensivecarehotline.com consulting and advocacy service for families in intensive care. I’ve been consulting and advocating for families in intensive care all around the world. Continuation... https://intensivecareathome.com/why-is-there-a-negative-impression-of-a-tracheostomy-i-thought-it-was-part-of-the-course-in-icu/

https://intensivecareathome.com/what-are-the-long-term-effects-from-a-tracheostomy-besides-being-alive-live-stream/ What are the Long Term Effects from a Tracheostomy Besides Being Alive? Live Stream! Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb Hello and welcome to another Intensive Care Hotline and Intensive Care at Home livestream. Thank you so much for coming on to the show. Today’s topic is, “What are the long-term effects from a tracheostomy besides being alive?” This is actually something that was requested on our last livestream. I thought I’ll dive right into it today. Now, before we go into today’s topic, you might wonder what makes me qualified to talk about today’s topic. Again, my name is Patrik Hutzel. I’m the host of the show, founder of Intensive Care Hotline and Intensive Care at Home. I am a critical care nurse by background. I have been working in intensive care for over 20 years in three different countries where I have also worked as a nurse unit manager in intensive care for over five years. I have been consulting and advocating for families in intensive care all around the world for the last 10 years as part of my intensivecarehotline.com consulting and advocacy service. I’m also the founder and managing director of Intensive Care at Home where we provide an intensive care substitution service at home for predominantly long-term ventilated adults and children with tracheostomies, but we also provide services such as home BIPAP (bilevel positive airway pressure), home CPAP (continuous positive airway pressure), home TPN (Total Parenteral Nutrition), and IV fluids at home. Anything that requires a critical care nurse at home, we provide at Intensive Care at Home. Currently with Intensive Care at Home, we are operating all around Australia, in all major capital cities, including rural and regional areas. We are just about to start out in the U.S. as well, but I have more to say about that in the next few weeks. Now, please type your questions into the chat pad if you want to. Any questions, type them into the chat pad. If we have time later in the presentation, I can also take phone calls. If you have any questions, you can dial in live, but it depends how far we go and how many questions we have coming in through the chat pad and how we go with today’s presentation. Now, what are the long-term effects from a tracheostomy besides being alive? Well, let me just start with that the goal of anyone in intensive care, let me make that abundantly clear here. The goal for anyone in intensive care when they’re in intensive care, on a ventilator with a breathing tube, should be to wean them off a ventilator, take them off the ventilator, and take out the breathing tube, that should be the ultimate goal for anyone in intensive care full stop. Now, because I do believe there’s also this notion that if someone is in intensive care on a ventilator with a breathing tube that maybe a tracheostomy is automatically the next step. Absolutely not. Absolutely not. The goal is always to avoid a tracheostomy. Continuation... https://intensivecareathome.com/what-are-the-long-term-effects-from-a-tracheostomy-besides-being-alive-live-stream/

https://intensivecareathome.com/how-to-get-my-mother-home-with-equipment-that-she-needs-shes-in-icu-with-tracheostomy-dialysis/ How to Get My Mother Home with Equipment That She Needs, She's in ICU with Tracheostomy & Dialysis Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Hello and welcome to another Intensive Care at Home livestream. Today’s topic is about a question again that we had from a reader and prospective client, and the question today is, “How to get my mother home with equipment that she needs? She’s in ICU with tracheostomy and dialysis.” So, that is the question we are going to address today. Hi, Tom. Thanks, nice to see you. I hope you’re well and I hope your son is well in particular. Nice to see you. So, before we go into today’s topic, just a couple of housekeeping issues. If you have questions, please type them into the chat pad and I will address them as we go along. If we have time, I will also give you the option to call in live on the show and ask questions. Depends on how much time we’ve got. We’ll be going for up to an hour. I also want to welcome the viewers that watch this recording in the replay. So, also want to welcome those viewers. Now, before I go into today’s topic, what makes me qualified to talk about today’s topic? I am a critical care nurse by background, and I have been working in intensive care/critical care for over 20 years in three different countries. I have extensive experience within the Intensive Care at Home space. I was part of first successfully setting up Intensive Care at Home in Germany in the late 1990s, early 2000s before I started my own Intensive Care at Home service here in Australia. So, I know this space right from the start, from the ground off. We were pioneers there and then in Germany, no other country had done this before and now we have launched it on a larger scale here in Australia and we are on the verge of launching it into the U.S. as well. So then, I have worked in intensive care for over 20 years. I’ve also worked as a nurse unit manager in intensive care for over 5 years and I have been consulting and advocating for families in intensive care for the last 10 years as part of my intensivecarehotline.com consulting and advocacy service for families in intensive care. So, I’m literally talking to people in intensive care or within intensive care at home every day of the week and that is all around the world really. Now, with Intensive Care at Home at the moment, we are predominantly operating all around Australia. We have clients predominantly on the East Coast, Sydney, Melbourne, Brisbane, but also country Victoria, and also country New South Wales. If you are watching this and you are in Australia, please contact us and we can help you with taking your loved one home from intensive care. Most of our clients in Australia are getting funding through the NDIS (National Disability Insurance Scheme) but some of our clients also get funding through the TAC, the Transport Accident Commission in Victoria. Also, through the DVA, the Department of Veteran Affairs, iCare in New South Wales, as well as NIISQ (National Injury Insurance Scheme in Queensland), as well as funding from hospitals directly. Bear in mind when we take someone home from intensive care, it’s a win-win situation. We are cutting the cost of an intensive care bed by approximately 50%. We are freeing up an in-demand ICU bed and most importantly, we are providing quality of life and in some instances, quality of end-of-life for patients and families in intensive care. So, it’s a win-win situation all around. So, that’s a little bit about me to set the scene, what we’re talking about today. Once we’ve answered our reader’s question, we will also answer other questions that came in during the week. Continuation... https://intensivecareathome.com/how-to-get-my-mother-home-with-equipment-that-she-needs-shes-in-icu-with-tracheostomy-dialysis/

https://intensivecareathome.com/my-husband-is-in-icu-with-pneumonia-they-asked-me-to-donate-his-organs-can-he-go-home-instead-live/ My Husband is in ICU with Pneumonia, They Asked Me to Donate His Organs, Can He Go Home Instead?Live Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Hello and welcome to another Intensive Care at Home livestream here on YouTube, also broadcasting to LinkedIn, Facebook, and Twitter on our accounts. Thank you so much for joining. And today’s topic will be another question from one of our readers. And the question today is, “My husband is in intensive care with pneumonia. They asked me to donate his organs. Can he go home instead?” These are obviously questions we are getting from readers all the time. So everything that I’m talking about here, either in my YouTube live streams or in my quick tip videos or anything that we’re publishing, it’s all real world stuff. It’s questions, case studies we get from readers or clients. Everything that we’re talking about here is real world stuff and it’s what clients are telling us. So before I go into today’s topic, just a couple of housekeeping issues. If you have any questions, please type them into the chat pad. Any questions or comments, please type them into the chat pad. I will answer them. I will also go through some other questions that came in during the week a bit later. If we have time, I’ll give the option for you to call in and you can dial in live on the show and you can answer your question on a call, depends how much time we’ve got. We’ll probably be going for up to an hour. Before we go into today’s topic, I also want to welcome our viewers that watch this video on replay that didn’t make it to the livestream here. So welcome to our replay viewers as well. I would also welcome if you share this video with your friends and families, if you subscribe to my YouTube channel for regular updates for families in intensive care and Intensive Care at Home. Click the like button, click the notification bell and leave plenty of comments as well. Now, before we go into today’s topic, what makes me qualified to talk about today’s topic in case you’re wondering. Again, my name is Patrik Hutzel. I am a critical care nurse by background. I have worked in critical care for over 20 years in three different countries. I have also worked as a nurse unit manager in intensive care for over five years. I am the founder and managing director of Intensive Care at Home where we are providing intensive care nursing at home for long-term intensive care patients, predominantly for clients with long-term ventilation tracheostomy, but we also provide tracheostomy care at home for non-ventilated clients. We are providing home care for BIPAP (bilevel positive airway pressure), CPAP (continuous positive airway pressure) ventilation ventilated clients. We are providing home TPN (Total Parenteral Nutrition), home infusions, home antibiotics. Quite a number of our clients are also having seizure management at home. In essence, we are replicating an intensive care beds in the community and we’re keeping intensive care beds empty that can be used for more critically unwell patients. We have been operating since 2012 in Australia. We are currently serving all major capital cities including regional and rural areas. We are NDIS (National Disability Insurance Scheme) accredited, TAC (Transport Accident Commission) in Victoria, iCare in New South Wales, DVA (Department of Veteran Affairs) approved service provider, as well as we have worked and are working with some hospitals directly. Continuation... https://intensivecareathome.com/my-husband-is-in-icu-with-pneumonia-they-asked-me-to-donate-his-organs-can-he-go-home-instead-live/

https://intensivecareathome.com/can-i-have-icu-nurses-at-home-for-my-ventilated-son-instead-of-support-worker/ Can I Have ICU Nurses at Home for My Ventilated Son Instead of Support Workers? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Good morning, good afternoon, wherever you are. Welcome to another Intensive Care at Home livestream. Just waiting for another second until the people have come in. Okay. Good morning, good afternoon, good evening, wherever you are. Welcome to another Intensive Care at Home livestream. My name is Patrik Hutzel, founder and director of Intensive Care at Home. Today’s topic is: Can I have ICU nurses at home for my ventilated son with tracheostomy instead of support workers? And we’ll dive really deep into today’s topic. Before we do that, I want to welcome all of our viewers. Also want to welcome the viewers that are watching this on replay if they can’t attend the livestream. If you have any questions today, please type them into the chat pad. I will also give you the option to dial into the show if we have enough time, depending on how many questions come in. Before we go into today’s topic, you might wonder what makes me qualified to talk about today’s topic. I’m a critical care nurse by background. I have worked in intensive care/critical care for over 20 years in three different countries. I have also worked as a nurse unit manager in intensive care for over five years. I am the founder and director of Intensive Care at Home, where we provide Intensive Care at Home services for predominantly long-term ventilated adults and children with tracheostomies, but also for clients on BIPAP (bilevel positive airway pressure)/, (continuous positive airway pressure) ventilation, which is also known as non-invasive ventilation. We provide home TPN (Total Parenteral Nutrition), and home infusion services and basically, we’re replicating an intensive care but in the community. Currently, we are working or we are operating all around Australia in all the major capital cities, including rural and regional areas. We are also in the process of branching out into the United States. If you’re watching this from the United States, you should contact us as well at intensivecareathome.com and we can help you take the next steps if you’re looking for Intensive Care at Home services. With Intensive Care at Home in Australia, we are currently employing hundreds of years of intensive care nursing experience in the community. We bring skills into the community that no other service provider can match in Australia. We are the only service provider in Australia that has third party accreditation and NDIS (National Disability Insurance Scheme) accreditation for Intensive Care at Home. We have built very unique intellectual property in this space again that I believe no other service provider can match. Now, as I said, if you have any questions in relation to today’s topic, please type them into the chat pad. Now, who’s this video for today? This video obviously is for anyone who has a loved one in intensive care on a ventilator long term, especially with the tracheostomy, but also if you have a loved one in intensive care, long-term potentially on BiPAP, CPAP ventilation, not necessarily a tracheostomy. The video is for anyone who is at home already on a ventilator with a tracheostomy, but is feeling unsafe because they might have support workers instead of intensive care nurses. And I will break this down today and I will dive really deep into that. Continue reading at: https://intensivecareathome.com/can-i-have-icu-nurses-at-home-for-my-ventilated-son-instead-of-support-worker/

https://intensivecareathome.com/my-mother-is-in-and-out-of-icu-with-copd-needing-bipap-due-to-high-co2-carbon-dioxide-can-she-stay-at-home/ My Mother is In and Out of ICU with COPD, Needing BiPAP Due to High CO2, Can She Stay Home? Here are the phone options One day 1:1 consulting and advocacy FACE TO FACE or via zoom $20,000 per day https://intensivecarehotline.thrivecart.com/one-day-11-consulting-in-person-face/ Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/IntensiveCareHotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb Hi, it’s Patrik Hutzel from Intensive Care at Home where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies and where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality care for our clients. And also we look after medically complex clients, adults and children at home, including Home BiPAP (bilevel positive airway pressure), Home CPAP (continuous positive airway pressure) Home TPN (total parenteral nutrition). We are also providing IV infusions at home, including IV potassium, magnesium and electrolyte infusions. So in today’s blog, I want to read a question from a reader and the question is, “My mom has COPD. She’s in and out of intensive care with high CO2”. CO2 is carbon dioxide. “It places her on BiPAP in ICU. However, and they are also pushing me to put her on a breathing tube and intubate her. But they’re also saying that it’s very risky and, if she goes on the breathing tube that she may never come off it and that outcomes may be catastrophic. What should I do if this happens again?” Well, that’s a great question from you and here is the answer. So, what you should be doing in a situation like that is, if your mom has COPD (Chronic Obstructive Pulmonary Disease) and she’s got high CO2, she probably needs BiPAP overnight at least. And she probably needs BiPAP during certain periods during the day. And that is something that can be done at home and that will most likely at least in the short term, keep her off intubation and the breathing tube. Now, I don’t have all the details, of course, from what you’re sharing with me. However, what probably needs to be done here, your mom needs to go for a sleep study and they need to do a sleep study on the BiPAP, do some arterial blood gases (230), see whether the CO2 or the carbon dioxide can be lowered with the BiPAP. Most likely can be. And then you will also see that your mom’s condition will improve. You will also see that once the CO2 is down to normal levels, you will see that she’s no longer confused because usually a high CO2 or carbon dioxide will make patients confused and you will see her condition will improve big time. So then there should also be no longer any need for going into ICU or into intensive care. Now, here’s how you can make this happen in the long run. So, what is really important here is with our service Intensive Care at Home, we have a number of clients at home on BIPAP or on CPAP that have either overnight intensive care nurses or even during the day, depending on how often the BiPAP or the CPAP is needed. But this is exactly how we keep patients out of intensive care. By sending the intensive care nurse into the home. If your mom goes into intensive care on the BiPAP, well, she also needs an intensive care nurse, we might as well send that intensive care nurse into the home and provide the same level of service at home. So your mom can stay home predictably and your mom can improve her quality of life at home. Predictably. Continuation... https://intensivecareathome.com/my-mother-is-in-and-out-of-icu-with-copd-needing-bipap-due-to-high-co2-carbon-dioxide-can-she-stay-at-home/

https://intensivecareathome.com/can-my-59-year-old-dad-go-home-with-intensive-care-at-home-after-stroke-tracheostomy-ventilation/ Can my 59 year old Dad go home with intensive care at home after stroke &tracheostomy&ventilation Book your free 15 minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review , click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb Hi it’s Patrik Hutzel from INTENSIVE CARE AT HOME where we provide tailor made solutions for long-term ventilated Adults & Children with Tracheostomies and where we also provide tailor made solutions for hospitals and Intensive Care Units whilst providing quality services for long-term ventilated patients and medically complex patients at home, including home TPN. In last week’s blog, I talked about, SAVING LIVES WITH 24/7 ICU NURSES FOR TRACHEOSTOMY CLIENTS PER MECHANICAL HOME VENTILATION GUIDELINES You can check out last week’s blog by clicking on the link below this video: https://intensivecareathome.com/saving-lives-with-24-7-icu-nurses-for-tracheostomy-clients-per-mechanical-home-ventilation-guidelines/ In today’s blog post, I want to answer a question from one of our clients and the question today is Dad’s Been in ICU 4 Months, Ventilated with Tracheostomy, I Want Him Home with Intensive Care at Home Wherever you are, thank you so much for coming on to another YouTube live stream from Intensive Care at Home and Intensive Care Hotline. I want to welcome you and we’ll just wait a minute until the people have arrived. Before we dive into today’s session, which is, “My dad has been in ICU for four months or 120 days ventilated with tracheostomy. I want him home with Intensive Care at Home.” Today, I want to illustrate of what keeps this gentleman in ICU to this point, which is mainly a mindset. It’s not based on reality. It’s mainly based on a mindset. But I will break all of that down today in terms of mindset shift, practical steps to take to get this gentleman home from ICU after nearly four months. But I would break all of that down. I will talk about the gentleman’s medical history and the steps that need to be taken to enable this gentleman and his family to have quality of life at home, rather than being stuck in intensive care unnecessarily. Unnecessarily taking up an ICU bed that costs nowadays $6,000 per bed a day is the most highly sought-after bed in a hospital where you also have the highly sought-after staff needed in a hospital, ICU doctors, ICU nurses. Very rare staff to find these days. Very hard to train these staff, very hard to get the experience because it’s a very tough environment. You got to keep those beds empty at all costs and take patients home instead and make it a win-win situation for everyone. So, I would break all of that down. We’ll just give it another minute for the people to arrive. It’s 10:30 here in Melbourne, Australia on a Sunday morning. It is just after 6:30 Eastern Standard Time on a Saturday on the East coast in the U.S. And it’s just after 3:30 PM Pacific Rime on the West Coast of the United States because I know we’ll have us here from all over the world and it’s just after 11:30 PM on a Saturday night in the U.K. So, without further ado, let’s get started. So again, today’s headline or today’s subject or today’s title is, “My dad has been in ICU for four months or 120 days ventilated with a tracheostomy after many complications. I want him home with “Intensive Care at Home.” And this is, again, I’m only talking about real things here. I never make up things that this comes from my personal experience and experience with, I don’t know, hundreds or even thousands of families in intensive care that I work with in over two decades. So that brings me to what makes me qualified, talking about today’s topic. Continue reading at: https://intensivecareathome.com/athome_76_dads-been-in-icu-4-months-ventilated-with-tracheostomy-i-want-him-home-with-intensive-care-at-home/

https://intensivecareathome.com/my-4-year-old-sons-in-picu-with-cerebral-palsy-bipap-can-intensive-care-at-home-keep-him-home/ My 4 Year Old Son's in PICU with Cerebral Palsy & BIPAP, Can INTENSIVE CARE AT HOME Keep Him Home? Here are the phone options One day 1:1 consulting and advocacy FACE TO FACE or via zoom $20,000 per day https://intensivecarehotline.thrivecart.com/one-day-11-consulting-in-person-face/ Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb Hi, it’s Patrik Hutzel from intensivecareathome.com, where we provide tailor-made solutions for long-term, ventilated adults and children with tracheostomies. And where we also provide tailor-made solutions for hospitals and intensive care units. Whilst it’s providing quality services for our clients, hospitals and medically-complex patients at home including Home TPN (Total Parenteral Nutrition), and IV fluids, IV antibiotics and even now IV potassium infusions. Now in today’s blog, I do want to give again a real case study. We are currently having an inquiry from a family, who has their four-year old son with cerebral palsy in intensive care and pediatric intensive care. Now, we have a number of clients at home that we have looked after with cerebral palsy for many years. It’s a very similar situation. They are at home needing deep suctioning. They’re not ventilated necessarily, some of them are, but some of them aren’t. And as long as they get the deep suctioning, it generally speaking, keeps the airway patent, keeps the airway free. Keeps them free of chest infections/ pneumonia. Now, for deep suctioning, you need a critical care nurse to do that. It’s not even a skill of a registered nurse, of a general registered nurse without ICU or pediatric ICU or ED experience. And this is what’s happening to this little boy. He keeps bouncing back between home, and intensive care because they don’t have intensive care nurses at home. With our other cerebral palsy clients, we can predictably keep them home because they get all the therapy and treatment at home that they need in order to stay at home and not get readmitted to intensive care. If they get the deep suctioning, if they get the BiPAP, if they get the CPAP, sometimes they need a tracheostomy. And the moral of the story here really is that you can’t have a medically complex child at home without intensive care nurses, expecting they never go back to ICU. And now the intensive care is also talking about palliative care. Now, that is very sad when you think about it, this is a four-year old child, with cerebral palsy, we have clients with cerebral palsy that live a long life or can live a long life, and they deserve a life. And now without proper funding in this instance, it’s NDIS (National Disability Insurance Scheme) funding that’s needed. This child is probably going to die and is not going to have the quality of life they deserve. Having not a good shot at life is not what we need in this society in 2023 we need to do better than that. There’s no question about that. Now, also, the NDIS is trying to have “cheap options” by sending support workers to basically intensive care patients. And that in my mind is a crime and I’m not going to border that down because children and adults have died in the community because of the NDIS trying to provide cheap services with support workers with all due respect to support workers. Why is this child in ICU, if a support worker could manage him? There’s a contradiction big time and the NDIS needs to get their act together and provide the right level of care that these, sometimes adults, in this instance, it’s a child needs and not provide a cheap service that kills people. Because like I’ve said on this blog over and over again, there are at least three adults and children NDIS participants that have died in the last few years that needed intensive care nurses. Continuation... https://intensivecareathome.com/my-4-year-old-sons-in-picu-with-cerebral-palsy-bipap-can-intensive-care-at-home-keep-him-home/