Intensive Care at Home

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

https://intensivecareathome.com/10-myths-about-long-term-ventilation-with-tracheostomy-and-intensive-care/ THE 10 MYTHS ABOUT LONG-TERM VENTILATION WITH TRACHEOSTOMY AND INTENSIVE CARE 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 this week’s blog I want to talk about what I believe are “The 10 myths about long-term ventilation with Tracheostomy and Intensive Care” I also believe that those myths are directly or indirectly holding health services back to look for more progressive, holistic and optimized care models outside of Intensive Care for their long- term ventilated Adults& Children with Tracheostomy! Let’s take a look at the 10 myths 1. Long-term Ventilation and Tracheostomy is not possible outside of Intensive Care 2. Going Home from Intensive Care with ventilation and Tracheostomy is not possible or difficult to achieve 3. There are no perceived alternatives for long-term ventilated Adults& Children with Tracheostomy besides staying in Intensive Care for long periods of time 4. Quality services for long-term ventilated Adults& Children with Tracheostomy can only be delivered in a clinical environment 5. The best place for Critical Care Nurses using their special skills is in a clinical Intensive Care environment 6. It’s too risky having long-term ventilated Adults& Children with Tracheostomy in their own home 7. Current funding models are standing in the way of providing an established funding stream for specialised Intensive Home Care nursing services 8. Families of long-term ventilated Adults & Children with Tracheostomy feel that the best place for their loved one is Intensive Care 9. Ventilator dependent Adults& Children with Tracheostomy can only be successfully weaned off the ventilator in Intensive Care 10. End of life situations for ventilator dependent Adults& Children with Tracheostomy are best handled in Intensive Care What are your thoughts? Do you think that there are other myths or obstacles standing in the way of providing specialised care at home for long-term ventilated Adults& Children? Leave your comments and have your say on the blog! If you are a health professional in Intensive Care and you think you know a long-term ventilated Adult or Child with Tracheostomy and their Family who would like to improve their Quality of Life and/or their Quality of end of Life in their own home rather than in Intensive Care- even if it is to go home for a weekend- and if your organisation would also like to save money and resources along the way or if you simply have any questions, give us a call on 03-9939 7456 or simply reply to this email. This is Patrik Hutzel from intensivecareathome.com.au and I’ll see you again in another update next week... Continue reading at:https://intensivecareathome.com/10-myths-about-long-term-ventilation-with-tracheostomy-and-intensive-care/

https://intensivecareathome.com/palliative-care-australia-calling-better-end-life-care-services/ Palliative Care Australia is Calling for Better End of Life Care Services! 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 this week’s blog I want to pick up on a discussion and on suggestions that have been made in the last few weeks by palliative care Australia. “Palliative Care Australia is calling for better end of life care services!” Those discussions and suggestions have been made in relation to a “pre-budget” submission to the federal government! The discussions and suggestions around end-of life care and palliative care in Australia aligns very well with most of the Philosophy of INTENSIVE CARE AT HOME, as we not only believe, but we are also strong advocates for Patients and their Families who want to have a genuine and dignified alternative to a long-term stay in Intensive Care! The main points from Palliative Care Australia are summarised here and I have also attached their PDF statements in this blog: PCA Media Release – Budget300114 PCA 2014-15 Pre-Budget Submission So what are the facts? • 75% of Australians would prefer to die at home, but less than 20% do. • 70% of people who die each year would benefit from palliative care services, yet only about 25% access these services. • Only 20% of aged care residents receive adequate palliative care. • Fewer than 15% of people who died in residential aged care in 2011-12 were assessed as needing palliative care before they died. • There are very few referrals to palliative care for people with diagnoses other than cancer. • More than 50% of people who recently lost a loved one had not discussed end of life care with them, nor were confident their loved one’s end of life wishes were carried out. ‘Our research shows us that 70% of Australians think we don’t talk about death and dying enough and more than 50% of people who had recently lost a loved one had not discussed end of life care with them, nor were they confident their loved one’s end of life wishes were carried out,’ said Dr Luxford who is the CEO of Palliative Care Australia. ‘The majority in our community feel there is a need for greater public dialogue on this issue. Not only does the Government have an obligation to observe international developments, but it needs to listen to the community and keep in step with changing attitudes.’ The latest evidence suggests access to palliative care not only improves the quality of life of people dying from a terminal illness, their families and carers, but also reduces pressure on health budgets. ‘We are conscious that Budget savings are essential and that international studies demonstrate that palliative care service models result in cost savings through reductions in hospital admissions, emergency department visits, laboratory and intensive care unit costs,’ said Dr Luxford. ‘A Productivity Commission Inquiry could easily provide the local evidence to support these economic analyses in an Australian context.’ Access to palliative care is a basic human right and should be available to all people, when and where they need it. Dying Australians’ access to services that support them to live well at the end of life is essentially a lottery based on where they live, their diagnosis, background or age. This is an unacceptable situation... Continue reading at: https://intensivecareathome.com/palliative-care-australia-calling-better-end-life-care-services/

https://intensivecareathome.com/home-care-long-term-ventilated-adults-children-tracheostomy-basic-human-right/ Why Home Care for Long-Term Ventilated Adults & Children with Tracheostomy is a Basic Human Right! 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 this week’s blog I really want to bring home another point that is close to my heart and close to the heart of our Clients and their Families. “Why Home Care for long-term ventilated Adults& Children with Tracheostomy is a basic human right!” Now, if you have followed this blog for a while, you would have heard me talking about what our INTENSIVE CARE AT HOME service can do for our Clients and their Families, as well as what it can do for Intensive Care Units and their respective Hospitals. And in essence, just as when a Patient requires Intensive Care or Critical Care for an acute illness, a long-term ventilated Adult or Child, as soon as medically stable needs to go home into the safety and comfort of their own environment! It’s a basic human instinct and it’s basic human right. Those basic human rights can be applied to long-term ventilated Adults& Children with Tracheostomy in many situations, whether it’s in • A long-term and difficult weaning situation • An end- of life situation or • In a situation where a Patient might require a ventilator for some time to come, maybe even for the rest of their life After having worked with so many long-term ventilated Adults & Children with Tracheostomy in a home and in an Intensive Care environment and also after knowing and understanding what the Families of these Patients want and need, it’s more than overdue that current clinical and Intensive Care paradigms shift to a model that is more • Holistic • Patient& Family centred • More cost effective • Proven to be successful, as many other similar organisations to INTENSIVE CARE AT HOME have proven in other countries a long, long time ago and those organisations have built a proven track record to succeed in taking long-term ventilated Adults& Children home and provide a genuine alternative to a long-term stay in Intensive Care It’s also a basic human right to have choice where to be treated and we should not limit our and other people’s thinking to a hospital or Intensive Care setting only. Home Care is the future, even in a high acuity environment such as Intensive Care, because a lot more is possible in a home care environment than you think it is! What are your thoughts on basic human rights for long-term ventilated Adults& Children with Tracheostomy in Intensive Care? What do you think is the best solution? Leave your comments on the blog. If you want to discuss your needs for your Intensive Care Unit, feel free to give me a call on 041 094 2230. This is Patrik Hutzel from INTENSIVECAREATHOME.COM.AU and I’ll see you again in another update next week... Continue reading at: https://intensivecareathome.com/home-care-long-term-ventilated-adults-children-tracheostomy-basic-human-right/

https://intensivecareathome.com/going-home-intensive-care-stroke-real-world-example/ GOING HOME FROM INTENSIVE CARE AFTER A STROKE, A REAL WORLD EXAMPLE! 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 this week’s blog I want to give you a real world example and I want to talk about “Going HOME from Intensive Care after a STROKE, a REAL WORLD example”. Today I want to talk about a Client who has been at Home after he suffered a stroke while he was in his early forties. The gentleman ended up being wheelchair bound and paraplegic as he had other co-morbidities as well. He wasn’t a well man to start off with, however the stroke made things worse and he ended up in Intensive Care for a couple of months after the stroke hit him. The reason he stayed in ICU for so long was simply that he was unable to be weaned off his ventilation and he required a Tracheostomy. Going home as a genuine alternative to a long-term stay in Intensive Care Fast forward the gentleman and his Family didn’t want to stay in Intensive Care and eventually he was able to leave ICU, go home and be looked after by a specialised Intensive Home Care nursing service such as INTENSIVE CARE AT HOME. The alternative would have been an even longer stay in Intensive Care and as you can imagine the Client and their Family were very pleased with going home. The Intensive Care Unit was fully supportive of this man going home, as they didn’t want to leave him in ICU for any longer, since specialised Intensive Home Care Nursing services had become a reality and they were able to take over the care of this man and his family. Letting long-term ventilated Patients go home creates an empty bed in the ICU The Intensive Care Unit could also see what Home Care can provide to their Patients and Families, whilst they could use the empty bed for more acute admissions. After the gentleman had been transferred home, a daily routine to the man’s and his Family’s liking could be established. He was now also able to get a good night’s sleep since he was in a quiet and peaceful environment and not in a noisy, stressful and busy Intensive Care environment. Him and his Family knew that by having 24/7 care with Critical care trained nursing staff had given them more Quality of life, freedom, choice and flexibility. More flexibility and a better Quality of life at home for Patients and their Families! After about 3 months being at Home, the gentleman finally came off his anti- depressants as his mood and his spirits had improved massively since him and his Family were able to direct his care with the professional support from the Critical Care Nurses from the Intensive Home Care nursing service. Furthermore, he was then able to recommence work from home on his laptop. The alternative would have been to stay in Intensive Care. Think about it. By keeping long-term ventilated Adults& Children in Intensive Care we are not giving them the opportunity to develop and play to their strengths. By keeping them hospitalised for too long, their potential and is diminished and inhibited. The same applies to their Families. By keeping their loved ones in Intensive Care for longer than necessary, they are suffering too. They are usually putting their lives on hold as well. By giving long-term ventilated Adults& Children with Tracheostomy the opportunity to go home, everybody wins, like in our example where a Client was able to be productive and by producing an income and by his Family being independent as well... Continue reading at: https://intensivecareathome.com/going-home-intensive-care-stroke-real-world-example/

https://intensivecareathome.com/the-3-mistakes-intensive-care-units-constantly-make-but-they-are-unaware-of-when-they-are-looking-after-long-term-ventilated-adults-children-with-tracheostomy/ THE 3 MISTAKES INTENSIVE CARE UNITS CONSTANTLY MAKE, BUT THEY ARE UNAWARE OF, WHEN THEY ARE LOOKING AFTER 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 In this week’s blog I want to shed light on “The 3 mistakes Intensive Care Units constantly make, but they are unaware of, when they are looking after Long- Term Ventilated Adults& Children with Tracheostomy!” Having extensive experience in both areas, a clinical Intensive Care environment as well as having experience in the Intensive Home Care environment, has given me a unique outlook and a different perspective in the area of Intensive Care and the issues that come with the environment! It’s also given me plenty of perspective and insights into how most of the pressing problems when it comes to long-term ventilated Adults& Children with Tracheostomy can be solved! Having worked with many long-term ventilated Adults& Children with Tracheostomy in both, an Intensive Care environment and an Intensive Home Care environment has also made me realise that many long-term ventilated Adults& Children with Tracheostomy are missing out on home care, because Intensive Care Units tend to continuously make three distinct mistakes! Let’s quickly shed some light on those mistakes 1. Intensive Care Units don’t think Intensive Home Care is possible 2. Intensive Care Units are waiting too long to make referrals to external service providers such as INTENSIVE CARE AT HOME 3. Intensive Care Units let the ventilator dependency stand in the way of looking at opportunities and possibilities for Patients and their Families in a home care environment The right support structure and the right mindset are critical for success! One of the biggest “takeaways” for me over the many years in Intensive Care and also when working with long-term ventilated Adults& Children with Tracheostomy in an Intensive home care environment is that most long-term ventilated Adults& Children with Tracheostomy in Intensive Care can go home with the right support structure and with the right mindset! Many situations in Intensive Care where Intensive Care Patients are either in a situation where they are going through • A long term weaning process • A life- long ventilator dependency • An end of life situation where they are kept in Intensive Care on a ventilator those situations can be managed at home with specialised services such as INTENSIVE CARE AT HOME. A paradigm shift! This totally shifts the paradigm and the focus from an Intensive Care environment to a more holistic, a more Patient and more Family friendly environment where the Clients still receive equivalent care in a place that they call home! Think about it, a bed in Intensive Care costs $ 5,000 per bed day and long-term ventilated Adults& Children with Tracheostomy are in an environment where they don’t want to be, they are blocking a precious ICU bed and Families of those Patients have to put their lives on hold while their loved one is in Intensive Care! A modern win-win and a modern clinical solution! Modern business solutions are all about creating win- win situations and INTENSIVE CARE AT HOME has created such a win-win solution in this niche area... Continue reading at: https://intensivecareathome.com/the-3-mistakes-intensive-care-units-constantly-make-but-they-are-unaware-of-when-they-are-looking-after-long-term-ventilated-adults-children-with-tracheostomy/

https://intensivecareathome.com/long-term-ventilation-tracheostomy-intensive-care-emotional-price-patients-families-pay/ Long-Term Ventilation, Tracheostomy & Intensive Care, the EMOTIONAL PRICE Patients & Families PAY! 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 this week’s blog I want to bring to light “Long-term ventilation with Tracheostomy and Intensive Care, the emotional price Patients and Families PAY!” Long-term ventilated Adults& Children with Tracheostomy in Intensive Care have a high price to pay when it comes to their physical and emotional well being! And I don’t mean the $ 5,000 per day that it costs to keep a Patient in Intensive Care! I am talking about the suffering, the vulnerability, the lack of privacy, the lack of dignity and the lack of control that are inevitably attached with the Intensive Care environment! Long-term ventilated Adults& Children with Tracheostomy pay a very high emotional price to be dependent on life support and to be dependent on other people’s professional expertise, whether it be Intensive Care doctors or Intensive Care nurses! Families pay high emotional price too by spending day and night in Intensive Care! The Families of long-term ventilated Adults& Children with Tracheostomy pay a high emotional price as well! They spend day and night in Intensive Care to be with their loved one, they are frustrated, they live in constant fear and they feel extremely vulnerable by being dependent on other people! The Families of Long-term ventilated Adults& Children with Tracheostomy basically have put their lives on hold as well! They often take unpaid time of work and they often neglect their personal and Family life as well! Easing the emotional burden in a home care environment is a “no-brainer” Having worked in both environments, a clinical Intensive Care environment and an Intensive Home Care environment, one way to ease the emotional burden for Long-term ventilated Adults& Children with Tracheostomy and their Families is to think outside of the box and do what has successfully been done in many European countries for more than 15 years and do what is natural, holistic and Patient and Family focused! Intensive Home Care is natural, holistic and Family focused and it’s a no-brainer for anyone who has worked in the field and who has seen how Patients and their Families blossom, once they are in a non clinical, non- sterile, less regimented and safe environment! INTENSIVE CARE AT HOME can ease the emotional burden for Long-term ventilated Adults& Children with Tracheostomy by offering a tailor made solution for our Clients and it’s a tailor made solution for your Intensive Care Unit as well! You can free up a bed and you can focus on looking after Patients with high acuity needs and do what you do best! We do, what we do best! A modern care solution well developed and proven in other countries Modern business solutions are all about creating win- win situations and INTENSIVE CARE AT HOME has created such a win-win solution in this niche area... Continue reading at: https://intensivecareathome.com/long-term-ventilation-tracheostomy-intensive-care-emotional-price-patients-families-pay/

https://intensivecareathome.com/long-can-person-stay-intensive-care-ventilator-australia/ How Long Can a Person Stay in Intensive Care on a Ventilator in Australia? 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 this week’s blog I want to talk about “How LONG can a person stay in Intensive Care on a ventilator in Australia?” I am always amazed to find how long some ventilated Adults& Children with Tracheostomy can stay in Intensive Care. No upper limits for stay in Intensive Care There seems to be no upper limit for the length of stay and I am sure we’ve all seen our fair share of long-term ventilated Adults& Children with Tracheostomy in Intensive Care who have been in ICU for far too long only to find that those Patients and their Families end up depressed, with no Quality of life and sometimes they end up catching a hospital acquired infection. Some long-term ventilated Adults& Children with Tracheostomy also bounce back and forth from wards to Intensive Care, again leaving those Patients and their Families extremely vulnerable! If you ask people within Intensive Care why long-term ventilated Adults& Children with Tracheostomy stay in Intensive Care for sometimes up to 12 months in Intensive Care you hear people saying things along the lines of • The Patient will leave Intensive Care soon • The Patient needs to be weaned off the ventilator first • Nobody can look after the Patient but ICU The list could go on and is not exhaustive… Going home is a viable option and provides a win-win situation If people then furthermore bring to light that going home is a viable option for long-term ventilated Adults& Children with Tracheostomy, people once again make excuses along the lines of • It’s not safe for those Patients to go home • That wouldn’t work • We need approval from the Department of Health • Ventilated Patients with Tracheostomy can only be looked after in Intensive Care Keeping long-term ventilated Adults& Children with Tracheostomy in Intensive Care wastes opportunity and hundreds of thousands of Dollars $$$ Nobody even mentions the huge cost that easily goes into the hundreds of thousands of Dollars $$$, the massive dilemma for Patients and their Families to be in such a situation and nobody seems to be looking at the bed blocks that happen right across the board in Intensive Care because of long-term ventilated Adults& Children with Tracheostomy blocking beds that could be used for other more acutely unwell Patients in need of a critical care bed. It’s a massive waste of resources and a massive waste of tax payer’s money to keep long-term ventilated Adults& Children in Intensive Care! It’s also a massive waste of opportunity for long-term ventilated Adults& Children with Tracheostomy and their Families! It’s therefore not acceptable that some Intensive Care Units are not giving long-term ventilated Adults& Children with Tracheostomy a real choice and a genuine opportunity to go home... Continue reading at: https://intensivecareathome.com/long-can-person-stay-intensive-care-ventilator-australia/

https://intensivecareathome.com/long-term-mechanical-ventilation-intensive-care-tracheostomy-best-options/ Long-Term Mechanical Ventilation in Intensive Care with Tracheostomy, What are the Best Options? 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 this week’s BLOG I want to talk about “Long term mechanical ventilation in Intensive Care with Tracheostomy, what are the best options?” Some Patients in Intensive Care are facing the dilemma of being ventilated for a much longer time than expected. Whenever those Patients in Intensive Care are facing the dilemma of getting a Tracheostomy and then go through multiple failed weaning attempts or don’t even get to those weaning attempts in the first place because their clinical condition doesn’t allow it, that’s when Patients, their Families and Intensive Care Units are in real trouble. More often than not those Patients are then stuck in Intensive Care with a limited Quality of Life and/or Quality of end of life for many months to come! Bed blocks in Intensive Care are a real issue and challenge! More often than not those long-term ventilated Adults& Children with Tracheostomy are then also blocking a bed that could be used for the many other Patients in need of an acute Intensive Care bed. So what’s the alternative and what are the best options? Keep them in Intensive Care for a long time to come? Getting the Patients and their Families involved in the decision making process? That would probably be a good starting point. And furthermore, we should also be looking at what proven alternatives are out there, rather than keeping long- term ventilated Adults& Children in Intensive Care for longer than necessary... Continue reading at: https://intensivecareathome.com/long-term-mechanical-ventilation-intensive-care-tracheostomy-best-options/

https://intensivecareathome.com/6-things-nobody-ever-told-long-term-ventilation-tracheostomy-home/ 6 Things Nobody Has Ever Told You About Long-Term Ventilation with Tracheostomy 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 #icu #intensivecare #criticalcare In this week’s BLOG I want to share with you “6 things NOBODY HAS EVER TOLD YOU about long-term ventilation with Tracheostomy at home” If INTENSIVE CARE AT HOME services for long-term ventilated Adults& Children with Tracheostomy still remain a mystery for you and if you are still wondering whether services are an option for your Intensive Care Unit or for your Family member, today I want to give you further insights and clarity about Home Intensive Care services. For many of you reading this blog, you would either only ever have worked in a clinical and not a home Intensive Care environment and if you happen to be a family member reading this, you would certainly want to make sure that you are making the right choice for your loved one. I break it down into 6 simple and important components so that you get a feel of what we can do for our Clients and their Families. 1. QUALITY OF LIFE in a home care environment for long-term ventilated Adults& Children with Tracheostomy is achievable, doable and possible 2. Weaning off the ventilator for certain types of conditions, i.e. Guillan Barré syndrome is doable and achievable at home as well. No need to keep somebody in ICU for 4-6 months and occupy an expensive ICU bed and leave Patients and their Families with no Quality of life 3. Patients BLOSSOM once they are taken out of a sterile, depressing, inhibiting and limiting Intensive Care environment. Imagine you are stuck in Intensive Care for many weeks or many months and you can finally go home? Anybody who has witnessed a transition from Intensive Care to home can confirm that 4. Compared to Australia long-term ventilated Adults& Children with Tracheostomy in Europe are able to leave Intensive Care and go home much earlier on a big scale. That frees up expensive ICU beds, minimizes costs and provides Patients and their Families with an improved Quality of life. Therefore Australia is still lacking behind. INTENSIVE CARE AT HOME is the first FULLY ACCREDITED service provider in Australia who is changing that and makes things happen! 5. INTENSIVE CARE AT HOME for long-term ventilated Adults& Children with Tracheostomy is EVIDENCE BASED and plenty of research in the field has been done to prove the concept. It’s a genuine alternative to a long-term stay in Intensive Care! After all, more than 15 years of Intensive Care at Home services is more than a long and proven track record. Check out this link here for more information https://intensivecareathome.com/evidence-based-approach/ 6. Long- term ventilated Adults& Children with Tracheostomy in a home care environment are able to either go back to school, university or even part time work if we let them. I have been involved in getting children back to school or some adults go back to work part time. We just need to create the environment for it. A lot more is possible if we take the artificial barriers that are created in Intensive Care down. Even if Patients are not in a position to be productive, home is still the better alternative, as usually their Family members can be productive and go back to work rather than spending day and night in Intensive Care... Continue reading at: https://intensivecareathome.com/6-things-nobody-ever-told-long-term-ventilation-tracheostomy-home/

https://intensivecareathome.com/ventilation-tracheostomy-long-intensive-care-stay/ VENTILATION AND TRACHEOSTOMY - HOW LONG IS THE INTENSIVE CARE STAY? 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 this week’s BLOG I want to talk about “VENTILATION AND TRACHEOSTOMY- HOW LONGIS THE INTENSIVE CARE STAY?” First up, happy new year to you, the reader of our blog! I hope you have a successful, happy and healthy new year! Thank you for continuing to support INTENSIVE CARE AT HOME’s cause and mission! Now, as you know many critically ill Patients in Intensive Care that end up ventilated with a Tracheostomy, by far exceed their projected length of stay in Intensive Care! And if you look at the medical conditions of long-term ventilated Adults& Children with tracheostomies who have exceeded their projected length of stay, they tend to be mainly medically stable, off inotropes and off sedation. And yet, many Intensive Care Units and hospitals still work from a paradigm that Patients when they leave Intensive Care either go to the ward or die. It’s a very black and white approach and it doesn’t leave much room for flexibility and it doesn’t serve Intensive Care Units and it doesn’t serve Patients and their Families! It’s a very conservative approach and it doesn’t take into consideration what our service is successfully providing to our Clients and what has successfully been done in many European countries for more than 15 years now, to take long-term ventilated Adults& Children with tracheostomies home with Intensive Home Care nursing services such as INTENSIVE CARE AT HOME! The upside of this approach is limitless as it creates win-win situations all around as it 1. Improves the quality of life and/or quality of end of life for long-term ventilated adults& children with tracheostomies and their families 2. Finally introduces cost savings for hospitals, departments of health, private health funds and other health funding agencies who pay in excess of $ 4,500 for a bed day in Intensive Care 3. Provides a holistic care model for long-term ventilated adults& children with tracheostomies and their families 4. Provides opportunities for Patients and their families who can finally carry on with their lives, rather than staying in Intensive Care for months on end 5. Frees up scarce, expensive, “in-demand” and precious ICU beds that can be used for other more acutely unwell Patients in need of an Intensive Care bed Families, who previously put their lives on hold because their loved one staying in ICU can finally go back to live their lives, go back to their jobs, families etc… rather than spending day and night in Intensive Care. If we keep long-term ventilated adults& children with tracheostomies in Intensive Care for longer than necessary, society is paying a huge cost by having disrupted Family lives, rather than providing a holistic service that takes into account the needs of all stakeholders such as the Patients, their Families, Intensive Care Units, Hospitals, Departments of health and private health insurances. Everybody who has worked in Intensive Care has seen the “Guillan Barre Patient” who has been in ICU for 6 months because of their ventilator dependency and they were otherwise medically stable. That Patient could have been weaned off the ventilator at home and then continued their treatment in hospital after being weaned off the ventilator. They can be with their family, rather than in ICU, have a better quality of life at home, free up the ICU bed and in the process save hundreds of thousands of Dollars $$$ of precious tax payers money. It’s a no-brainer... Continue reading at: https://intensivecareathome.com/ventilation-tracheostomy-long-intensive-care-stay/

https://intensivecareathome.com/can-critically-ill-patients-ventilator-go-home-die/ CAN CRITICALLY ILL PATIENTS ON A VENTILATOR GO HOME TO DIE? 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 this week’s BLOG I want to talk about “CAN CRITICALLY ILL PATIENTS ON A VENTILATOR GO HOME TO DIE?” There are very few environments where people are as close to death and dying as in Intensive Care. Even though the vast majority of critically ill Patients leave Intensive Care alive, people working in Intensive Care and Families who have lost a loved one are almost always touched by a death in ICU! It’s a very emotional experience for both, health professionals and families! And yet, we have all seen critically ill Patients on ventilators with tracheostomies who sometimes approach their end of life over many weeks or many months, where the end of life situation is less than ideal and has massive room for improvement! In many of those situations death should neither be hastened nor should it be delayed! However the question remains whether Intensive Care is the right environment if a critically ill Patient is approaching their end of life on a ventilator with tracheostomy over sometimesmany weeks and many months? Recent surveys done by Palliative Care Australia have revealed that 75% of the Australian population want to die at home if given the choice and yet less than 20% of the Australian population actually die at home... Continue reading at: https://intensivecareathome.com/can-critically-ill-patients-ventilator-go-home-die/

5 SERIOUS PROBLEMS AND FRUSTRATIONS THAT ARE NOT ADDRESSED FOR LONG-TERM VENTILATED ADULTS & CHILDREN WITH TRACHEOSTOMIES IN INTENSIVE CARE! 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 #intensivecareunit #criticalcare

https://intensivecarehotline.com/blog/5-powerful-things-you-need-to-do-if-the-intensive-care-team-is-negative-when-your-loved-one-is-critically-ill-in-intensive-care/ 5 POWERFUL THINGS YOU NEED TO DO IF THE INTENSIVE CARE TEAM IS NEGATIVE WHEN YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE! 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 this week’s BLOG I want to share with you ”5 POWERFUL THINGS YOU NEED TO DO IF THE INTENSIVE CARE TEAM IS NEGATIVE WHEN YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE!” If your loved one is critically ill in Intensive Care, chances are high that you are experiencing an overtly negative Intensive Care team! It’s bad enough that you, your family and your critically ill loved one are way outside of your comfort zone! And even worse, you and your family feel the stress, the fear, the frustrations, the anxiety and the vulnerability when you’re having a loved one critically ill in Intensive Care! There just isn’t enough support for Families of critically ill Patients in Intensive Care! On top of that Intensive Care teams tend to be very quick in painting “doom and gloom” pictures and they are very quick in pointing out the negatives rather than the positives! And they do this for a number of reasons, whether it be to protect their professional reputation, whether it be to keep your expectations low and therefore make it easier for them to “manage” you and your family and put you in your place! And I can assure you that after more than 15 years Intensive Care nursing in 3 different countries I have seen my fare share of negative Intensive Care teams and their approaches in “managing” families of critically ill Patients in Intensive Care, in order to get what they want! Their approaches in “managing” families of critically ill Patients in Intensive Care may start at being overtly negative and keeping your and your family’s expectations and hopes low, but they don’t stop there. What you and your family need in a situation where your critically ill loved one is either - very unstable and in a very critical condition - in a life threatening situation - in Intensive Care for long-term treatments and long-term stays - having a severe(traumatic) head or brain injury - threatened with an “NFR”(Not for resuscitation) or “DNR”(Do not resuscitate) order - In a situation where the Intensive Care team suggests a “withdrawal of treatment” or a “limitation of treatment” as being “in the best interest” of your critically ill loved one - approaching their end of life in Intensive Care is not negativity and “doom and gloom” pictures, painted by the “all powerful” Intensive Care team. What you and your family need instead is to regain PEACE OF MIND, regain power, regain control and regain influence fast! And if you are like 99% of families of critically ill Patients in Intensive Care you will never have PEACE OF MIND, control, power and influence, because you just sit at the sidelines and watch things passively go by. You put all your trust and “blind faith” in the “perceived power” and the “perceived authority” of the Intensive Care team! Thankfully you have come to the right place! And I know that because you are reading this that you don’t belong to the 99% of Families of critically ill Patients in Intensive Care who don’t have PEACE OF MIND, control, power and influence! I know that you’ve already sensed that “what you see is not always what you get in Intensive Care” and therefore you want to know more... Continue reading at: https://intensivecarehotline.com/blog/5-powerful-things-you-need-to-do-if-the-intensive-care-team-is-negative-when-your-loved-one-is-critically-ill-in-intensive-care/

https://intensivecareathome.com/can-you-learn-to-look-after-someone-at-home-with-a-tracheostomy-and-ventilator/ CAN YOU LEARN TO LOOK AFTER SOMEONE AT HOME WITH A TRACHEOSTOMY AND VENTILATOR? 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 this week’s blog I want to talk about “CAN YOU LEARN TO LOOK AFTER SOMEONE AT HOME WITH A TRACHEOSTOMY AND VENTILATOR?” There aren’t many long-term ventilated adults& children with tracheostomies in the community in Australia, given that it’s currently such an under-resourced area. Most long-term ventilated adults& children with tracheostomies stay in Intensive Care for far too long and unnecessarily. Therefore funding is being misallocated and is being used for expensive and unnecessary Intensive Care treatment that could be provided in a far more Patient, family and holistic care environment in the community! The few long-term ventilated adults& children with tracheostomies that end up in the community do so after many months in Intensive Care or on a respiratory ward, only to find that nobody can look after them at home and the burden of looking after them is left with their families or with non- qualified and non- skilled carers. This increases the burden for all parties involved. Patients often end up going back to Intensive Care quite frequently because 1. Nobody is accountable to keep them out of Intensive Care 2. Nobody has the skills and knowledge to keep them out of ICU 3. The lack of quality control, i.e. Some carer agencies provide staff that are not qualified to look after ventilated Patients with tracheostomies in the home and are not qualified to do so 4. The lack of strong advocacy for long-term ventilated adults& children with tracheostomies- again their stay in Intensive Care is unnecessarily prolonged and hospitals and the health system is wasting hundreds of thousands of Dollars of tax payers money every month rather than looking at a more cost effective and Patient and family friendly alternative It’s therefore that only accredited and qualified services such as INTENSIVE CARE AT HOME that work with skilled and qualified registered nurses who have ICU experience, can make a real difference in the quality of life for long term ventilated adults& children and their families. Only the right skill set and the right mindset can get long-term ventilated adults& children with tracheostomies out of Intensive Care a lot quicker and provide them with the quality of life they really need and deserve! There are no “cheap” solutions in order to get long-term ventilated adults& children with tracheostomies being discharged from Intensive Care into the community, but there are more cost effective solutions to provide home care for long-term ventilated adults& children with tracheostomies, compared to the $5,000 per day Intensive Care bed... Continue reading at: https://intensivecareathome.com/can-you-learn-to-look-after-someone-at-home-with-a-tracheostomy-and-ventilator/

https://intensivecareathome.com/what-are-the-side-effects-of-having-long-term-ventilated-adults-children-with-tracheostomies-in-intensive-care/ WHAT ARE THE SIDE EFFECTS OF HAVING LONG-TERM VENTILATED ADULTS& CHILDREN WITH TRACHEOSTOMIES IN INTENSIVE CARE? 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 this week’s blog I want to ask the question “WHAT ARE THE SIDE EFFECTS OF HAVING LONG-TERM VENTILATED ADULTS& CHILDREN WITH TRACHEOSTOMIES IN INTENSIVE CARE?” Decision making, whether on a personal or professional level, always comes with desired and undesired side effects. When it comes to long-term ventilated adults& children with tracheostomies and their stay in Intensive Care, there tend to be more undesired than desired side effects! The unfortunate reality is that whenever Intensive Care Units, Patients and their families are in this situation that somebody can’t be weaned off the ventilator quickly and they are in need of prolonged ventilation via Tracheostomy, there are numerous undesired consequences, implications and side effects that go along with this massive dilemma! Let’s take a closer look at those issues and undesired side effects • The quality of life and/or quality of end of life of long-term ventilated adults& children with tracheostomies is massively diminished in a limiting, inhibiting, sterile and often non- Patient friendly environment. Quality of life issues can range from depression to losing the will to live, as long-term Patients in Intensive Care often end up institutionalised and haven’t seen any natural daylight nor their own home environment for many weeks or months or in some cases even years • The quality of life for families of long-term ventilated adults& children with tracheostomies is massively diminished as well, as they often spend day and night in Intensive Care to be with their loved one. They are literally putting their lives on hold, with again many undesired consequences that range from not being able to work, to not being able to look after other important family members, including their children, spouses and/or elderly parents • The bed blocks in ICU- long-term ventilated adults& children with tracheostomies are growing in numbers and therefore more and more beds are being blocked in Intensive Care that are unavailable for other critically ill Patients in need of an Intensive Care bed • The growing costs and massive expenses for long-term ventilated adults& children with tracheostomies in Intensive Care are an ongoing and massive issue with costs hovering around the $5,000 mark per bed day, is a massive side effect from not thinking outside of the box and address costs, quality of life for Patients and their families in a holistic way. Thinking outside of the box means that Intensive Home Care for long-term ventilated adults& children with tracheostomies in Intensive Care is the future and is the way to go. Other first world countries have successfully adopted this win-win model of care nearly 20 years ago and they would never go back to their previous model of care! Thankfully INTENSIVE CARE AT HOME is providing services that are eliminating most of those side effects and our holistic model of care, creates a win-win situation for all stakeholders, where Patients and families can rely on quality care and hospitals, Intensive Care Units, departments of health and private health funds can minimise their expenses when it comes to long-term ventilated adults& children with tracheostomies! Everybody is winning... Continue reading at: https://intensivecareathome.com/what-are-the-side-effects-of-having-long-term-ventilated-adults-children-with-tracheostomies-in-intensive-care/

https://intensivecareathome.com/long-term-ventilation-tracheostomy-and-intensive-care-its-time-for-a-new-paradigm/ Long-Term Ventilation, Tracheostomy and Intensive Care, It’s Time for a New Paradigm! 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 this week’s blog I want to share with you “Long-term ventilation, tracheostomy and Intensive Care, it’s time for a new paradigm!” Long-term ventilated adults& children with tracheostomies in Intensive Care in Australia, stay there for way too long, compared to other first world countries! And it’s costing the tax payer around $5,000 per bed day to keep long-term ventilated adults& children with tracheostomies in Intensive Care. And the burden and not having any quality of life and/or any quality-of-end-of-life for long-term ventilated adults& children with tracheostomies in Intensive Care can’t be weighed up in monetary terms! The burden for families of long-term ventilated adults& children with tracheostomies in Intensive Care of putting their lives on hold while they are having their loved one in Intensive Care on a ventilator with a tracheostomy can’t be weighed up in monetary terms either. Bed blocks and waiting lists are growing Long-term ventilated adults& children with tracheostomies in Intensive Care block beds that could be otherwise used for more acute, unstable and critically ill Patients in need of a critical care bed. There are complex issues that go hand in hand with long-term ventilation and tracheostomy in Intensive Care! There are complex issues even when people do go home on a ventilator with tracheostomy and after two decades of practice when providing INTENSIVE HOME CARE nursing for long-term ventilated adults& children with tracheostomies instead of Intensive Care in Europe are speaking for itself and this paradigm shift is resolving a lot of the issues! Our experience and service provision for long-term ventilated adults& children with tracheostomies in Australia is speaking volumes too. The cost of providing Intensive Home care instead of providing a bed in Intensive Care is going down by more than 50%, a bed is becoming available in Intensive Care and the quality of life for long-term ventilated adults& children with tracheostomies and their families is improving! It’s a win-win situation. It’s a paradigm shift where everybody is benefiting. This new paradigm for providing Intensive Home Care services for long-term ventilated adults& children with tracheostomies as a genuine alternative to a long term stay in Intensive Care, also means that Patients and their families have choice and they don’t have to go through long and burdensome stays in Intensive Care... Continue reading at: https://intensivecareathome.com/long-term-ventilation-tracheostomy-and-intensive-care-its-time-for-a-new-paradigm/

https://intensivecareathome.com/3-reasons-long-term-ventilated-adults-children-tracheostomy-families-can-much-betteraustralia-15-years-behind-comes-intensive-home-care-c/ The 3 reasons why long-term ventilated Adults& Children with Tracheostomy and their Families can do so much better(Australia is 15-20 years behind when it comes to INTENSIVE HOME CARE compared to other first world countries) 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/ Hi it’s Patrik Hutzel from INTENSIVECAREATHOME.COM.AU where we provide tailor made solutions for long-term ventilated Adults& Children with Tracheostomy by improving their Quality of life and where we also provide tailor made solutions to hospitals and Intensive Care Units to save money and resources, whilst providing Quality Care! In last week’s blog I asked the question “How LONG can a person stay in Intensive Care on a ventilator in Australia?” You can check out last week’s update by clicking on the link here. In this week’s blog I want to talk about “The 3 reasons why long-term ventilated Adults& Children with Tracheostomy and their Families can do so much better”(Australia is 15-20 years behind when it comes to INTENSIVE HOME CARE compared to other first world countries) First of all, thank you for spending the time to read this blog! We appreciate your ongoing support and efforts to changing practice when it comes to long-term ventilated Adults& Children with Tracheostomy and their Families! Too many long-term ventilated Adults& Children are in ICU in Australia compared to other first world countries We know from experience that there are still far too many long-term ventilated Adults& Children with Tracheostomy in Intensive Care Units and we also know that there are much better options out there, compared to keeping those Patients and their Families at bay by getting them to stay in Intensive Care for far too long, without looking at how their lives can be improved by taking them home. Given that other first world countries such as Germany have long ago- in fact more than 15 years ago- adopted proven best practice when it comes to looking after long-term ventilated Adults& Children with Tracheostomy in their own homes and given that in many other European countries this proven best practice has also improved many lives of long-term ventilated Adults& Children with Tracheostomy including their Families. Australia is clearly lacking behind when it comes to proven best practice for long-term ventilated Adults& Children with Tracheostomy and clearly, compared to other first world countries, long-term ventilated Adults& Children with Tracheostomy clearly miss out on improving their Quality of life and/or Quality- of- end of life! As a matter of fact, there are 3 distinct reasons why long-term ventilated Adults& Children with Tracheostomy in Australia can do so much better, rather than staying in Intensive Care long-term A lot of “best practice” guidelines as well as experience has been gained when it comes to providing Intensive Home Care nursing services for long term ventilated Adults& Children with Tracheostomy, as a genuine alternative to a long-term stay in Intensive Care. Therefore “Mechanical Home Ventilation guidelines” have been published to provide Intensive Care in the Home services https://intensivecareathome.com/mechanical-home-ventilation-guidelines/ Continuation... https://intensivecareathome.com/3-reasons-long-term-ventilated-adults-children-tracheostomy-families-can-much-betteraustralia-15-years-behind-comes-intensive-home-care-c/

https://intensivecareathome.com/my-mom-needs-icu-nurses-at-home-for-bipap-so-she-can-leave-icu-can-intensive-care-at-home-help/ My Mom Needs ICU Nurses at Home for BiPAP so She Can Leave ICU, Can Intensive Care at Home Help? 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. 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), Home CPAP (Continuous Positive Airway Pressure) as well as IV antibiotics. We also provide services to clients that are not ventilated but have a tracheostomy. 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’re providing a genuine alternative for long-term stay in intensive care. Now, in today’s blog, I want to answer a question from Jessica who says, “Hi Patrik, My mom is in ICU after a near death incident, and now she requires BiPAP at night. She currently lives by herself but would need assistance at bedtime and in the morning regarding BiPAP if we were to take her home. Is this a service Intensive Care at Home can provide?” Absolutely, it is. Many of our clients are in similar situations, and if she only needs it at night, we can send you nurses overnight. But she will need the critical care nurse overnight. That’s why she’s stuck in ICU at the moment. And you’re already connecting the dots, which is great. What needs to happen next if you want her home, then the critical care nurses are needed during the times when she’s on BiPAP. Now, if you haven’t checked why she’s on BiPAP? Does she need, for example, high flow nasal prongs during the day, high flow nasal cannula? Or can she be without any respiratory assistance during the day? But if she’s fluctuating or alternating between BiPAP and high flow nasal prongs, she will need a critical care nurses 24 hours a day, which is evidence-based, by the way. So if you go to our website intensivecareathome.com and you look at the Mechanical Home Ventilation Guidelines section, you will see that the critical care nurse with a minimum of two years’ critical care nursing experience is needed for anyone, with ventilator, tracheostomy. But even if they’re not having a tracheostomy but need BiPAP, CPAP, they need a critical care nurses 24 hours a day as well, because if she didn’t, why can’t she leave intensive care at the moment. If she was able to leave intensive care now, she wouldn’t be needing the support you are looking for. So a lot is possible at home, but you need the right support here. Like I said, many of our clients that we have at home, either 24 hours a day, that need BiPAP intermittently have our service 24 hours a day or there are clients that only need the BiPAP overnight, and then they need the intensive care nurses overnight. I am not talking about sleep apnea here. I’m talking about clients needing BiPAP for a clinical condition such as respiratory failure Type 2 or cerebral palsy or any other conditions that might lead, end-stage lung cancer. Whatever the case may be, that’s when you need the critical care nurse 24 hours a day. Now also you haven’t mentioned, does your mom need oxygen? It’s one thing to need the BiPAP. Continuation... https://intensivecareathome.com/my-mom-needs-icu-nurses-at-home-for-bipap-so-she-can-leave-icu-can-intensive-care-at-home-help/

https://intensivecareathome.com/long-term-ventilation-and-tracheostomy-in-intensive-care-does-patient-care-need-to-be-re-invented/ Long-Term Ventilation and Tracheostomy in Intensive Care, Does Patient Care Need to be Re-invented? 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 this week’s blog I want to share with you “Long-term ventilation and tracheostomy in Intensive Care, does Patient care need to be re-invented?” Long-term ventilation and tracheostomy in Intensive Care is the second highest ranking DRG(Diagnosis related group- DRG’s AO6A & AO6B) when it comes to costs and expenses in Australia. Only LVAD(Left ventricular assist device) insertion is more expensive. Those statistics have been published by the Independent Hospital pricing authority in Australia. Hundreds of thousands and Millions of dollars ($$$) of tax payers money are being wasted, often at the detriment of Hospitals, Intensive Care Units and worst of all, the quality of life and/or quality of end of life for long-term ventilated adults& children with tracheostomies and their families! On top of the massive expenses- up to $5,000 per bed day in Intensive Care for long-term ventilated adults& children with tracheostomies, there are the issues of bed blocks when long-term ventilated adults& children with tracheostomies occupy beds long-term in ICU! Most Intensive Care Units, long-term ventilated adults& children, as well as health care funding agencies in other first world countries around the world are having similar issues- after all, Intensive Care Units in first world countries, tend to be similar and I think I’m somewhat qualified to say that, given that I worked in Intensive Care in three different countries. Other first world countries have proven the concept for now nearly 20 years! Other first world countries- mainly Germany, Austria and Switzerland- have realised more than 20 years ago that the massive expenses, as well as the poor quality of life for long-term ventilated adults& children with tracheostomies in Intensive Care are a massive dilemma and are non-sustainable. They came up with a model that is sustainable, efficient, Patient and family friendly, provides Intensive Care Units with more resources and is massively reducing the costs for Departments of health and Private health insurances. Patient care for long-term ventilated adults& children with tracheostomies was literally re-invented and it’s a win-win situation! Furthermore, in the Australian health care context, where waiting lists are an issue, by freeing up Intensive Care beds and sending long-term ventilated adults& children with tracheostomies home with specialised services like INTENSIVE CARE AT HOME, waiting lists can be reduced. Here in Australia, a home care model for long-term Intensive Care Patients is needed, as the growing and uncontrollable cost for long-term ventilated adults& children with tracheostomies in Intensive Care is getting out of control… INTENSIVE CARE AT HOME is providing such a model of care and we are very successful in providing INTENSIVE HOME CARE to our Clients and their families. We are an accredited service provider and we show on a day by day basis that our model of care works. Long-term ventilation and tracheostomy, we are re-inventing Patient and family care! For more information, you can contact me on 041 094 2230 Or you can leave your comments here on the blog... Continue reading at: https://intensivecareathome.com/long-term-ventilation-and-tracheostomy-in-intensive-care-does-patient-care-need-to-be-re-invented/