70-Yr-Old Husband in ICU with Parkinson's&Tracheostomy for Months,Can He Have INTENSIVE CARE AT HOME

https://intensivecareathome.com/70-yr-old-husband-in-icu-with-parkinsons-tracheostomy-for-months-can-he-have-intensive-care-at-home/

70-Yr-Old Husband in ICU with Parkinson's&Tracheostomy for Months,Can He Have INTENSIVE CARE AT 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 adults and children at home, which includes home BIPAP (Bilevel Positive Airway Pressure), home 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, 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 services 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 for the Western Sydney Local Area Health District, they’re in-touch program.

In essence, we are saving 50% of the cost of an intensive care bed and we’re saving roughly $2,000 for the cost of an ED admission by providing the ED bypass service at home. So, significant improvement in quality of life for patients and their families, but also a significant cost-saving, all in all a win-win situation.

So today, I have an email from Arlene who says,

“Hi Patrik,

My husband is 70 years of age. He has Parkinson’s disease. Last year, he got RSV (Respiratory syncytial virus), recovered in about a week, then went to a rehab for physical therapy and rehabilitation. A few days later, he got COVID, which was going around in the rehab facility.

He went back to hospital. He was given food and his pills orally. He was found in his room with hypoxia, barely able to breathe. He was given oxygen and sent to radiology for imaging of brain and heart. I thank the one above there was no damage. However, he had severe aspiration pneumonia.

He went to ICU for 1 month. Initially, he was on a ventilator, then BIPAP, then feeding tube, then a tracheostomy was suggested. I got a second opinion, and I was told that a tracheostomy would save his life.

He then stayed in ICU for a long period of time, and he was not medically treated there very well so that his treatment continued. The hospital eventually did a great job helping him to recover. Finally, got him off the ventilator for periods of time and he has been further recovering and has gained back some strength and weight.

Recently, I was told by his respiratory therapist and pulmonologist that removing his tracheostomy would jeopardize his life and is not an option. He has a good strong cough to get out his secretions and he’s deep suctioned two or three times a day.

He desperately wants to come back home, which I want very much. However, because he has Parkinson’s disease and the tracheostomy and feeding tube and he’s not able to walk, he would need 24-hour nursing and some hours of nursing aid available as well for manual handling, et cetera.

I definitely cannot pay out of pocket. I recently completed all steps required to get the ball rolling for home care, which includes a hospital bed and equipment. However, I believe that it might be too expensive to get him home.

Continue reading at: https://intensivecareathome.com/70-yr-old-husband-in-icu-with-parkinsons-tracheostomy-for-months-can-he-have-intensive-care-at-home/