Dad's Been in ICU for 5 Months with Tracheostomy,Now ICU Wants to Send Him to a Ward,I Want Him Home

https://intensivecareathome.com/dads-been-in-icu-for-5-months-with-tracheostomy-now-icu-wants-to-send-him-to-a-ward-i-want-him-home/

Dad's Been in ICU for 5 Months with Tracheostomy, Now ICU Wants to Send Him to a Ward, I Want Him 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 at home whilst providing quality care for long-term, ventilated adults and children with tracheostomies at home, otherwise medically complex clients at home, adults and children, which includes BIPAP (Bilevel Positive Airway Pressure), CPAP (Continuous Positive Airway Pressure) at home, home tracheostomy care for adults and children that are not ventilated Home TPN (Total Parenteral Nutrition), home IV potassium infusions, home IV magnesium infusions, as well as 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 we also provide palliative care at home.

We have also sent, and we continue to send our critical care nurses into the home for emergency department bypass services. We have done so successfully for the Western Sydney Local Area Health District, their in-touch program.

Now, let’s go to an email today that I had from Cecilia who says,

“Hi Patrik,

My dad is currently in ICU. He’s got a tracheostomy and we’ve been told they can’t wean him off and it’s been 5 months now. I don’t have a lot of confidence in the place or if they really want to succeed him to wean off the tracheostomy and they lose the patient.

Now, they want to move him to a hospital ward where he no longer has critical care nurses and I’m extremely worried about that. Can he go home instead? What are the options for him?

From, Cecilia.”

Well, Cecilia, thank you so much for writing in. That is unfortunately, what often happens.

I have worked in critical care nursing for nearly 25 years in three different countries where I worked as a nurse unit manager in intensive care before I started Intensive Care at Home.

It is unfortunately, what often happens when patients can’t be weaned off the ventilator and the tracheostomy, they’re seen as too much of a burden for the ICU itself and then they send them to a hospital floor and for the ICU, it’s often out of sight, is out of mind, sort of.

Then what happens is patients are being “parked” on a ward, on a hospital floor where they don’t get the care and the treatment they need and then they bounce back into ICU, and they never go anywhere.

Whereas the best solution here is home care. With Intensive Care at Home rather than him going to a ward with critical care nurses, let him go home with critical care nurses, 24 hours a day, cut the cost of an ICU bed by 50%. Let us work on what needs to happen to get him off the tracheostomy.

Whether he can be weaned off the tracheostomy or not, I don’t know, I wouldn’t know as a matter of fact, without either talking to doctors and nurses directly or by looking at medical records, ideally do a combination of both, but in any case, your dad is best off by going home. It’s as simple as that.

So, by him going home, you’ll get the critical care nurse in the home, 24 hours a day. All of our critical care nurses have a minimum of two years critical care nursing experience and the services that we are providing is evidence-based.

So, what do I mean by that? I have not seen on any other providers, websites, any evidence that they know what they’re doing. As a matter of fact, many of those providers have lots of hospital readmissions even had patients’ deaths because they don’t employ critical care nurses like we do.

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