My Mom’s Been in ICU for Two Months& is Failing Ventilation & Tracheostomy Weaning, Can She Go Home?

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My Mom’s Been in ICU for Two Months & is Failing Ventilation & Tracheostomy Weaning, Can She Go Home?

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In last week’s video blog, I talked about how to keep more patients at home and out of ICU taking the pressure off hospitals.

HOW TO KEEP MORE PATIENTS AT HOME AND OUT OF ICU/PICU TAKING THE PRESSURE OFF HOSPITALS

You can check out last week’s question by clicking on the link here.

In today’s video blog, I want to talk about a question from one of our inquiries, Brandy, and Brandy writes in

MY MUM HAS BEEN IN ICU FOR TWO MONTHS AND IS FAILING VENTILATION AND TRACHEOSTOMY WEANING, CAN SHE GO HOME?

Hi Patrik,

my mom suffers from several health issues. She is currently in ICU on the ventilator with a tracheostomy. She was intubated on the 19th of February and got the tracheostomy on the second of March due to respiratory failure and sepsis. On the fifth of March, they started the ventilator weaning. However the care there wasn’t the best and no one was on the same page, so any attempt at ventilation weaning was unsuccessful.

She also needed 10 units of blood during in the first few weeks due to low hemoglobin. Since the 27th of March, things have become unstable again, they have been running tests to see if she had a GI bleed, which came back negative thankfully. Her hemoglobin and hematocrit have been holding steady for the last several days. She is however still anemic and is on dialysis as well. But the doctors couldn’t determine why she had so much blood loss.

She started doing the tracheostomy collar and weaning in ICU for the last few days and has finally done well now. Up to six hours so far per day and they’re continuing today. My mom really wants to come home and I would like her to come home to my house and stay with me. However, I’m not sure how that works with being in the middle of the tracheostomy collar trials.

Can I request my mom continue to stay in ICU until she can be successfully weaned from the ventilator and then take her home with me? And I’ve seen that with intensive care at home that you can do tracheostomy and ventilation at home. Could you also do home dialysis? And what if my mom could be off the ventilator during the day but needed at night? Can you do that as well?

I’m just trying to respect my mom’s wishes to come home as she is tired of being in ICU. She’s 66 years of age and what should I do? As of today, she is now on BIPAP with the tracheostomy and her CO2 levels are still fairly high. She had to go back on the ventilator for 24 hours a day to get her CO2 levels under control.

When I look at your website, everything looks like exactly what we need. My only question is, what insurance does intensive care at home accept? How can it be funded? Any help with this would be very much appreciated. We are in Melbourne and would very much appreciate your help.

Also, my mother currently suffers from COPD, high blood pressure, diabetes, she had five bypass heart surgeries four years ago, and she is wheelchair bound as she has lost a lot of muscle mass in her legs in the last few months...

Continue reading at: https://intensivecareathome.com/my-mum-has-been-in-icu-for-two-months-and-is-failing-ventilation-and-tracheostomy-weaning-can-she-go-home/