ICU vs Intensive Care at Home vs LTAC?

5 months ago
5

https://intensivecarehotline.com/questions/icu-vs-intensive-care-at-home-vs-ltac/

ICU vs Intensive Care at Home vs LTAC?

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This is another episode of your questions answered and in today’s episode, I want to answer a question that we get so frequently that it’s really time to look into this into more depth. It is actually a case study that is actually a real case study from a client. However, the question is a question that I really want to answer on a more general level.

The question today is,

ICU vs Intensive Care at Home vs LTAC?

ICU vs Intensive Care at Home vs LTAC?

So let me break this down today for you, so that you have all the answers and that you can make informed decisions, get peace of mind, control, power, and influence when it comes to these very important and also often life or death decisions that you need to make when your loved one is in ICU with ventilation and tracheostomy.

So let me read out this email from Zia and she writes.

My 67-year-old dad was sent to the emergency department after being ill for about 12 days at home, we were told on the phone due to no hospital visitations regulations at the moment because of the COVID several hours later, that he was severely dehydrated and in acute renal failure. He was admitted to the ICU and intubated and two more COVID tests were performed all coming back negative, even though we told them the first text test was negative.

Honestly, I think they were treating him as a COVID patient initially which is why he was intubated. They claim to “protect his airway”. Several days later, they recognized a clot on his leg and he had a DVT which became a PE, PE stands for pulmonary embolism. Something he has had in another state eight years ago. So it actually wasn’t in his chart.

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Anyway, currently he has a tracheostomy and all the hospital wants to do is to transfer him to an LTAC. They called this morning saying they had found a bed for him in an LTAC facility, and they need consent from us as a family. We, as a family, didn’t give consent and I came across your websites intensive care hotline and intensive care at home and we’d love to hear your input in regards to weaning him off the ventilator.

I have had several discussions and finally we are at the place where he gets taken off the ventilator for a few hours a day, goes on a CPAP mode or room air, and then back on the ventilator to get him to rest. According to the ICU team, we don’t want him in an LTAC. I’m concerned about infections and even bed sores and lack of quality care. I would much rather engage a service like intensive care at home.

If my dad can’t come off the ventilator, I’m really looking forward to your thoughts and advice...

Continue reading at: https://intensivecarehotline.com/questions/icu-vs-intensive-care-at-home-vs-ltac/

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