My Dad's been in ICU for 10 Weeks Ventilated,Tracheostomy, Dialysis, He's Depressed, Can He Go Home?

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My Dad's been in ICU for 10 Weeks Ventilated, Tracheostomy, Dialysis, He's Depressed, 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 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. We’re also providing nursing care at home to otherwise medically complex adults and children at home including Home BIPAP (Bilevel Positive Airway Pressure), Home CPAP (Continuous Positive Airway Pressure), home tracheostomy care when adults and children are not ventilated, also Home TPN (Total Parenteral Nutrition), home IV potassium infusions, home IV magnesium infusions, as well as home IV antibiotic infusions. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, Hickman’s line management, as well as palliative care at home, which also includes ventilation weaning.

We’re also providing our critical care nurses for home care to avoid emergency department readmissions or admissions which we’ve done successfully for the Western Sydney Local Area Health District for the in-touch program.

So today, I have another question from Katie who says,

“Hi Patrik,

My dad is currently in ICU. He’s on ventilation, tracheostomy and dialysis. He’s had about 12 units of blood since he was admitted. He also has an intravenous drip for hydration, and he’s being fed via nasogastric tube. It seems as though his kidneys and liver have failed. His medical condition before he went into hospital are Type 1 diabetes, hypertension, asthma, diabetic neuropathy, he’s got post-traumatic stress, anxiety and depression.

He has been in ICU now for nearly 10 weeks and ICU are saying that they can’t keep him there indefinitely. I’m really scared. He’s a fighter and I promised him to never give up in a situation like that. Can he go home with Intensive Care at Home?

From, Katie.”

Well Katie, that’s not an unusual scenario that you are describing here. It’s a very sad scenario, and for sure, your dad is not in a great place in ICU. He doesn’t have any quality of life. ICU is already talking about, for lack of a better term, wanting to kick him out.

With Intensive Care at Home, that’s all possible and it would provide a win-win situation. So, what I mean by that is, your dad has no quality of life. He needs to leave this place because otherwise he’ll just get more and more depressed. You’re already saying he’s had a premedical history of depression and post-traumatic stress. A lot of patients coming out of ICU with post-traumatic stress. So, you don’t want to prolong the suffering for your dad in ICU and improve his quality of life by going home. It sounds to me like he can’t come off the ventilator but that it is also something that could be facilitated at home. Weaning off the ventilator can be facilitated at home.

Now, an ICU bed costs around $5,000 to $6,000 per bed day. With Intensive Care at Home, the cost can be cut by approximately 50%. The only thing that I will say here is your dad has a nasogastric tube, whilst we can look after nasogastric tubes at home, as much as I’m opposed to PEG tubes in hospitals, in this situation, your dad might benefit from a PEG tube at home whilst he hopefully can be weaned off the ventilator.

Continue reading at: https://intensivecareathome.com/my-dads-been-in-icu-for-10-weeks-ventilated-tracheostomy-dialysis-hes-depressed-can-he-go-home/