My 66-Year-Old Dad Has Diabetes, Stroke & Parkinson's and is in ICU with a Trache. Can He Go Home?

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My 66-Year-Old Dad Has Diabetes, Stroke & Parkinson's and is in ICU With a Trache. Can He Go Home?

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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, otherwise medically complex adults and children at home, including Home TPN (total parenteral nutrition), Home BIPAP (bilevel positive airway pressure), Home CPAP (continuous positive airway pressure), also home tracheostomy care for adults and children that are not ventilated. We also provide IV potassium infusions, IV magnesium infusions at home, IV antibiotics. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, Hickman’s line management, as well as palliative care services at home.

Now, in today’s question, I want to answer a question from Nidia who says, “Hi, Patrik, my dad is 66 years of age. He’s in ICU for 13 days. He has a history of some brain strokes in the past. It’s been a year since he was diagnosed with Parkinson’s disease and diabetes. Recently, for the last month or so, he had some problems with swallowing, which made him lose weight. Yesterday, they did a tracheostomy. Is there hope since all other organs are vital, but he can’t breathe on his own? What home care services are available for my dad? I’ve seen that you’re providing tracheostomy care at home.”

So, thank you Nidia for sharing your dad’s situation. So, is there hope? Well, I tell you what there is hope for. There is hope for your dad going home, that is for sure, because that is bread and butter for us to take your dad home with tracheostomy. That’s what we do all day, every day. He will need 24-hour nursing care with specialist nurses because tracheostomy is an artificial airway, and it’s evidence-based to take your dad home with intensive care nurses, 24 hours a day.

You can look up the evidence on our website at intensivecareathome.com. You can look up the Mechanical Home Ventilation Guidelines where the evidence says you need intensive care nurses 24 hours a day at home to make it safe for a tracheostomy, tracheostomy ventilation, and ventilation without a tracheostomy. That is the bottom line. It’s evidence-based Intensive Care at Home services have been around now in Europe and in Australia for over 25 years. It’s evidence-based and it’s a no-brainer.

In terms of your long-term prognosis of your dad, that is obviously something you need to discuss with the neurologist with the Parkinson’s in particular, but also with the previous strokes, as well as the diabetes. You need to discuss that with the relevant specialist.

What we can do for you here is absolutely maximize the quality of life for your dad by going home, because he doesn’t have any quality of life in ICU or in hospital. You and your family don’t have any quality of life by your dad being in hospital or in ICU. So, the long-term outlook on maximizing quality of life at home or depending on what is exactly happening with your dad or potentially quality of end of life is in a home care environment, not in an ICU.

So, even if your dad may not improve, that’s something I can’t comment on here. What we can improve, once again, is quality of life at home and quality of end of life at home as opposed to a stay in ICU, that I can guarantee you because that is what we’ve been doing for over a decade now here with Intensive Care at Home in Australia and we can do the same for your dad,

Continue reading at: https://intensivecareathome.com/my-66-year-old-dad-has-diabetes-stroke-parkinsons-and-is-in-icu-with-a-tracheostomy-can-he-go-home/