Can My Husband with Tracheostomy & PEG Go Home from ICU Without 24/7 Critical Care Nurses?
Can My Husband with Tracheostomy & PEG Go Home from ICU Without 24/7 Critical Care Nurses?
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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 with tracheostomies, medically complex patients, adults and children at home, BIPAP (bilevel positive airway pressure), CPAP (continuous positive airway pressure) ventilation at home, and also for adults and children that are not ventilated but have a tracheostomy, and also Home TPN (total parenteral nutrition), Home IV potassium infusions and Home IV magnesium infusions, as well as palliative care, and IV antibiotics, which includes PICC (Peripherally Inserted Central Catheter) line, central line, Hickman’s line, and Port-a-cath Management at home as well.
Now, today, I want to answer a question from one of our clients who’s also a member of our membership for families of critically ill patients in intensive care. We help families, not only with Intensive Care at Home, we also help families that have a loved one in intensive care by answering their questions, by advocating for them.
We have a membership for families of critically ill patients in intensive care at intensivecarehotline.com when you click on the membership link there or by going to intensivecaresupport.org directly.
But without further ado, let’s read out the question from one of our members who has their husband in ICU on a tracheostomy and a nasogastric tube. She wants to take her husband home, but obviously it needs to be safe, and we are guiding her how to get her husband home safe.
So, let’s just read out the email from our member who says,
“Hi, Patrik and team,
My husband is still in the hospital. He completed the FEES (fiberoptic evaluation of swallowing) test last week, Thursday. The speech pathologist stated that his swallowing muscles are weak, so they will be implementing exercises for him to do. The speech pathologist has advised swallowing with a few pieces of ice daily by the nurses.
His oxygen level is 100%. His heart rate can be high at times, so he’s been given metoprolol as needed to get his heart rate down. I think he needs magnesium glycinate to control the heart rate. He was prescribed that at Emory Hospital, but the doctor states his magnesium level is good, or he could be deficient in taurine is my opinion. The speech pathologist worked with my husband on Monday only. Hopefully, she will work with him more often.
I’m torn between whether he should go to rehab or whether I should take him home. But the rehab facilities don’t seem to have any beds at this time, and they also seem to be out of their depth with a tracheostomy and a nasogastric tube.
I told the case manager yesterday that there are many things a tracheostomy patient should have in place before going home.”
Exactly. That’s exactly right and that is what we are here for with Intensive Care at Home, making sure that your husband can go home safely.
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