Intensive Care at Home

Is a Tracheostomy Beneficial for Motor Neurone Disease Patients? Tracheostomy ventilation in MND - Oxford University Hospitals https://www.ouh.nhs.uk/services/departments/neurosciences/neurology/mnd/support/documents/tracheostomy-ventilation-in-mnd.pdf Who will benefit from tracheostomy ventilation in motor neuron disease? https://thorax.bmj.com/content/66/11/932 Tracheostomy ventilation in motor neurone disease: a snapshot of UK practice https://pubmed.ncbi.nlm.nih.gov/33969757/ Tracheostomy in motor neurone disease https://pubmed.ncbi.nlm.nih.gov/31273080/ Tracheostomy ventilation in motor neurone disease https://intensivecarehotline.slack.com/archives/C0252A6FVR9/p1712990708588339 Respiratory management & NIV https://www.mndaustralia.org.au/mnd-connect/for-health-professionals-service-providers/managing-symptoms/breathing-management-in-mnd Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcare

The NDIS Wants Support Workers Do the Work of ICU Nurses! Australian Federal Court Ruled Against It! National Disability Insurance Agency v KKTB, by her litigation representative CVY22 [2022] FCAFC 181 https://www.judgments.fedcourt.gov.au/judgments/Judgments/fca/full/2022/2022fcafc0181 Code of conduct https://www.ahpra.gov.au/Resources/Code-of-conduct.aspx Professional standards https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcare

My Dad’s Ventilated with Tracheostomy, He Can’t Wean Because Of Stroke & Parkinson’s, Should He Go Home? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcare

Can My Ventilated Dad in ICU with MND Get a Tracheostomy and Go Home with INTENSIVE CARE AT HOME? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcare

How ICAH is Helping Another Tracheostomy Client to Improve their Quality of Life at Home! Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcare

https://intensivecareathome.com/why-you-need-to-select-icu-nurses-at-home-for-ventilation-tracheostomy-not-general-registered-nurses/ Why You Need to Select ICU Nurses at Home for Ventilation & Tracheostomy & Not General Registered Nurses Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Here is also a link to case studies https://intensivecarehotline.com/category/questions/ https://intensivecareathome.com/category/case-studies/ Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcare Hi, it’s Patrik Hutzel from intensivecareathome.com, where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies and where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality care for long term ventilated adults and children with tracheostomies. Otherwise, medically complex adults and children at home, which includes home BIPAP (bilevel positive airway pressure), home CPAP (continuous positive airway pressure), also home tracheostomy care for adults and children that are not ventilated. Also, home TPN, home IV potassium infusion, home IV magnesium infusions, home IV antibiotics. We also provide port management, central line management, as well as Hickman’s line management as well as palliative care services at home. Today, I actually want to talk about a situation that we encountered recently, which illustrates once again why selecting a specialist service is so important and selecting a specialist service that is specialized on ventilation, tracheostomy at home that enables patients to leave intensive care if they’re stuck in intensive care long-term. So, here’s the following situation. We had an inquiry recently for a young man who is in his 30s who is a quadriplegic. He is having a tracheostomy, and he has been discharged from hospital. Initially, the family was hiring registered nurses online. There are a number of platforms online where the NDIS (National Disability Insurance Scheme) here in Australia allows nurses to put their skills on, like, an app, and then clients can hire directly. They initially hired a number of registered nurses to look after their son. Now, it turns out as soon as the registered nurses showed up on the scene that they didn’t know what the tracheostomy was. Well, that’s crystal clear to me because no registered nurses are exposed to tracheostomies if they haven’t worked in intensive care for a period of time. That is why here at Intensive Care at Home, we exclusively work with critical care nurses that have a minimum of two years critical care nursing experience because that would give them sufficient exposure to work with tracheostomies. So, needless to say that the care of the family’s son was falling apart pretty quickly, and he bounced back into hospital. Now, needless to say that the family then obviously was looking around what other options are there? Then, eventually they found us realizing because we are a specialist service working with critical care nurses that we are the right solution for their son’s care, and that’s why going on an app and trying to select nurses there, that’s fine. It’s a bit like the Uber app, where you push the button, and the car comes here. It’s a bit like when you push the button, and the nurse comes. However, no one is checking their qualifications. No one is matching their qualifications with the right client, and that’s one of the downsides. Now, the other thing is with those online apps, they are not sending you nurses that are working with a third-party accredited service provider, which is what we are here at Intensive Care at Home..." Continue reading at: https://intensivecareathome.com/why-you-need-to-select-icu-nurses-at-home-for-ventilation-tracheostomy-not-general-registered-nurses/

https://intensivecareathome.com/my-dads-in-icu-ventilated-with-copd-chronic-obstructive-pulmonary-disease-emphysema-is-having-a-tracheostomy-and-going-home-an-option/ My Dad’s in ICU Ventilated with COPD & Emphysema! Is Having a Tracheostomy and Going Home an Option? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcare Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies and where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality services for long-term ventilated adults and children with tracheostomies, and also 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). We also provide IV potassium, IV magnesium infusions at home, and IV antibiotic infusions at home. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, Hickman’s line management, as well as palliative care services at home, and sometimes even ventilator weaning at home. We also send our critical care nurses into the home to avoid emergency department admissions (ED admissions). So, we’re also providing an ED bypass service into people’s homes, as well as into residential aged care or any other facilities where you would like our service. Now, I want to answer a question today that I had from Kat. Let me read that Kat’s email and answer a question, she says: “Hi Patrik, My dad was admitted to ICU and intubated 10 days ago for influenza A with COPD and emphysema. We were told they would wean him off sedation on Day 4, but then we were told he wasn’t ready. The ICU doctor says he is about 20% of lung function. They are now saying that a tracheostomy is the next step but have not tried to wean him off sedation or ventilation. Being trapped in an ICU on the ventilator to die is his biggest fear as he saw both of his parents pass away in ICU. I am looking for options to get him a better quality of life. If he cannot come off the ventilator, I want to be his strongest advocate in receiving the care and treatment he needs, both medically and mentally. Can you help? From Kat.” Well, thank you, Kat, for writing in and for asking such a detailed question. Now first off, if his lung function is at 20% capacity, that’s really low. The question is why? I mean, he’s got a history of influenza A, COPD, emphysema, is there something else going on? Does he have pneumonia? Does he have ARDS (Acute Respiratory Distress Syndrome)? Do they think there is a way forward to improve his lung function? Does he need to go on ECMO (Extracorporeal membrane oxygenation) to improve his lung function? Does he need nitric oxide? Epoprostenol? Any other nebulizers that might help him to improve his lung function? It’s all depending on his condition. Tracheostomy might be the next step here if he can’t be woken up, and if he can’t be weaned off sedation. Also, keep in mind, it would be difficult to wean him off sedation if he’s at 20% of lung function. So, here’s the deal, if he had 20% of lung function and they take off sedation and he can’t breathe, with no lung function, it’ll only distress him. Therefore, keeping him sedated and working towards the tracheostomy might be the better way to go here... Continue reading at: https://intensivecareathome.com/my-dads-in-icu-ventilated-with-copd-chronic-obstructive-pulmonary-disease-emphysema-is-having-a-tracheostomy-and-going-home-an-option/

https://intensivecareathome.com/eds-emergency-department-in-australia-are-overrun-no-longer-safe-ed-physician-says-how-intensive-care-at-home-helps/ ED's in Australia are Overrun& No Longer Safe, ED Physician Says! How INTENSIVE CARE AT HOME Helps!! Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Here are the phone options One day 1:1 consulting and advocacy FACE TO FACE or via zoom $20,000 per day https://intensivecarehotline.thrivecart.com/one-day-11-consulting-in-person-face/ 30 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $3,299 https://intensivecarehotline.thrivecart.com/thirty-days-11-phone-consulting-us/ 14 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $1,999 https://intensivecarehotline.thrivecart.com/fourteen-days-11-phone-consulting-us/ 7 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $1,299 https://intensivecarehotline.thrivecart.com/seven-days-11-phone-consulting-us/ 4 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $999 https://intensivecarehotline.thrivecart.com/four-days-11-phone-consulting-us/ 2 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $499 https://intensivecarehotline.thrivecart.com/two-days-11-phone-consulting-us/ You don’t have to use the 2, 4, 7, or 14 days in a row and you can use the days at your own pace. Here's the hour option Book 60 minutes 1:1 phone consulting and advocacy for $249 (can be credited towards any of the options above)- click on the link https://intensivecarehotline.thrivecart.com/one-hour-11-phone-consulting-us/ Or you can join the membership here where you have access to me in the membership area for only US $199/ month where I advise daily and where you also have access to more material including all of our eBooks! Furthermore, you’ll get a 20% discount for 1:1 phone consulting and advocacy if you are a member! https://intensivecarehotline.thrivecart.com/membership-us/ Here is also a link to case studies https://intensivecarehotline.com/category/questions/ https://intensivecareathome.com/category/case-studies/ Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcare Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies and where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality service for long-term ventilated adults and children with tracheostomies also 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). We also provide IV potassium, IV magnesium infusions at home, as well as IV antibiotic infusions at home. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, Hickman’s line management, as well as palliative care services at home and that also includes ventilation weaning at home. Continue reading at: https://intensivecareathome.com/eds-emergency-department-in-australia-are-overrun-no-longer-safe-ed-physician-says-how-intensive-care-at-home-helps/

A Blueprint for Hospital Discharge with Tracheostomy with INTENSIVE CARE AT HOME! Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcare

https://intensivecareathome.com/how-can-my-9-month-old-baby-be-weaned-off-the-ventilator-tracheostomy-in-picu-can-she-go-home/ How Can My 9-Month-Old Baby Be Weaned Off the Ventilator & Tracheostomy in PICU? Can She Go Home? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcare Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies and where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality care for long-term ventilated adults and children with tracheostomies, otherwise medically complex adults and children at home, which includes Home BIPAP (bilevel positive airway pressure), Home CPAP (continuous positive airway pressure), also home tracheostomy care for adults and children that are not ventilated, also Home TPN, Home IV potassium infusions, Home IV magnesium infusions, 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, as well as palliative care services at home. Now, in today’s blog post, I want to answer a question from Sonia. Let me read out the question from Sonia who says, “Hi, Patrik, I have my nine-month-old baby girl in intensive care. She had four failed extubations. So, she had to have a tracheostomy and has been stuck on a ventilator since May last year. Her respiratory rate has been high since birth. When she’s asleep, it’s between 50 to 60 breaths per minute, but when she’s awake, it’s anything between 70 to 90 breaths per minute. She currently has a PEEP of 10, and pressure control and pressure support of 6, respectively. Do you have any advice on how we are able to wean her off? She has no airway issues; CT scan was okay. The only thing that the doctor say is that her lung volume is less than a baby her age.” Thank you so much, Sonia, for sending through this question. So well, first off, you need to establish what ventilation setting she is in. Is she in a controlled ventilation mode such as SIMV (Synchronized Intermittent Mandatory Ventilation) or ACV (Assist Control Ventilation) where the machine is delivering a set number of breaths per minute, or is she in a CPAP or pressure support ventilation mode where she’s triggering most of her breaths herself? Is she passing any spontaneous breathing trials? You haven’t elaborated on that. Has she been off the ventilator at all? Even if it’s only for 5 or for 10 minutes, even that would be a starting point. In terms of weaning your daughter off the ventilator, it should be similar. It’s not dissimilar to many other adult patients; mobilization, stopping sedation, stopping opiates. Mobilization would be first and foremost, reducing PEEP, reducing pressure support, reducing oxygen levels as much as you can and getting her to breathe on CPAP pressure support more and more. Once she can do that, more than 24 hours a day, put her on a T-piece and see what happens. Now, if that can’t be achieved, other strategies here could be lung volume is decreased. She could potentially have a tracheostomy. Many ICUs are doing that, do a bronchoscopy which is putting a video camera down in the lungs and see what’s going on there. Also, with lung volume being decreased, why is that? Is she having secretions? Why is lung volume decreased? Was she prematurely born? Are lungs affected, not developed? You haven’t elaborated on any of that, but those would be things that I would be asking them and see what the answers are. If your daughter cannot be weaned off the ventilator, then clearly the Intensive Care at Home is the best next step. Continue reading at: https://intensivecareathome.com/how-can-my-9-month-old-baby-be-weaned-off-the-ventilator-tracheostomy-in-picu-can-she-go-home/

Can INTENSIVE CARE AT HOME Do IV (Intravenous) Fluids for Palliative Care at Home? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcare

https://intensivecareathome.com/latest-evidence-on-hospital-in-home-programs-implementation-sustainability-and-patient-perspectives/ Latest Evidence on Hospital-In-Home Programs Implementation Sustainability and Patient Perspectives Latest evidence on Hospital in the home programs: implementation, sustainability and patient perspectives — Cochrane Australia https://www.cochraneaustralia.org/articles/latest-evidence-on-hospital-in-the-home-programs-implementation-sustainability-and-patient-perspectives Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecareunit #criticalcare It’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies and where we also provide tailor-made solutions for hospitals and intensive care units, whilst providing quality services for long-term ventilated adults and children with tracheostomies. Also, 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). We also provide IV potassium, IV magnesium infusions at home, as well as IV antibiotic infusions at home. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, Hickman’s line management as well as palliative care services at home, and that also includes ventilator weaning at home. Now, today, I want to focus on an Australian study. In more detail, I want to focus on a study that talks about, “The latest evidence on hospital in the home programs: implementation, sustainability, and patient perspectives.” So, I want to I’ll just read out the article and I will also link to the article so that you can see where the source of this article is coming from. So, let me read this out. “Two companion Cochrane reviews and the new Cochrane Library editorial on Hospital at home programs were published this week. Here, Cochrane authors Dr. Jason Wallis and Professor Sasha Shepperd share their key findings.” There’s a heading now in the picture, “Hospital in the home or also known as HITH programs have been on the rise in response to the COVID-19 Pandemic”. “’Hospital at home or – Hospital in the home (HITH) as it’s better known here in Australia – is a service designed for people whose condition would normally need treatment in a hospital bed,’ explains Jason Wallis, researcher at Monash University’s School of Public Health. ‘Instead, with HITH, they typically receive visits from a doctor, nurse and allied health professionals at home instead – just as they would if they were in hospital.’ ‘We know there’s been a significant increase in HITH programs around the globe as an alternative to hospital admission, with more services being set-up during the COVID-19 pandemic to relieve the pressure on hospital beds and increase capacity. There are two types of programs. The first is called ‘admission avoidance’ as patients are referred by emergency doctors or general practitioners for HITH, thereby avoiding admission to a hospital ward. The other type is called ‘early discharge’ and is designed to shorten the length of time patients need to stay in hospital.’ For us here at Intensive Care at Home, it’s probably the latter but we have certainly focused on admission avoidance as well because we are also sending our critical care nurses into people’s home to avoid emergency department presentations. So, we’re doing both here at Intensive Care at Home. Continue reading at: https://intensivecareathome.com/latest-evidence-on-hospital-in-home-programs-implementation-sustainability-and-patient-perspectives/

https://intensivecareathome.com/how-important-is-icu-hospital-discharge-planning-for-intensive-care-at-home-clients/ How Important is ICU/Hospital Discharge Planning for INTENSIVE CARE AT HOME Clients? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcaremedicine Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies and where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality care for long-term ventilated adults and children with tracheostomies, and also 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). We also provide IV potassium, IV magnesium infusions at home, as well as IV antibiotic infusions at home. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, Hickman’s line management, as well as palliative care services at home, and that also includes ventilator weaning at home. Now, today I want to answer a question that we get quite frequently from our clients, but also from hospitals as well. They ask, “How important is discharge planning for Intensive Care at Home clients or Intensive Care at Home patients?” Well, discharge planning when going home from hospital is everything, that really sets the scene, and it really is a make-or-break point. We have done so many successful transitions from ICU to home to improve the quality of life for our clients and in some instances, improve the quality of end of life for our clients. It’s really a critical point to make it a successful transition for Intensive Care at Home clients, which includes the patient and the family, of course, but it also includes the hospitals because the goal for the hospital is to discharge patients into a safe environment, making sure they’re not coming back, that’s the whole purpose of intensive care. So, let’s look at this in more detail. So, first of all, you have to identify the right client or the right patient that they can benefit from Intensive Care at Home, that they can improve their quality of life at home or, in some instances, quality of end of life at home. Predominantly, it’s for patients with ventilation and tracheostomy adults and children. They have been identified as having the inability to wean off the ventilator and the tracheostomy for now. That’s not to say they might not be able to do that later, but it would take long periods of time, and hospitals and ICUs, in particular, are often not the right place because they are very depressive environments with no quality of life. One of the obstacles for patients to wean off a ventilator is simply they’re not in a patient and family friendly environment. Anyone that set a foot into an ICU knows it’s just there to help treat critical illness and save lives, and that’s fantastic. But at some point, when someone is stuck in their long term, it is no longer the right environment for them. It’s also no longer the right environment for the families because they more or less “live in ICU” and that’s not a good thing either. Moreover, ICU beds are in short supply. Critical care beds are in short supply. Critical care beds are the most sought-after beds in a hospital. So therefore, freeing up an ICU bed and moving patients home if they can’t go to a hospital ward or hospital floor makes a lot of sense and is a win-win situation. Continue reading at: https://intensivecareathome.com/how-important-is-icu-hospital-discharge-planning-for-intensive-care-at-home-clients/

https://intensivecareathome.com/intensive-care-at-home-now-accredited-for-australian-community-industry-certification-scheme-acis-4-o-therefore-is-on-the-provider-list-for-icare-nsw-new-south-wales/ INTENSIVE CARE AT HOME Now Accredited for ACIS 4.0 & Therefore is on the Provider List for ICARE NSW Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcare Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies and where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality care for long-term ventilated adults and children with tracheostomies, otherwise medically complex adults and children at home, including Home TPN (total parenteral nutrition), Home BIPAP (bilevel positive airway pressure), Home CPAP (continuous positive airway pressure), also home tracheostomy care for adults and children that are not ventilated. We are also providing IV potassium infusions, IV magnesium infusions at home, and IV antibiotics. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, as well as Hickman’s line management, as well as palliative care services at home. Now, in today’s blog post, I want to celebrate and announce that Intensive Care at Home is now accredited for the Australian Community Industry Certification Scheme ACIS 4.0. This accreditation scheme enables us to provide nursing care for iCare New South Wales at the highest levels as part of the insurance scheme. We are the specialized and leading Intensive Care at Home Nursing Service, sending critical care nurses into the home for, like I said, mechanical ventilation, tracheostomy care, BIPAP, CPAP, Home TPN, Home IV potassium, magnesium, Home IV antibiotics, port management, PICC line management, central line management, Hickman’s line management as well as palliative care. So, as far as I’m aware, in 2024, in Australia, there’s no other service provider that has actually achieved third party accreditation for Intensive Care at Home nursing. We have built unique intellectual property, unique policies, and procedures. We are employing hundreds of years of intensive care nursing experience that we are combining, we are bringing into the community, that is unmatched in the community. There’s no other service that brings the area of expertise and the area of skill into the community than we do, enabling long-term intensive care patients to improve their quality of life, and, in some instances, quality of end of life at home. This is underpinned by us also providing an emergency department bypass service for the Western Sydney Local Area Health District, where we are sending our critical care nurses into the home to avoid ED emergency department admissions and emergency department presentations, again, taking the pressure off hospitals. Like I said, we’re all about quality here, look at other services that claim they can do tracheostomy, ventilation care at home, they have no accreditation. They don’t work as per evidence-based practice guidelines like we do when you have a look at our Mechanical Home Ventilation Guidelines on our website at intensivecareathome.com, you will find that the guidelines that we’re working under are internationally recognized and are a result of over 25 years of Intensive Care at Home nursing in Germany, as well as over 10 years of Intensive Care at Home nursing in Australia. Continue reading at: https://intensivecareathome.com/intensive-care-at-home-now-accredited-for-australian-community-industry-certification-scheme-acis-4-o-therefore-is-on-the-provider-list-for-icare-nsw-new-south-wales/

Another Testimonial from a Very Happy INTENSIVE CARE AT HOME 24/7 Nursing Client! Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcare

https://intensivecareathome.com/moms-in-icu-for-6-weeks-unable-to-wean-off-ventilation-tracheostomy-after-cabg-coronary-artery-bypass-graft-i-want-her-home/ Mom's in ICU for 6 weeks, Unable to Wean Off Ventilation & Tracheostomy After CABG, I Want Her Home Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcare Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies, and where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality services for long-term ventilated adults and children with tracheostomies. Also, 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). We also provide IV potassium, IV magnesium infusions at home as well as IV antibiotic infusions at home. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, Hickman’s line management, as well as palliative care services at home, and that also includes ventilator weaning at home. Now today, I want to answer a question from one of our readers, Morgan, who says, “Hi Patrik, My mother is in ICU after an emergency CABG, CABG stands for Coronary Artery Bypass Graft, also known as open heart surgery, about 6 weeks ago. We have been told by the ICU that we should prepare for hospice because she is ventilator dependent with a tracheostomy. Before all of this, she had no prior health problems other than breast cancer 15 years ago. She had chemotherapy and radiation. She also had complications during a cardiac catheter procedure which resulted in a coronary dissection, which is a rupture of a coronary artery and cardiogenic shock, which is the reason for the emergency coronary artery bypass grafts, also known as CABG or open heart surgery. She had multiple complications postoperative including bleeding heart failure and 3 days of CRRT. CRRT stands for Continuous Renal Replacement Therapy. It is also known as dialysis or hemofiltration. Her kidney functions are close to normal now. She was on sedation for 14 out of 21 days in cardiac ICU before going to the general ICU. On admission to the general ICU, we were told that she had severe sepsis and 2 small strokes that were discovered once the CT scan was done. She also had to get a tracheostomy during her stay in the cardiac ICU since she was unable to come off the ventilator before going to the general ICU. Since the emergency coronary artery bypass graft, her ejection fraction is 40% but we are now being told she has metabolic encephalopathy since she’s not consistently responsive to commands and has been back on sedation for 14 of her 29 days in the general ICU. She has also been failing her ventilation weaning program. I believe this has to do with the fact she has been back on sedation due to anxiety and becoming tachypneic. The settings are FiO2 of 30% and PEEP of 5. We feel the ICU team are giving up on her too soon because she’s costing them too much time and resources. They are making me feel guilty as if I’m making her suffer but I think there is hope I want to give quality of life to her at home. How can we get her home? Thank you so much for all that you do.” Thank you, Morgan, for sharing your email. First off, thank you for detailing your mom’s situation and thank you for thinking ahead. You should give yourself a pat on your shoulder because you can see that in ICU, you can see that her needs are not getting met in ICU. Continue reading at: https://intensivecareathome.com/moms-in-icu-for-6-weeks-unable-to-wean-off-ventilation-tracheostomy-after-cabg-coronary-artery-bypass-graft-i-want-her-home/

https://intensivecareathome.com/my-66-year-old-dad-has-diabetes-stroke-parkinsons-and-is-in-icu-with-a-tracheostomy-can-he-go-home/ My 66-Year-Old Dad Has Diabetes, Stroke & Parkinson's and is in ICU With a Trache. Can He Go Home? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline #icu #intensivecare #criticalcaremedicine Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies and where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality services for long-term ventilated adults and children with tracheostomies, otherwise medically complex adults and children at home, including Home TPN (total parenteral nutrition), Home BIPAP (bilevel positive airway pressure), Home CPAP (continuous positive airway pressure), also home tracheostomy care for adults and children that are not ventilated. We also provide IV potassium infusions, IV magnesium infusions at home, IV antibiotics. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, Hickman’s line management, as well as palliative care services at home. Now, in today’s question, I want to answer a question from Nidia who says, “Hi, Patrik, my dad is 66 years of age. He’s in ICU for 13 days. He has a history of some brain strokes in the past. It’s been a year since he was diagnosed with Parkinson’s disease and diabetes. Recently, for the last month or so, he had some problems with swallowing, which made him lose weight. Yesterday, they did a tracheostomy. Is there hope since all other organs are vital, but he can’t breathe on his own? What home care services are available for my dad? I’ve seen that you’re providing tracheostomy care at home.” So, thank you Nidia for sharing your dad’s situation. So, is there hope? Well, I tell you what there is hope for. There is hope for your dad going home, that is for sure, because that is bread and butter for us to take your dad home with tracheostomy. That’s what we do all day, every day. He will need 24-hour nursing care with specialist nurses because tracheostomy is an artificial airway, and it’s evidence-based to take your dad home with intensive care nurses, 24 hours a day. You can look up the evidence on our website at intensivecareathome.com. You can look up the Mechanical Home Ventilation Guidelines where the evidence says you need intensive care nurses 24 hours a day at home to make it safe for a tracheostomy, tracheostomy ventilation, and ventilation without a tracheostomy. That is the bottom line. It’s evidence-based Intensive Care at Home services have been around now in Europe and in Australia for over 25 years. It’s evidence-based and it’s a no-brainer. In terms of your long-term prognosis of your dad, that is obviously something you need to discuss with the neurologist with the Parkinson’s in particular, but also with the previous strokes, as well as the diabetes. You need to discuss that with the relevant specialist. What we can do for you here is absolutely maximize the quality of life for your dad by going home, because he doesn’t have any quality of life in ICU or in hospital. You and your family don’t have any quality of life by your dad being in hospital or in ICU. So, the long-term outlook on maximizing quality of life at home or depending on what is exactly happening with your dad or potentially quality of end of life is in a home care environment, not in an ICU. So, even if your dad may not improve, that’s something I can’t comment on here. What we can improve, once again, is quality of life at home and quality of end of life at home as opposed to a stay in ICU, that I can guarantee you because that is what we’ve been doing for over a decade now here with Intensive Care at Home in Australia and we can do the same for your dad, Continue reading at: https://intensivecareathome.com/my-66-year-old-dad-has-diabetes-stroke-parkinsons-and-is-in-icu-with-a-tracheostomy-can-he-go-home/

https://intensivecareathome.com/my-fiances-in-icu-on-ventilation-tracheostomy-dialysis-for-weeks-can-he-go-home/ My Fiance's in ICU On Ventilation, Tracheostomy & Dialysis for Weeks, Can He Go Home? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline #icu #intensivecare #criticalcaremedicine Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies. We also provide tailor-made solutions for hospitals and intensive care units whilst providing quality care for long-term ventilated adults and children with tracheostomies, also for medically complex patients at home, including Home TPN (total parenteral nutrition), Home IV potassium infusions, Home BIPAP (bilevel positive airway pressure), Home CPAP (continuous positive airway pressure), IV antibiotics, but also for adults and children that have a tracheostomy and are not ventilated. We also provide services at home for port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, as well as Hickman’s line management. We also provide services for palliative care at home. In essence, we are a genuine alternative for a long term stay in intensive care. Today, I want to answer a question from Angela who says, “My fiancé has been in ICU for a few weeks now, and he wishes to go home, but he needs help with ventilation, tracheostomy, and dialysis. I have been doing dialysis at home prior to his hospital admission this time, but I don’t think I can do both dialysis, ventilation, and tracheostomy, it just seems to be too much. Can Intensive Care at Home help and what would that look like? We are in Australia. Can you help?” So, here is what that would look like Angela, for your fiancé. So obviously, he’s in ICU, he’s depressed, he’s had enough, he wants to go home, for whatever reason, he can’t be weaned off the ventilator, but the desire for him to go home seems to be very strong, and that’s a good thing. He’s got the will to live, and he’s got the will to go home. So, in Australia right now, you should be looking for NDIS (National Disability Insurance Scheme) funding, that’s assuming, there’s nothing else, your fiancé hasn’t had a car accident or is a DVA client. Generally speaking, most of our clients are now funded through the NDIS, the National Disability Insurance Scheme, but even if your fiancé would not qualify for the NDIS, he might qualify for some hospital funding for some department of health funding, these are our discussions we can have once you are certain that this is what you want to do next. I am certain that we can help you with this because that’s bread and butter for us. We have been operating in Australia since 2013, and most of our clients at home are ventilated, tracheostomy, and if your fiancé needs dialysis, that’s fine as well. We can do all of it. We’re basically sending you critical care nurses into the home, 24 hours a day, to manage all of that, to keep your fiancé at home predictably, and also, make sure he has quality of life at home because there is no quality of life for long-term patients in intensive care, no matter what anyone says. Also, the cost of an ICU bed is around $5000 to $6000 per bed day, and Intensive Care at Home is approximately half of that cost. So, on top of improving your fiancé’s and your quality of life, the added-on benefit is simply that there’s some massive cost savings, probably around 50% and again, this provides a win-win situation. Then, once the funding is sorted, we will help you select the team, the right team for you and your family, of course. We help you select the staff at home that want to work with you, and you want to work with them. The right fit for your family, the right fit for your fiancé, the right fit for you, that’s very important. Continue reading at: https://intensivecareathome.com/my-fiances-in-icu-on-ventilation-tracheostomy-dialysis-for-weeks-can-he-go-home/

https://intensivecareathome.com/can-my-baby-son-with-ventilation-tracheostomy-nasogastric-tube-go-home-in-brisbane-instead-of-picu-pediatric-intensive-care-unit/ Can My Baby Son with Ventilation, Tracheostomy & Nasogastric Tube Go Home in Brisbane Instead of PICU? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline #icu #intensivecare #criticalcaremedicine Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies. We also provide tailor-made solutions for hospitals and intensive care units whilst providing quality care for long-term ventilated adults and children with tracheostomies, medically complex patients at home, including Home TPN, Home IV potassium infusions, Home BIPAP (bilevel positive airway pressure), CPAP (continuous positive airway) pressure), home tracheostomy care for adults and children that are not ventilated. We provide IV antibiotics at home. We provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, as well as Hickman’s line management. We also provide services for palliative care at home. In essence, we are providing a genuine alternative for a long term stay in intensive care. Today, I want to answer a question from Lillian in Brisbane who says, “Hi Patrik, Do you look after infants at home with long-term mechanical ventilation with tracheostomy and nasogastric tube? My son, Homer, is confined to PICU and we want to take him home. Is this something you do? Is this something that is NDIS (National Disability Insurance Scheme) funded? Can you please help?” Absolutely, Lillian. This is bread and butter for us. We have looked after many infants and toddlers at home on long-term ventilation with tracheostomy, either with nasogastric tubes or with PEG (Percutaneous Endoscopic Gastrostomy) tubes, it’s definitely something that we can do. Also, the NDIS is funding pretty much all of our clients for 24-hour nursing care, it just needs to go through the right advocacy process. You will need a good NDIS Specialist Support Coordinator here, which we have on our team. We also have NDIS Specialist Support Coordination on our team. We will find the right people for you, the right PICU (Pediatric Intensive Care Unit), NICU (Neonatal Intensive Care Unit), or ICU nurses that can look after your son at home. We know that it’s very important for you to have the right people coming into your home so that you feel safe, your son feels safe, to provide a nurturing environment, so that gets your son out of ICU and out of pediatric ICU and go home. We are helping you with that transition. We manage and help you organize equipment if the hospital can’t do that, but really the crux of the matter here is that you need the right people at home, compassionate people, reliable people that have the skills and the expertise taking your son home if he’s ventilated, he’s got a tracheostomy and the nasogastric tube. So, that’s really it in a nutshell because I understand you and your family probably have no quality of life by staying in intensive care forever in the day. The ICU surely needs the ICU bed, and again, it’s a win-win situation that we are providing. Hopefully, your son can also go at some point to kindergarten, and the ventilator and the tracheostomy won’t stop him from doing that. We have taken kids to school, kindy, all of the above, and it’s really important that you get out of ICU, that you can see a world beyond the ICU for your little son. Continue reading at: https://intensivecareathome.com/can-my-baby-son-with-ventilation-tracheostomy-nasogastric-tube-go-home-in-brisbane-instead-of-picu-pediatric-intensive-care-unit/

https://intensivecareathome.com/another-intensive-care-at-home-testimonial-from-a-satisfied-24-7-client/ Another INTENSIVE CARE AT HOME Testimonial from a Satisfied 24/7 Client Visit our TESTIMONIAL SECTION here: https://intensivecareathome.com/testimonials/ Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline #icu #intensivecare #criticalcaremedicine Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies. We also provide tailor-made solutions for hospitals and intensive care units whilst providing quality care for long-term ventilated adults and children with tracheostomies, medically complex patients at home, including Home TPN (total parenteral nutrition), Home IV potassium infusions, Home BIPAP (bilevel positive airway pressure), and CPAP (continuous positive airway pressure), as well as home tracheostomy care for adults and children that are not ventilated, as well as IV antibiotics. We also provide services at home for port management, central line management, PICC (Peripherally Inserted Central Catheters) line management, as well as Hickman’s line management. We also provide services for palliative care at home. In essence, we are providing a genuine alternative for a long term stay in intensive care and pediatric intensive care. We are also providing an emergency department bypass service for the Western Sydney Local Area Health District where we send our critical care nurses into the home, sometimes into residential aged care facilities to keep our clients at home and avoid ED even. Now, today, I want to focus actually on some testimonials because I’m very busy answering questions for families who have loved ones that need Intensive Care at Home. But today, I also want to focus on some testimonials that we’re getting with all the work we are doing, and I will focus on some of them a little bit more in the next few weeks because they are also coming in, so big shout out here to our team. I just want to read that one testimony today: “Thank you so much Intensive Care at Home, to you Patrik and all, you and your staff have gone to help out our family. It was the most mentally relaxing respite we have had in the whole of our son’s years. Knowing that he was at home, the consistency of staff, Mel and Steve, in particular, the competency, the dedication, the knowledge and reliability made the time away so much more relaxing and our confidence in who was there, left us feeling comfortable to go on a holiday. Also, the constant updates and messages were an added bonus to what we have had in the past. We are so very blessed.” This is from one of our clients who want to stay anonymous, but they are one of our long-standing clients where we provide 24-hour NDIS (National Disability Insurance Scheme) funded nursing care and the client is actually on a BIPAP ventilator with a complex medical condition. So, that’s the testimonial for today. I have others to come over the next few weeks. Like I said, we are busy delivering the service and we very rarely also celebrate our successes, and we very rarely celebrate our staff that are out there on the road, our ICU nurses that are on the road, improving the quality of life for our clients and their families, but also improving the hospital system by keeping our clients out of the hospital system, by keeping our clients out of intensive care. So, we’re taking pressure off the healthcare system in the hospital. We’re also reducing the cost of an ICU bed by around 50%. We can never forget looking at the bigger picture here, what we are doing and how much money we are saving the healthcare and hospital system, and also keeping ICU beds empty so that the people who need acute critical care can have it. Continue reading at: https://intensivecareathome.com/another-intensive-care-at-home-testimonial-from-a-satisfied-24-7-client/

https://intensivecareathome.com/my-dad-is-depressed-and-frustrated-being-in-icu-long-term-can-he-go-home-with-intensive-care-at-home/ My Dad is Depressed and Frustrated Being in ICU Long-Term! Can He Go Home with INTENSIVE CARE AT HOME! Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline Song: Jarico - Island Music supported by@FreeBackgroundMusicForCreators #BackgroundMusicWithoutLimitations https://bit.ly/2XoXFnb #icu #intensivecare #criticalcare Hi, it’s Patrik Hutzel from intensivecareathome.com, where we provide tailor-made solutions for long-term, ventilated adults and children with tracheostomies. And where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality services for long-term, ventilated adults and children with tracheostomies. Otherwise, medically complex patients at home including Home TPN (Total Parenteral Nutrition), Home BiPAP (Bilevel Positive Airway Pressure), Home CPAP (Continuous Positive Airway Pressure), also Home Tracheostomy care for adults and children that are not ventilated. Also, we provide IV potassium infusions, IV magnesium infusions at home, IV antibiotics. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, Hickman’s line management as well as palliative care services at home. Now, in today’s blog, I want to answer a question from a reader. And Tracy says, “Hi Patrik, My father is in intensive care, long-term. He’s on a ventilator with a tracheostomy. He has no quality of life and his brain is working. And he’s telling us he wants to get out of ICU and he wants to go home. Is this something that Intensive Care at Home can help with?” And of course, this is exactly what we can help with, this is our core business to take patients home from intensive care that are stuck in intensive care long-term. That is exactly what we do. Now, you haven’t shared more details why your dad is in ICU. How long he’s been there? But you’re saying, he’s been in ICU long-term. I would consider anything above 3, or 4 weeks in ICU long-term. And of course, your dad now that he’s probably more awake, probably getting more aware of his surroundings, he realizes, well, that’s not the best place to be in. ICUs have their time and their place, of course, for anything that is very acute to save lives. But now that he’s probably over that stage where he’s on a ventilator, tracheostomy can’t be weaned, can he be weaned off at home? Maybe he’s ventilator dependent for the rest of his life, you have not shared any more details, but this is right up our alley. How does it work? Well, we’ll help you with getting your dad home by providing the equipment, providing the staffing, of course, having intensive care nurses at home 24-hours a day to basically replicate the ICU. But with much more quality of life at home, with having a stable team, having the same people that you choose coming to get there over and over again. That will help him to get better. It will prove it will improve his quality of life literally overnight and it will improve your quality of life and your family’s quality of life because you are probably, for lack of a better term, living in ICU, and you don’t want to continue that, I can fully understand. It’s also a win-win situation on a much bigger picture level in terms of, we help the ICU to free up a bed that is in high demand. We help the ICU to free up staff, we help the ICU to free up equipment. we cut the cost of an intensive care bed by around 50% and for the same care at home. Again, it’s a win-win situation all around. And you might wonder who’s going to pay for it. Continue reading at: https://intensivecareathome.com/my-dad-is-depressed-and-frustrated-being-in-icu-long-term-can-he-go-home-with-intensive-care-at-home/

https://intensivecareathome.com/why-you-need-icu-nurses-at-home-for-ventilation-tracheostomy-and-how-to-get-them/ Why You Need ICU Nurses at Home for Ventilation & Tracheostomy and How to Get Them! Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline #icu #intensivecare #criticalcaremedicine Hi, t’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies and where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality services for long-term ventilated adults and children and medically complex patients at home in include including home TPN, home IV potassium infusions, home BIPAP (bilevel positive airway pressure), home CPAP (continuous positive airway pressure), as well as 24-hour nursing care for patients or clients with the tracheostomy, adults and children. More specifically, with a tracheostomy that are not ventilated, we also provide IV antibiotics at home, palliative care services, as well as port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, and Hickman’s line management. Now, in today’s blog, I want to briefly talk about an inquiry that we’re currently having. So, we are having an inquiry at the moment from a family in Melbourne, in Australia. Without going into too much detail, they have a family member who was in intensive care long-term for a neurological condition, now having a ventilator and a tracheostomy, and went home with support. But at that moment, they’ve only been home for a week. Now, they’re realizing it’s not going to work, of course. How can someone go home from intensive care with the ventilator and a tracheostomy with support workers, with disability support workers? That is negligent on all ends. If support workers can all of a sudden look after ventilators and tracheostomy, why are there no support workers working in intensive care, providing care to people on life support? So obviously, the family is now realizing that there are other options like Intensive Care at Home. So, they have heard about us, which is great, of course. Just, if you are in a similar situation, the missing link here and we’ve established this pretty quickly, the missing link here is not having the right NDIS (National Disability Insurance Scheme) support coordinator, because the right NDIS support coordinator knows that for clients with ventilation and tracheostomy. The NDIS will fund 24-hour nursing care with the right evidence. The right evidence is often the doctors’ letter for 24-hour nursing care with specialist nursing assessment which we can provide here at Intensive Care at Home and also a functional assessment, capacity assessment from an occupational therapist as well as a physiotherapist. So, that’s usually some of the most important ingredients to get the NDIS to fund 24-hour nursing care with specialist nurses, intensive care nurses because you’re not looking after a ventilator and a tracheostomy, it’s not even the skill of a general registered nurse that hasn’t worked in intensive care for a minimum of two years. When you look at the Intensive Care at Home, we are exclusively working with intensive care/critical care nurses with a minimum of two years critical care nursing experience. More than 50% of our nurses have postgraduate critical care qualification similar to most ICUs. We employ hundreds of years of intensive care nursing experience in the community. Also, we are the only service in Australia that’s third-party accreditation for Intensive Care at Home nursing. Furthermore, we are the only service in Australia that provides evidence-based care. Continuation... https://intensivecareathome.com/why-you-need-icu-nurses-at-home-for-ventilation-tracheostomy-and-how-to-get-them/

https://intensivecareathome.com/introduction/ INTENSIVE CARE AT HOME Introduction Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline #icu #intensivecare #criticalcare In order to be inspired in our quest for creating and offering Quality of Life and/ or Quality of-end-of-life services for our individual Customers and their families, we want to stop for a minute and think about what it means for an individual and their families to be admitted to Intensive Care. Our thoughts and empathy are with every individual and their families, who is going through the often traumatic and life changing event of being a Patient in Intensive Care. Life can change in an instant and things will never be the same. Whilst most Patients get out of Intensive Care in a better condition that they have been in, compared to when first admitted, there is a small proportion of Patients in Intensive Care that fall under the category of either a) Requiring ongoing long- term invasive/ mechanical ventilation with Tracheostomy with the outlook of a good Quality of Life at home, if managed by a specialised Health Service that can focus on possibilities and opportunities outside of a hospital environment b) Require ongoing long or short term invasive/ mechanical ventilation with Tracheostomy with the outlook of a good Quality of-end-of-life at home with dignity, privacy and peace of mind, if managed by a specialised Health service, as opposed to approaching their end-oflife in a hospital environment, with very little or no dignity and privacy and a lack of options of how and where they wish to approach their end-of-life c) Very rapidly approach their end-of-life in Intensive Care, as the clinical realities of their illness/ injury leaves little or no option, but to accept the limitations of what modern medicine is able to provide for humans in a clinical environment. This leaves relatives, but also hospital employees such as nurses, doctors and other allied health professionals encountering those tragedies in utter despair and it makes us acutely aware of life’s limitations imposed on us. INTENSIVE CARE AT HOME™’s services are therefore focused on a) and b), with a clear distinct service that hospitals and other nonspecialised health services are unable to provide. Our very Philosophy is based on a successful model of Home Intensive Care Nursing, that has been successfully operating in mainly European countries such as Germany, Austria and Switzerland since the late 1990’s, INTENSIVE CARE AT HOME™ very much believes that current Intensive Care Hospital Services in Australia can no longer ignore that a demand for an extension of their services exists for a particular Patient/ Client group. With that in mind, INTENSIVE CARE AT HOME™ is striving towards service optimisation with a focus on Quality of Life for long- term mechanically ventilated Customers with Tracheostomy and their families in their own homes and/or focus on Quality-of-end-of-life for long term mechanically ventilated Customers with Tracheostomy and their families... Continue reading at: https://intensivecareathome.com/introduction/

https://intensivecareathome.com/tracheostomy-ventilator-dependency-home-place/ TRACHEOSTOMY AND VENTILATOR DEPENDENCY, WHY HOME IS THE ONLY PLACE TO BE! Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline #icu #intensivecare #criticalcare Hi it’s Patrik from intensivecareathome.com.au where we help long-term ventilated adults& children with Tracheostomy to improve their Quality of life and where we also help hospitals and Intensive Care Units to save money and resources, whilst providing Quality Care! Tracheostomy and ventilator dependency, why HOME is the only place to be! When people hear Tracheostomy and ventilator dependency in Intensive Care, they don’t necessarily make the connection to a Patient’s home. However, in many countries, mainly Germany, Austria, Switzerland and the USA it’s already a positive reality that is serving long-term ventilated Adults& Children with Tracheostomy and their Families very well. It’s also serving Intensive Care Units very well too. Why is it such a success in those countries and why is it going to be a success in Australia too? It’s quite simple. By having strong and robust procedures in place, carried out by passionate and competent Critical Care trained Nurses that focus on Quality of Life and/or Quality of end of Life for our Clients. More importantly, we have the right mindset to get Long-term ventilated Adults& Children out of Intensive Care. That has been proven over and over again! Furthermore, with the right mindset, INTENSIVE CARE AT HOME can help Intensive Care Units and hospitals to free up their expensive and scarce ICU beds and provide Quality care at the same time! What’s the alternative? The alternative is a long-term stay in Intensive Care where long-term ventilated Adults& Children with Tracheostomy and their Families have no Quality of Life and/or Quality of-end-of-Life. Another rather grim alternative for long-term ventilated Adults& Children with Tracheostomy and their Families is also to be left at home on their own, with some services only providing equipment and a few hours carer support. Certainly not enough to provide holistic care and Quality of Life and certainly not enough to support Intensive Care Units! INTENSIVE CARE AT HOME takes a very different approach and is providing Quality of Life by following the latest “mechanical Home ventilation guidelines” that follow a robust and proven Quality approach that is sound and this particular approach offers a genuine alternative to a long-term stay in Intensive Care. You can read the guidelines here. https://intensivecareathome.com/mechanical-home-ventilation-guidelines/ INTENSIVE CARE AT HOME is the first Australian Health service that is following those proven guidelines that have been proven to work very well in Europe for more than a decade! INTENSIVE CARE AT HOME is therefore the only health service in Australia that’s offering a real and genuine alternative to a long-term stay in Intensive Care! And if you’re still wondering whether INTENSIVE CARE AT HOME is a legitimate opportunity to free up some of your expensive and scarce ICU beds, here is a link to some case studies. https://intensivecareathome.com/case-studies/ Those case studies are from Clients that I have personally worked with and I have witnessed many more Clients and their Families in the home that would always- always- chose home as opposed to an Intensive Care environment! It’s a no brainer, for those who have seen it! What are your thoughts? What do you think needs to happen to improve the lives of long-term ventilated Adults& Children with Tracheostomy in Intensive Care or in their home? Have your say and leave your comments on this blog... Continue reading at: https://intensivecareathome.com/tracheostomy-ventilator-dependency-home-place/

Best Practice for Long-Term Ventilated Adults & Children with Tracheostomy Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline #icu #intensivecare #criticalcare