One-Way Extubation at Home Instead of in Intensive Care!

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One-Way Extubation at Home Instead of in Intensive Care!

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In today’s blog I want to talk about what many families in Intensive Care want when it comes to end of life for their loved one!

One-way extubation at home instead of in Intensive Care!

After having worked in Intensive Care for nearly 20 years in three different countries, where I also worked as a Nurse Unit manager in ICU for over 5 years I have learned a thing or two about what families in Intensive care really want but don’t get in Intensive Care!

Many Patients in Intensive Care that approach their end of life and are on mechanical ventilation with a breathing tube/endotracheal tube will need to be extubated (removal of the breathing tube/endotracheal tube) at some point.

Once those Patients have the breathing tube/endotracheal tube removed they will inevitably approach their end of life because of their incurable and life limiting critical illness.

This is often a rather confronting, unpleasant and undignified procedure, especially in the confines of a sterile and non-family friendly Intensive Care environment.

Not only do families of critically ill Patients in Intensive Care need to come to terms with the imminent passing of their loved ones, they also don’t get given a choice where this “one-way extubation” and in essence end of life situation will take place.

Many if not most families in Intensive Care would like this “one-way extubation” to be performed at home rather than in Intensive Care!

This is certainly what I learned in nearly 20 years Intensive Care nursing experience.

This makes perfect sense simply because families in intensive care want to make informed decisions, they want peace of mind, control, power and influence, period!

Families in Intensive Care want end of life situations for their loved ones at home in a more Patient and more family friendly and therefore holistic care environment!

Furthermore, 75% of people in first world countries want to die at home and yet, less than 15% actually do approach their end of life at home!

There is a total mismatch in what people want and what they’ll get when it comes to end of life situations in intensive care...

Continue reading at: https://intensivecareathome.com/one-way-extubation-at-home-instead-of-in-intensive-care/