My Mother is in ICU Needing a Tracheostomy, Is She Able to Go Home with INTENSIVE CARE AT HOME?

https://intensivecareathome.com/my-mother-is-in-icu-needing-a-tracheostomy-is-she-able-to-go-home-with-intensive-care-at-home/

My Mother is in ICU Needing a Tracheostomy, Is She Able to Go Home with INTENSIVE CARE AT 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 at home and where 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 at home, otherwise medically complex adults and children at home, which includes Home BIPAP (Bilevel Positive Airway Pressure), Home CPAP (Continuous Positive Airway Pressure), also home tracheostomy care for adults and children that are not ventilated, Home TPN (Total Parenteral Nutrition), home IV potassium infusions, home IV magnesium infusions, and home IV antibiotics. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, as well as Hickman’s line management and also palliative care services at home.

We are also sending our critical care nurses into the home or into residential aged care to provide emergency department bypass services.

So, today I have an email from James who says,

“Hi Patrik,

Our mom was admitted to an ICU after a heart attack on the 28th of May. She was intubated after a stent procedure in the catheter lab, and since then, her health has declined with light pneumonia, kidney shock, dialysis, bed sores, and secretions on her lungs.

At Day 13, they tried to extubate her. Extubation means the removal of the breathing tube. So, James’ mom was intubated and on a ventilator in ICU and she still is as you would see in a minute.

After 14 hours of her sitting up, speaking with us, getting her voice back, and having speech therapy and physical therapy scheduled to start the next day on the 29th. We then got a call at 2 a.m. saying her heart rate became sporadic and her breathing labored, and they were forced to intubate her again i.e. put her back on the ventilator with the breathing tube in her mouth. They now want her to be placed on a tracheostomy and move and wean her off the ventilator or to put her to palliative care.

The palliative care doctor is being very forceful with us to make a decision: to either do a tracheostomy or to do palliative care and move her to hospice and provide end of life care and let her die. We think that my mom will be able to fight through it, as aside from her previous smoking, she was a fairly healthy active senior. Before being admitted to the catheter lab and then go to ICU, she had a stent and an angiogram in the catheter lab.

We would like to know if we should agree to the tracheostomy. If we do, can she go home with Intensive Care at Home because we would like to bring her home and rehabilitate her at home on a ventilator with a tracheostomy or even if she was not to make it, we would like to provide end of life care at home.

Also, we are an hour and 20 minutes away from the hospital. So, it would be much more convenient for us to have her at home. Any advice would be greatly appreciated. As presently, we think she’s declining rapidly while she’s on a ventilator and in an induced coma and the constant churn of nurses is causing sundowner’s syndrome and we think the familiar home environment will help with her recovery.

From James.”

Well, James, thank you so much for asking that question.

Continue reading at: https://intensivecareathome.com/my-mother-is-in-icu-needing-a-tracheostomy-is-she-able-to-go-home-with-intensive-care-at-home/