ICU Wants to Give Palliative Care to My Dad&Take Him Off Ventilation & Tracheostomy, Can He go Home?

https://intensivecareathome.com/icu-wants-to-give-palliative-care-to-my-dad-take-him-off-ventilation-tracheostomy-can-he-go-home/

ICU Wants to Give Palliative Care to My Dad&Take Him Off Ventilation & Tracheostomy, 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 tracheostomy at home where we also provide tailor-made solutions for hospitals and intensive care units at home whilst providing quality services for long-term ventilated adults and children with tracheostomies. Also, otherwise medically complex adults and children at home including Home BIPAP (bilevel positive airway pressure), Home CPAP (continuous positive airway pressure), also home tracheostomy care when adults and children are not ventilated. We also provide Home TPN (total parenteral nutrition) which is home intravenous nutrition. We provide IV potassium, IV magnesium infusions at home, as well as IV antibiotic infusions at home. This also includes port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, Hickman’s line management, as well as palliative care at home, and that also includes ventilation weaning at home.

We also send our critical care nurses into the home for emergency bypass services which we’ve done for the Western Sydney Local Area Health District. In touch program is part of a successful tender in the past where our nurses avoid clients to go back to emergency departments.

Now today, I have an email from Bianca who says,

“Hi Patrik,

I have my dad in ICU on a ventilator with the tracheostomy. All they can talk about is what date should we take off the ventilator and move him to palliative care? The palliative care people are all over me. I don’t want that for my dad and now I have decided I want to take him home. Is this possible with Intensive Care at Home?”

Well, Bianca, I’m very sorry to hear what you are going through. I have worked in intensive care and critical care for nearly 25 years, and I spent a good proportion of that time in ICU as a nurse. One thing that drove me to setting up Intensive Care at Home is simply that I think palliative care, especially for long term intensive care patient, would be much better provided at home. We have certainly done that successfully with Intensive Care at Home, taking patients home for palliative care or for ventilation weaning.

But in your situation, it sounds to me like your dad might come to the end of his life. I’m not sure you haven’t shared all the information. But irregardless, instead of moving him to palliative care in a hospital and ending life support, you might as well take him home.

It sounds to me like ICU is pretty determined, maybe even desperate to empty the ICU bed that costs them a lot of money or cost the insurer a lot of money, or they probably are in need of the ICU bed.

Now, irregardless of that, we can take your dad home and provide the much-needed improvement of quality of life for your dad or quality of end of life for your dad at home.

How does it work? Well, we can help you set up the home with all the equipment that is needed, whether it’s the ventilator, backup ventilator, suction machines, monitors, hospital bed, hoist or a lifting machine, emergency equipment, and all the rest of it and improve his quality of life or quality of end of life at home.

More importantly, also improve quality of life for you and your family because you are probably spending day and night in intensive care and you’re probably sick and tired of it.

Continue reading at: https://intensivecareathome.com/icu-wants-to-give-palliative-care-to-my-dad-take-him-off-ventilation-tracheostomy-can-he-go-home/