Can INTENSIVE CARE AT HOME Look After Nasogastric Tubes at Home? Case Study!

https://intensivecareathome.com/can-intensive-care-at-home-look-after-nasogastric-tubes-at-home-case-study/

Can INTENSIVE CARE AT HOME Look After Nasogastric Tubes at Home? Case Study!

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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 at home, which includes BIPAP (Bilevel Positive Airway Pressure), CPAP (Continuous Positive Airway Pressure), 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 we also provide palliative care at home.

We’re also sending our critical care nurses into the home for emergency department bypass services as we have done so successfully in the past of the Western Sydney Local Area Health District, their in-touch program.

So, today I actually want to talk about a recent case study of ours because sometimes we do get asked, can we look after nasogastric tubes at home? I want to, today, highlight a recent client of ours.

So, last year in 2023, in May, we were approached by a funding body in Victoria, in Australia, whether we could take a client home with a nasogastric tube. The client is a young man who was in a car accident, and he had a traumatic brain injury. He was in ICU for a long time, and he had a tracheostomy, tracheostomy got removed.

Initially, they were planning for a PEG (Percutaneous Endoscopic Gastrostomy) tube for him because he was not able to swallow. But because his gastrointestinal tract had many complications, he could no longer tolerate a PEG tube, he could no longer have a PEG tube, and he ended up with a nasogastric tube.

So, the question then was, are there any providers that can look after nasogastric tube at home? Given the high acuity that we are used to looking after at home, I argue, we are looking after the highest acuity of clients in the community in Australia. Obviously, we were selected as a service provider to take this young man home with the nasogastric tube, with a view of having the nasogastric tube removed as he was improving with his nutrition, as he was getting speech therapy, swallowing assessments, swallowing training, as he was increasing his oral intake. Lo and behold, as time went on, after about 15 months, the nasogastric tube was able to be taken out. He had no hospital admissions while we were looking after him. That’s what we do with Intensive Care at Home, we keep our clients at home predictably.

For someone with a nasogastric tube at home, that’s on constant nasogastric tube feeds and fluids, water intake, needs a nurse 24 hours a day to check the position of the nasogastric tube to make sure that when feeds or fluids are connected, that the nasogastric tube is in the right position because otherwise, patient could end up with fluids or with feeds in the lungs instead of in the stomach, which could be deadly.

So, that was a huge success for us and for the client to get him home early and manage the nasogastric tube at home with 24-hour nursing care with our service. All of our nurses are critical care trained, have a minimum of two years ICU or pediatric ICU or emergency department experience.

Continue reading at: https://intensivecareathome.com/can-intensive-care-at-home-look-after-nasogastric-tubes-at-home-case-study/