My Mom Needs ICU Nurses at Home for BiPAP so She Can Leave ICU, Can Intensive Care at Home Help?

3 months ago
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https://intensivecareathome.com/my-mom-needs-icu-nurses-at-home-for-bipap-so-she-can-leave-icu-can-intensive-care-at-home-help/

My Mom Needs ICU Nurses at Home for BiPAP so She Can Leave ICU, Can Intensive Care at Home Help?

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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. We also provide tailor-made solutions for hospitals and intensive care units whilst providing quality care for long-term ventilated adults and children with tracheostomies, medically complex patients at home, including Home TPN (total parenteral nutrition), Home IV potassium infusions, Home BiPAP (Bilevel Positive Airway Pressure), Home CPAP (Continuous Positive Airway Pressure) as well as IV antibiotics.

We also provide services to clients that are not ventilated but have a tracheostomy. We also provide services at home for port management, Central Line Management, PICC (Peripherally Inserted Central Catheter) Line Management, as well as Hickman’s line management. We also provide services for palliative care at home. In essence, we’re providing a genuine alternative for long-term stay in intensive care.

Now, in today’s blog, I want to answer a question from Jessica who says,

“Hi Patrik,

My mom is in ICU after a near death incident, and now she requires BiPAP at night.

She currently lives by herself but would need assistance at bedtime and in the morning regarding BiPAP if we were to take her home.

Is this a service Intensive Care at Home can provide?”

Absolutely, it is. Many of our clients are in similar situations, and if she only needs it at night, we can send you nurses overnight. But she will need the critical care nurse overnight. That’s why she’s stuck in ICU at the moment. And you’re already connecting the dots, which is great. What needs to happen next if you want her home, then the critical care nurses are needed during the times when she’s on BiPAP.

Now, if you haven’t checked why she’s on BiPAP? Does she need, for example, high flow nasal prongs during the day, high flow nasal cannula? Or can she be without any respiratory assistance during the day? But if she’s fluctuating or alternating between BiPAP and high flow nasal prongs, she will need a critical care nurses 24 hours a day, which is evidence-based, by the way.

So if you go to our website intensivecareathome.com and you look at the Mechanical Home Ventilation Guidelines section, you will see that the critical care nurse with a minimum of two years’ critical care nursing experience is needed for anyone, with ventilator, tracheostomy. But even if they’re not having a tracheostomy but need BiPAP, CPAP, they need a critical care nurses 24 hours a day as well, because if she didn’t, why can’t she leave intensive care at the moment.

If she was able to leave intensive care now, she wouldn’t be needing the support you are looking for. So a lot is possible at home, but you need the right support here. Like I said, many of our clients that we have at home, either 24 hours a day, that need BiPAP intermittently have our service 24 hours a day or there are clients that only need the BiPAP overnight, and then they need the intensive care nurses overnight.

I am not talking about sleep apnea here. I’m talking about clients needing BiPAP for a clinical condition such as respiratory failure Type 2 or cerebral palsy or any other conditions that might lead, end-stage lung cancer. Whatever the case may be, that’s when you need the critical care nurse 24 hours a day.

Now also you haven’t mentioned, does your mom need oxygen? It’s one thing to need the BiPAP.

Continuation...
https://intensivecareathome.com/my-mom-needs-icu-nurses-at-home-for-bipap-so-she-can-leave-icu-can-intensive-care-at-home-help/

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