My Dad Can't Come Off the Ventilator&Tracheostomy with Minimum Health Issues in ICU. Can He Go Home?

https://intensivecareathome.com/my-dad-cant-come-off-the-ventilator-tracheostomy-with-multiple-health-issues-in-icu-can-he-go-home/

My Dad Can't Come Off the Ventilator & Tracheostomy with Minimum Health Issues in ICU. Can He Go Home?

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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 it’s providing quality services, which includes 24-hour services for non-invasively ventilated adults and children with including BIPAP (bilevel positive airway pressure) or CPAP (continuous positive airway pressure). And we also include home TPN in our services.

Now in today’s video blog, I want to answer another question from a reader/ client. And Todd writes,

Hi Patrik,

My father is a long-term ventilator-dependent patient and we are thinking that this could turn into a long-term situation because he’s got a tracheostomy and he can’t wean off the ventilator at all. Unfortunately, my dad has many other health issues that would prevent home care due to a feeding tube and a catheter and such. I’m just looking for any information or direction you may be able to provide.

Thank you in advance for any information or direction.

From Todd

Well, Todd, this is a great question actually. And I have been saying for many years now that, the biggest challenge for families in intensive care is that, they don’t know what they don’t know. They don’t know what to look for, they don’t know what questions to ask, they don’t know their rights, and they don’t know how to manage doctors and nurses in intensive care. And I think this is a classical situation that illustrates this dilemma for families in intensive care because from what you’re sharing with me, there’s nothing preventing your dad from going home, assuming he can’t come off the ventilator.

Now, if he can come off the ventilator, I argue, you should be aiming for that and get him off the ventilator, get him off of the tracheostomy, then going home will be so much easier.

We are really focusing on patients at home that are unable to be weaned off the ventilator. And if that’s you, then like you’re saying your father has many other health issues that would prevent home care due to a feeding tube and catheter and such. Those are all things that pretty much all of our clients have. They have a feeding tube, they have a catheter, that won’t stop your dad from going home.

If you look in the hierarchy of things, the ventilator and the tracheostomy are the most complex out of that feeding tube and the catheter nowhere near as complex as the ventilator and the tracheostomy. So from what you are sharing with me, home care is absolutely possible. We just got to start the conversation and we got to find out a little bit more what keeps your dad on the ventilator at the moment, you haven’t really shared any details why you think he needs the ventilator on an ongoing basis. But if that’s the case, I can’t see why we couldn’t look after your dad at home.

I really hope that helps. And thank you so much for watching.

Continuation...
https://intensivecareathome.com/my-dad-cant-come-off-the-ventilator-tracheostomy-with-multiple-health-issues-in-icu-can-he-go-home/