Intensive Care at Home

https://intensivecarehotline.com/questions/icu-hotline-gives-us-the-confidence-to-challenge-the-icu-team-and-fight-to-get-our-mom-home-with-tracheostomy/ ICU Hotline Gives Us the Confidence to Challenge the ICU Team and Fight to Get our Mom Home 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 episode of “YOUR QUESTIONS ANSWERED” I want to share this email from one of our clients Toni as part of our 1:1 consulting and advocacy service! Toni’s mom is in ICU and she is complaining about how the ICU team is treating her mom. Toni is thankful with the intensive care hotline because it gives them the confidence to challenge the ICU team and continue to fight to get their mom home with tracheostomy. ICU Hotline Gives Us the Confidence to Challenge the ICU Team and Fight to Get our Mom Home with Tracheostomy. ICU Hotline Gives Us the Confidence to Challenge the ICU Team and Fight to Get our Mom Home with Tracheostomy. Part 1 Hi Toni, The ventilator picture you have sent pretty much confirms that she’s stuck on a ventilator with lots of support. She’s dependent on 80% of oxygen which is a lot. The air we are breathing consists of 21% oxygen. I wouldn’t ask anyone if you’re allowed to take pictures, just take them. You can make your own decisions. Just ask them what they have to hide. Happy to get on a call tomorrow. Kind regards, Patrik RECOMMENDED: Membership for families in Intensive Care Book your free consultation call here Check out our Ebooks and videos Hello Patrik, Thank you so much for the information today. My sister was told she wasn’t allowed to be taking photos so she was able to get this one before they came in and told her to not take any. Your email was very helpful. I am going to be sending a request to the hospital tomorrow and request a meeting to address your findings. I wasn’t sure if you have any advice and if you would be willing to be on a call. We really feel we need to move quickly with this and any advice you have we will take! I do want to have you as a consultant until we get answers. Please let me know your thoughts and if you would be available tomorrow to be on a call where we address our clinical concerns. Thank you so much, Toni Hello Toni, She can be moved out of the ICU and we can help her to get to another ICU. Let’s see what we can do after the meeting as scheduled as we need to see a clear clinical picture of your mom’s current health situation. We have intensive care at home But unfortunately we are unable to provide services in your area, but we can continue with the consulting and advocacy service for families in intensive care, therefore we can do two things for you: 1) Help you get the outcomes you want for your mom by guiding you through the process. 2) Help you set up intensive home care once your mother is able to. There are very few if any home care service providers that can look after ventilation/tracheostomy at home since it’s such a highly specialized area. Kind regards, Patrik... Continue reading at: https://intensivecarehotline.com/questions/icu-hotline-gives-us-the-confidence-to-challenge-the-icu-team-and-fight-to-get-our-mom-home-with-tracheostomy/

https://intensivecareathome.com/my-18-month-old-daughter-has-a-very-complex-medical-history-she-has-a-tracheostomy-and-stuck-in-the-pediatric-icu-what-can-we-do-to-get-my-daughter-home/ My 18-month Old Daughter Has a Very Complex Medical History. She Has a Tracheostomy and Stuck in the Pediatric ICU. What Can We Do To Get My Daughter 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 today’s blog of the intensive care at home series. I want to answer a question from Paula. My 18-month Old Daughter Has a Very Complex Medical History. She Has a Tracheostomy and Stuck in the Pediatric ICU. What Can We Do To Get My Daughter Home? Now, Paula has the following situation. She says, Hi Patrik, My 18-month old daughter has a very complex medical history given her short life. She was born prematurely. She had the cardiac arrest. She then ended up with hypoventilation syndrome and she also was diagnosed with brain cancer about six months ago. She has been through chemotherapy in all of her 18 months. She has a tracheostomy and we’re stuck in the pediatric ICU and we are in Melbourne Australia. What can we do to get my daughter home? Me and my husband have been living in ICU for the last 18 months and we haven’t really been able to get home, look after our four-year old son and our family life is just horrible. What can we do as the next steps? I’m hearing that intensive care at home can take ventilated adults and children home and how can we go about it? From Paula. Hi Paula, Well, thank you so much Paula for contacting us. So, let’s look at the positives straight away. Yes, we at intensive care at home, can get you and your daughter home so you can live a normal family life. How does that happen? Well, especially for our viewers in Australia, there is now the NDIS, the National Disability Insurance Scheme and the National Disability Insurance Scheme is funding home care nursing for up to 24 hours a day and that’s how most of our clients are funded now. They’re getting funding for nurses 24 hours a day, seven days a week, 365 days of the year, as long as it’s medically necessary. And for someone that is on a ventilator with a tracheostomy, it’s medically absolutely necessary, it’s according to best practice, to evidence-based practice, which you can look up on our website, intensivecareathome.com where we publish the home mechanical ventilation guidelines that clearly demand that any ventilated patient, either inside or outside of intensive care, needs to have an intensive care nurse with them 24 hours a day and that is the gold standard. The reality is that adults and children have died at home with tracheostomies or ventilation if they’re not looked after 24 hours a day by intensive care nurses, and that’s just a tragedy and it needs to be avoided full stop whilst also looking at the quality of life for clients at home so that they can leave intensive care as quickly as possible, which also by the way, provides a win-win situation because we’re helping intensive care units to free up their beds and make room for other critically ill adults and children that are in need of intensive care beds, so win-win situation all around. And for you as a family, of course, you want to go home. We know from any families that have a situation like you are describing, it can’t work. They can’t look after other family members, their whole lives are literally falling apart and again, we can help to reinstate normality by getting clients home with basically bringing the intensive care into your home rather than you going into intensive care and again, funded by the NDIS... Continue reading at: https://intensivecareathome.com/my-18-month-old-daughter-has-a-very-complex-medical-history-she-has-a-tracheostomy-and-stuck-in-the-pediatric-icu-what-can-we-do-to-get-my-daughter-home/

https://intensivecareathome.com/i-want-information-from-my-husband-who-has-been-in-icu-for-six-weeks-on-a-downward-cycle-and-on-a-ventilator-can-he-go-home/ I Want Information for my Husband Who Has Been in ICU for Six Weeks, on a Downward Cycle and on a Ventilator. Can He Go Home? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline #icu #intensivecare #criticalcaremedicine In today’s blog, I answer another question from one of our readers and potential clients. Katie is writing in and she says, I Want Information from my Husband Who Has Been in ICU for Six Weeks, on a Downward Cycle and on a Ventilator. Can He Go Home? So I read out Katie’s question here. Katie writes, Hi Patrik, I am gathering information for my husband who has been in intensive care now for six weeks with a cycle that continues and doctors and nurses who are very nice, but unable to get to the bottom of things or get the right dosages of medications. As I said, he has been in ICU for six weeks with a cycle of going on with low blood pressure and poor kidney perfusion, complicated by atrial fibrillation and high heart rate. We are looking to bring him home, but need a knowledgeable nursing team. Before he’s going home, we know he needs a tracheostomy and at the moment he is still on a breathing tube and a ventilator. He doesn’t have a tracheostomy yet because he’s also got COVID-19 and the ICU team is reluctant to do a tracheostomy just simply because of the risk for the staff and also because he’s got high PEEP, high oxygen requirements up to 80%, and simply he hasn’t been well enough to do a tracheostomy. What should we do? Can we get my husband home? From Katie I Want Information from my Husband Who Has Been in ICU for Six Weeks, on a Downward Cycle and on a Ventilator. Can He Go Home? Hi Katie, Thank you for writing in and thank you for sharing your husband’s situation. It sounds to me like your husband is a while away from going home. The next thing that needs to happen is he needs to have a tracheostomy first. Once he has a tracheostomy, then he needs to come off all the medications that he’s on. You are describing in right dosages of medications, you’re probably referring to sedation and opiates. As soon as he has a tracheostomy, the intensive care team should be able to reduce sedation and opiates, and then hopefully slowly wean him off the ventilator. But if he’s on 80% of oxygen and a PEEP of 12, it could be very difficult for them to do a tracheostomy. He’s not stable enough. And also currently with COVID the risk of staff getting infected when a tracheostomy is done is fairly high. The other thing you mentioned is he’s currently in the ICU with a cycle going on with low blood pressure and poor kidney perfusion, complicated by atrial fibrillation and high heart rate. So again, Katie, that needs to be brought under control first. He needs to get off the inotropes/vasopressors for low blood pressure and the atrial fibrillation needs to be brought under control as well. Often how that happens in ICU is with medication such as Amiodarone, Digoxin, especially for fast AF, as well as potentially a cardioversion, which is an electrical shock. Once that’s under control, once he’s off sedation, once he’s off opiates, once he’s off the inotropes and vasopressors, once the atrial fibrillation is under control only then can you look at options such as intensive care at home. So it’s probably a little bit too early for you in that cycle. What you might want to do as a next step, Katie is have a look at our sister website, intensivecarehotline.com where we also provide consulting and advocacy for families in intensive care. Because at the moment I feel like it’s a difficult situation for you and your family, because you are unsure about what the next steps are and a lot of that we talk about at our sister site intensivecarehotline.com... Continue reading at: https://intensivecareathome.com/i-want-information-from-my-husband-who-has-been-in-icu-for-six-weeks-on-a-downward-cycle-and-on-a-ventilator-can-he-go-home/

https://intensivecareathome.com/intensive-care-at-home-is-hiring-icu-picu-nurses-in-melbourne-mornington-peninsula-warragul-drouin-sunbury-sydney-wollongong-and-wagga-wagga/ INTENSIVE CARE AT HOME IS HIRING ICU/PICU NURSES IN MELBOURNE, MORNINGTON PENINSULA, WARRAGUL, DROUIN, SUNBURY, SYDNEY, WOLLONGONG, AND WAGGA WAGGA! Contact Patrik Hutzel on +61 41 094 2230 or email patrik@intensivecareathome.com 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 Today’s blog is for ICU nurses and Pediatric ICU nurses, because here at intensive care at home, we are hiring you. Intensive Care at Home is Hiring ICU/PICU Nurses in Melbourne, Mornington Peninsula, Warragul, Drouin, Sunbury, Sydney, Wollongong, and Wagga Wagga. Today’s blog post is different from all of our other blog posts. Most blog posts, we answer questions for families in intensive care or families that are interested in our service where we provide ICU/PICU nurses, 24 hours a day for mainly long-term ventilated adults and children with tracheostomies at home. Today’s blog post is mainly for ICU and pediatric ICU nurses that live in the Melbourne metropolitan area, on the Mornington Peninsula (Bittern, Patterson Lakes) in the Warragul, Drouin, Leongatha and Trafalgar area in South Gippsland in Victoria, but also for ICU and Pediatric ICU nurses that live in the greater Sydney area, Wollongong in New South Wales, as well as Wagga Wagga in New South Wales. Because we are expanding our nursing team, we are looking for highly motivated, experienced ICU and Pediatric ICU nurses that have a minimum of two years ICU or Pediatric ICU nursing experience and that ideally have completed a post-graduate certificate/ diploma or equivalent in intensive care. If you are an ICU/PICU nurse that is interested in expanding your skills into the community and work with our clients and their families, you’ve come to the right place! We are a niche service provider that helps our clients and their families improving their quality of life at home instead of staying in intensive care indefinitely because of their ventilation and tracheostomy requirements. We also look after Clients on home TPN or BIPAP/ CPAP ventilation. Intensive Care at Home is Hiring ICU/PICU Nurses in Melbourne, Mornington Peninsula, Warragul, Drouin, Sunbury, Sydney, Wollongong, and Wagga Wagga. If you want to join a dynamic, innovative and fast-growing team of highly motivated ICU and PICU nurses, you should come to us here at intensive care at home. We offer above-award salaries. We offer career progression opportunities and we are the first accredited, intensive care at home nursing service provider in Australia. We already employ in excess of 500 years ICU and pediatric ICU experience that we’re now bringing into the community. We’re basically running a small ICU in the community. And if you want to join an innovative and progressive service that is really delivering on what clients want and need, you will be joining the right team. We support our staff with introduction to clients, often with meet and greet and shadow shifts. And we have various sites where people can work. You wouldn’t be working only with one client. Ideally we have our staff work with at least two clients sometimes even with three clients so that we can have that flexibility and you will be learning the ropes along with our senior staff that have worked with us for many years now. If you are interested in joining us, either send your CV to Patrik@intensivecareathome.com or just give me a call on 041 094 2230 and you can find out more about the job opportunities that are available, and I can tell you more... Continue reading at: https://intensivecareathome.com/intensive-care-at-home-is-hiring-icu-picu-nurses-in-melbourne-mornington-peninsula-warragul-drouin-sunbury-sydney-wollongong-and-wagga-wagga/

https://intensivecareathome.com/can-intensive-care-at-home-train-family-members-to-look-after-their-loved-ones-on-a-ventilator-and-a-tracheostomy/ CAN INTENSIVE CARE AT HOME TRAIN FAMILY MEMBERS TO LOOK AFTER THEIR LOVED ONES ON A VENTILATOR AND A 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 So in today’s blog post, I want to talk about, Can Intensive Care at Home Train Family Members to Look After their Loved Ones on a Ventilator and a Tracheostomy? This is a question we get very often from families that come to us that have a loved one in intensive care, or have a loved one at home on a ventilator with a tracheostomy, whether we can train them. They also asked that question if their loved ones only have a tracheostomy or are ventilated with BiPAP, CPAP and don’t have a tracheostomy. Now, the short answer to this question is a clear no, and I will evaluate on that. Can Intensive Care at Home Train Family Members to Look After their Loved Ones on a Ventilator and a Tracheostomy? So when someone is having a tracheostomy, is having a ventilator, it takes years of training to look after someone on a ventilator with the tracheostomy. It also takes years of training to look after someone with a tracheostomy. Now, I would argue that 99% of patients with a tracheostomy when in hospital are in intensive care and in intensive care, doctors, nurses, etc., need to go through specialized training, to work in intensive care and that includes looking after ventilator, looking after tracheostomy. The reason why someone is in intensive care, if they’re on a ventilator and a tracheostomy is simply that their life is in danger and that it takes those specialist skills to manage, maintain a ventilator/tracheostomy. The risk for a medical emergency is huge when someone has an artificial airway, because that is what a tracheostomy is. Also if someone is ventilated without a tracheostomy and they’re on BiPAP or CPAP ventilation, they’re still on a mechanical ventilator and the reality is, that the risk that something goes wrong when someone is on a ventilator is fairly high. And therefore, people need to know what they’re doing. The best analogy that I can make is, when someone is on a ventilator and a tracheostomy or both, if you’re not having intensive care nurses or intensive care doctors manage that, it’s like flying a plane with a cabin crew and not with a pilot. So therefore we are unable to train families because you need to understand anatomy. You need to understand physiology. You need to have seen emergencies and how to successfully manage them. And unless you’ve done this numerous times, like we all have here at Intensive Care at Home where we employ hundreds of years of intensive care nursing experience. We just can’t pass on that intellectual property in a quick training session because as I mentioned, this takes years of experience. I’ll give you some practical examples so you can understand why I’m saying what I’m saying. Number one, on our website at intensivecareathome.com, we have published the home mechanical ventilation guidelines. Now, if you look at the home mechanical ventilation guidelines, it clearly demands not suggests, it clearly demands that when someone is having a ventilator and/or a tracheostomy at home, they need to be intensive care nurses/critical care nurses, 24 hours a day full stop. Now, those guidelines are a result of having performed intensive care at home services for the last 25 years, predominantly in German speaking countries but now also in Australia for the last seven years where we have certainly proven our concept here without a shadow of a doubt... Continue reading at: https://intensivecareathome.com/can-intensive-care-at-home-train-family-members-to-look-after-their-loved-ones-on-a-ventilator-and-a-tracheostomy/

https://intensivecareathome.com/is-it-possible-for-my-mom-to-be-weaned-off-the-ventilator-at-home-through-intensive-care-at-home/ IS IT POSSIBLE FOR MY MOM TO BE WEANED OFF THE VENTILATOR AT HOME THROUGH 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 #icu #intensivecare #criticalcare In today’s blog, I answer another question from one of our readers and potential clients. Carolyn is writing in and she asks, Is it Possible For My Mom to be Weaned Off the Ventilator at Home through Intensive Care at Home? Hi Patrik, I came across your website, intensivecareathome.com and I also heard from some of your clients about your intensive care at home services. From what I read and from what I heard from your clients, it is possible for people to be weaned off the ventilator at home. My mom who’s 72 is currently on a ventilator and tracheostomy in an ICU in Melbourne. She’s been in the ICU for about two months now, and they want to transfer her to another hospital with a long-term weaning unit in Melbourne to continue the weaning process. We are not happy with the quality of care she’s been receiving in the ICU, and we are worried that it will get worse at the long-term weaning unit at the other hospital here in Melbourne. We haven’t heard many good things about this weaning unit. I wanted to see how we could possibly continue to wean her at home, for example, where do we purchase a ventilator, necessary equipment and accessories besides 24 hours, seven days a week, 365 days ICU nursing. Where do we contract respiratory physicians? How do we do arterial blood gas testing? Please let us know as soon as possible. If you can provide these services, as my mom may be transferring out of ICU very soon, and we’re trying to avoid this and rather get her home. Thank you. From Carolyn. Hi Carolyn, Thank you so much for writing in, to cut to the chase, yes, it is definitely possible for patients to be weaned at home. We have been doing this successfully on a couple of occasions. Now, given that your mom has been struggling to come off the ventilator for a couple of months now, it’s probably fair to say that the weaning process might take a little bit longer. Please bear in mind though, that intensive care at home is a great service for the right patient at the right time. If your mom has any chance to come off the ventilator in the next couple of weeks, she probably should stay, get off the ventilator and then go home because going home off the ventilator is just so much easier, but nevertheless, if your mom wants to come home on a ventilator for weaning, we can certainly do that. You’re asking, where do you purchase a ventilator and necessary accessories? Now, most of the time when we take clients home, the hospitals or funding bodies provide the equipment as well, as much as they fund the nursing service as well, the 24-hour intensive care at home nursing service. In terms of accessing doctors, respiratory physicians in particular, but also intensivists, again, it’s probably best to talk to us. We can help you with setting you up with the right people. And then you’re asking, how do you do ABG testing? Well, there are some ABG tests available that you can do it at home. They do it in ED or in the emergency department, emergency rooms as well with a capillary test. So the process going home needs to be well-thought through. We have done it many, many times, and again, we can help you with that as well, setting you up with ICU nurses at home 24-hours a day and go from there and then we can start with the weaning at home. So I really hope that answers your question and thank you for tuning into this week’s blog. Take care... Continue reading at: https://intensivecareathome.com/is-it-possible-for-my-mom-to-be-weaned-off-the-ventilator-at-home-through-intensive-care-at-home/

https://intensivecareathome.com/5-reasons-why-intensive-care-at-home-creates-a-safe-space-for-long-term-ventilated-patients-and-their-families/ 5 Reasons Why Intensive Care at Home Creates a Safe Space for Long-Term Ventilated Patients and their Families 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 So today’s blog post is, 5 Reasons Why Intensive Care at Home Creates a Safe Space for Long-Term Ventilated Patients and their Families So let’s get right into it. 1. The focus for intensive care at home, the long-term ventilated clients and their families is all about on the clients and on the family’s needs, which is to be at home with their families. You do not get the same in intensive care, but you do get the intensive care coming into the home, which is why it is so client and family focused, which leads me right into number two. 2. Our clients are at home and that’s where they should be. That’s where they want to be rather than a long-term stay in intensive care, long-term ventilated patients or clients, as well as long-term intensive care patients even if they’re not ventilated, they might be medically complex, should be at home, not in intensive care. It’s all about creating choice for patients, for clients and their families. And that’s what we do at intensive care at home. We focus on clients and families choice. 3. We are focusing on client’s lives and client’s living their lives, not so much on treatment, whilst we’re offering treatment and therapy at home as well. The focus is on both. We are focusing on improving the quality of life for clients and their families. We’re also focusing continuing treatment at home. Whereas in ICU, the focus is only on treatment, not on quality of life. 5 Reasons Why Intensive Care at Home Creates a Safe Space for Long-Term Ventilated Patients and their Families 4. Focus is again on quality of life and quality of end of life. So, some patients in intensive care inevitably approach their end of life, but they can do that at home with our service intensive care at home and they can approach the end of life at home, which is so much more family-friendly, client friendly, and it’s just what clients and their families want. And it also provides a win-win situation. We can help ICU’s to free up their in demand beds and we therefore create capacity for intensive care units to take in critically ill patients that are in a higher need of an ICU bed then long-term ICU patients. 5. And last but not least, especially in Australia, let’s focus on the NDIS for a moment. The National Disability Insurance Scheme, most intensive care units have no idea that the National Disability Insurance Scheme, which is where most of our clients now get their funding from is actually helping intensive care units to empty their ICU beds and they’re not even aware of it... Continue reading at: https://intensivecareathome.com/5-reasons-why-intensive-care-at-home-creates-a-safe-space-for-long-term-ventilated-patients-and-their-families/

https://intensivecareathome.com/my-brother-is-very-sick-in-icu-with-a-mental-health-condition-the-doctor-said-he-will-be-out-in-palliative-care-can-you-please-advise-me-what-my-options-are-how-does-your-intensive-care-program-wo/ My Brother is Very Sick in ICU with a Mental Health Condition & the Doctor Said He Will Be Out in Palliative Care. Can You Please Advise Me What My Options Are? How Does your Intensive Care at home Program Work? 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 today’s blog of the intensive care at home series. I want to answer a question from Athena. My Brother is Very Sick in ICU with a Mental Health Condition & the Doctor Said He Will Be Out in Palliative Care. Can You Please Advise Me What My Options Are? How Does your Intensive Care at home Program Work? Now Athena writes, Hi Patrik, My brother is very sick in ICU at a well-known hospital in Sydney. He has a mental health condition and developed catatonia. He’s bedridden and has a feeding tube. He also has type 2 diabetes and a kidney problem from the lithium treatment. The doctor said that if his treatment for his electroconvulsive therapy doesn’t work, then they’re stopping the feeding tube, the ventilator, and he will be out in palliative care. He has been intubated as part of the catatonic issues and the convulsions. We don’t want him to die and we want to keep him alive, he’s only 37. Can you please advise me what my options are? Do you provide advocacy? How does your intensive care program work? Thank you for your time. We will do anything to keep him alive and get him home eventually. From Athena My Brother is Very Sick in ICU with a Mental Health Condition & the Doctor Said He Will Be Out in Palliative Care. Can You Please Advise Me What My Options Are? How Does your Intensive Care Program Work? Hi Athena, Thank you for your question and here is what I would advise as a next step. Your brother is only 37 and it sounds like, he’s very young and I’m sure you want him to live and it’s not up to the intensive care team to just send him to palliative care because they think it’s appropriate. I don’t think it’s for anyone to say to go to palliative care, if the wishes of a patient have not been respected. I don’t know whether your brother has an advanced care directive or not, but in any case, even if he doesn’t, you ask the next of kin or medical power of attorney, can make decisions for him. And if you don’t agree that he should move to palliative care, then it’s your choice and your choice only, especially at such a young age. The next step really is if he can’t come off the ventilator, the next step is, he probably would need a tracheostomy. If he has a tracheostomy and he’s then medically stable and he can’t be weaned off the ventilator or we’ll need some time to get off the ventilator, we can take him home and go from there. Now, two things there, number one with the advocacy, if you look at our sister side intensivecarehotline.com, we are providing a professional consulting and advocacy service there for families in intensive care. Number two, going home is possible with the NDIS now, with the National Disability Insurance Scheme here in Australia, as you’re aware, your brother is only 37 and the NDIS with the right advocacy funds 24-hour nursing care at home with intensive care nurses for ventilation and tracheostomy. So we can help you with the advocacy and we can help you with taking your brother home with intensive care at home, if that’s what you wish. So I hope that answers your question. Please reach out to us if you want to take the next step. Thank you so much... Continue reading at: https://intensivecareathome.com/my-brother-is-very-sick-in-icu-with-a-mental-health-condition-the-doctor-said-he-will-be-out-in-palliative-care-can-you-please-advise-me-what-my-options-are-how-does-your-intensive-care-program-wo/

https://intensivecareathome.com/my-38-year-old-sister-is-in-icu-with-ovarian-cancer-on-tpn-can-she-go-home/ My 38-year old Sister is in ICU with Ovarian Cancer on TPN. Can She Go Home? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline #icu #intensivecare #criticalcare In today’s blog post, I want to answer a question from one of our clients and the question today is My 38-year old Sister is in ICU with Ovarian Cancer on TPN. Can She Go Home? So Lorena writes, Hi Patrik, My 38-year old sister has been diagnosed with stage 4 ovarian cancer. She has been in and out of ICU after surgery, and thankfully, while she’s not ventilated, she does require a 24 hours TPN and she has a central line. Now, the hospital is very reluctant to discharge her home saying that TPN can’t be managed at home without 24-hour nursing care. What are our options to leave the hospital? We are so tired going to hospital every day to support our sister. We desperately want to go home. Can you please let us know what our options are? From Lorena. Hi Lorena. Thank you so much for making contact and sharing your sister’s situation with us. Lorena, your sister can go home with TPN. There’s absolutely no reason why she can’t go home as long as she’s hemodynamically stable. You haven’t mentioned anything about ventilation. You haven’t mentioned anything about inotropes or vasopressors. So on that end, your sister can go home because with a service like Intensive Care at Home, we can manage central lines at home, PICC lines at home. We can manage the infusion, obviously with the pump, with the TPN, especially with TPN, there can be a lot of air alarms in particular because it’s so sensitive with the solution that’s running through the pump. So, you know, there’s often a lot of troubleshooting going on just by having the infusion running. And you certainly don’t want air going into your sister’s body and if that’s not being troubleshooted properly and not being troubleshooted 24 hours a day, it could cause great damage. Furthermore, just hooking on and hooking off TPN really requires the skill of a critical care nurse. And also, just a dressing change for a central line or for a PICC line, again requires the skill of a critical care nurse. Flushing the lumens on the central line and on the PICC line, again requires the skill of a critical care nurse who is used to dealing with central lines or PICC lines all the time. So the options really are to, you know, talk to us more and look at the options of taking your sister home if she needs 24-hour TPN and therefore also 24-hour nursing care with intensive care nurses who can manage the TPN and the PICC line/central line. You should also be looking at NDIS funding or potentially a hospital in the home funding and take the first step there but we can help you with accessing, especially NDIS funding. We are quite experienced in advocating for our clients and with our clients to get the funding necessary to leave hospital and have a better quality of life at home, or in some instances have a better quality of life at home. If you have any other questions, please let me know. Take care. From Patrik... Continue reading at: https://intensivecareathome.com/my-38-year-old-sister-is-in-icu-with-ovarian-cancer-on-tpn-can-she-go-home/

https://intensivecareathome.com/they-are-neglecting-my-mom-in-icu-i-want-to-take-her-home-can-your-services-at-intensive-care-at-home-help-me-and-my-mom/ They Are Neglecting My Mom in ICU & I Want To Take Her Home. Can your Services at Intensive Care at Home Help Me and My Mom? 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 today’s blog post, I want to answer a question from one of our clients and the question today is They Are Neglecting My Mom in ICU & I Want To Take Her Home. Can your Services at Intensive Care at Home Help Me and My Mom? Hi Patrik, My mom has been in intensive care for 95 days with a bad bout of pneumonia after chemotherapy for her cancer treatment. She is getting blood transfusions currently and other maintenance care. They do not make sincere efforts to wean my mother off the ventilator and they are grossly neglecting her. They leave her in bed with no proper care or any physical or occupational therapy. They are leaving her there like a vegetable to die. I want to get her off the ventilator and the tracheostomy and come home. I am finding it hard to transfer her to another ICU for a second opinion and admittance if needed and to see if they can wean her off the ventilator, but I get no support from the management of the hospital to do so. Please help. I urgently need to know more about intensive care at home services, and if it is covered by the NDIS. I am in the process of applying for NDIS services and nursing care services through the NDIS. I would ideally and urgently liked to bring her home with a better quality of life. Please contact me as soon as possible. Thank you very much. From Katherine. Hi Katherine, Thank you so much for sharing your mother’s situation. It sounds very sad that your mom has been in ICU for nearly a hundred days now. They can’t wean her off the ventilator and it sounds to me like they’re not even making any efforts for it. And I’m also not overly surprised that they wouldn’t want the second hospital to look at your mom’s situation because they would probably pick up on the negligence that seems to be happening there. In any case, I do believe if your mom can’t come off the ventilator, still has the tracheostomy and wants to go home. I do believe that the NDIS and our service can help you. We are obviously NDIS accredited and the NDIS now is funding nursing care for ventilated patients with tracheostomy at home. So we can definitely help you. We can definitely help you with the NDIS application process. We can help you in the advocacy process for the NDIS, and we can help you with what evidence needs to be provided to qualify for intensive care at home. But it sounds to me like the evidence is already there, especially after a hundred days in ICU or an intensive care. It sounds horrible to me when you’re saying that they are leaving her in hospital, like a vegetable to die. I mean, I can only imagine what you and your family are going through just watching that. And I do believe that in a home care environment, we are wanting to treat your mother like a person, and we are wanting to ensure that she gets best care and treatment. And you will also find that by the time you are at home with your mother, you will have more control over the situation because we are working with you and not against you. It sounds like the ICU there might be working against you and not with you. So that is my suggestion. Contact us, we’ll help you with the NDIS application process. We’ll help you with the evidence that needs to be provided to get the 24-hour nursing care for your mother at home, with intensive care at home. And also for the hospital, it’s actually a win-win situation. They are freeing up an ICU bed and they’re saving half of the cost. So it’s a win-win situation. Thank you so much and all the best. From Patrik... Continue reading at: https://intensivecareathome.com/they-are-neglecting-my-mom-in-icu-i-want-to-take-her-home-can-your-services-at-intensive-care-at-home-help-me-and-my-mom/

https://intensivecareathome.com/my-husband-is-in-icu-on-a-ventilator-and-may-qualify-for-ndis-can-you-help-me-take-him-home-through-intensive-care-at-home/ My Husband is in ICU on a Ventilator and May Qualify for NDIS. Can you Help me Take Him Home through 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 #icu #intensivecare #criticalcare In today’s blog post, I want to answer a question from one of our clients and the question today is My Husband is in ICU on a Ventilator and May Qualify for NDIS. Can you Help me Take Him Home through Intensive Care at Home? Hi Patrik, My partner of 17 years is still in ICU. It has been 50 days yesterday. After checking into the emergency department, he ended up being intubated and on a ventilator. After a couple of weeks, he ended up with a tracheostomy and they still can’t wean him off the ventilator. He’s got a severe pneumonia and he was in an induced coma for many weeks, and now he’s too weak to come off the ventilator. They also now noticed that he’s paralyzed on the left side, and they found a bleed about 4 X 4 mm at the basal in the CT scan of the brain. For about five weeks now, they have tried to wean him off the ventilator. They have tried to wake him up and he simply can’t come off the ventilator and he’s not waking up. I now learned that my partner might qualify for the NDIS. We are in Melbourne, Australia, and I heard about your service and we heard that he can qualify for the NDIS because he’s disabled and he’s now blind. The NDIS seems to be willing if the doctor approves, meanwhile, the ICU is talking to me about end of life and he’s talking to me about that we should just stop the ventilator. My partner is only 54 years of age. I’m unable to find anyone that wants to take him home. So I have come across your service and the NDIS even told me about your service. I have a beautiful bedroom with attached living room that is furnished and there would be enough space for my partner to live in there. I’m trying to keep going on this, even though the ICU team is very negative, but I feel like taking him home and trying to look after him at home while he is on a ventilator. It is so much better than staying in ICU for another six weeks. Can you help me? From Elise. Hi Elise, Thank you so much for making contact. It sounds to me like we can help you. The NDIS funds nursing care for long-term ventilated clients with tracheostomy and it sounds to me like we can help your partner to get home. If he had a stroke after the pneumonia, which sounds like has happened, he might need a little bit more time to wake up, but I guess that doesn’t necessarily help him to come off the ventilator. And if he can’t come off the ventilator and the trache, it’s definitely the best option to take him home. And like you correctly pointed out, the NDIS now is funding 24-hour nursing care for ventilated patients with a tracheostomy and given that your partner is 54, he will qualify for that. It needs more than just a doctor’s letter. It needs an assessment from the NDIS. It also needs a nursing assessment. So it needs a few assessments, obviously, because it’s not a straightforward process. However, most of our clients are now funded by the NDIS. So the process is definitely there. You just need to get it started and we can help you with the process. Weaning off the ventilator at home is possible. I’m unsure of why they haven’t been able to wean your partner off the ventilator in ICU yet. But that’s something we can find out when we talk to the doctors there in any case. The next step really is to contact us again and then we can help you with the next steps to get the funding through the NDIS and take your partner home. Take care for now. From Patrik... Continue reading at: https://intensivecareathome.com/my-husband-is-in-icu-on-a-ventilator-and-may-qualify-for-ndis-can-you-help-me-take-him-home-through-intensive-care-at-home/

https://intensivecareathome.com/my-mom-is-now-165-days-in-icu-on-the-tracheostomy-the-ventilator-can-you-help-us-bring-her-home-asap/ My Mom is Now 165 days in ICU on the Tracheostomy & the Ventilator. Can You Help Us Bring Her Home ASAP? 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 today’s blog post, I want to answer a question from one of our clients and the question today is My Mom is Now 165 days in ICU on the Tracheostomy & the Ventilator. Can You Help Us Bring Her Home ASAP? Hi Patrik, My mother is still in ICU on the tracheostomy and the ventilator. The ICU will not cooperate and discharge her home with services like Intensive Care at Home yet. And ultimately she would like to get managed at home and so do we, as her family. The ICU is telling us she can’t come off the ventilator. She has been in ICU now for 165 days, and we feel like she’s not getting the care she needs. And so far there are no signs that she can come off the ventilator. She’s too weak after being in a prolonged induced coma. She initially went into ICU with a pneumonia, had complications with the pulmonary embolus. She went into AF, she had pulmonary edema and just couldn’t be weaned off the ventilator. Every time they tried to get her out of the induced coma, she was fighting against the ventilator. She was neurologically not coherent, and therefore they ended up re-sedating her until she ended up with a trach. And that got her stuck in ICU. Now she’s depressed. She is getting out of bed here and there. She is getting physical therapy here and there, but it doesn’t seem to be enough. And after 165 days in ICU, she just had enough. And we as a family had enough, we’re sick of going into ICU every day and visiting her there knowing that services like Intensive Care at Home are out there and we want her home as soon as possible. I have made a complaint to the hospital, but so far they are not even discussing a discharge home yet. They’re saying, she can’t go home before she’s been weaned off the ventilator. My mother is only 56 and we are in Sydney, Australia, and we want to go home as quickly as possible. Will the NDIS pay for this? I’ve hope that your services are not out of pocket. Please help us bring our mother home as soon as possible. From Sally. Hi Sally, Thank you so much for sharing your mother’s situation. It sounds to me like your mother is more than ready for a discharge with Intensive Care at Home. If she’s on a ventilator with a trach and she can’t be weaned off the ventilator, she can definitely go home. You haven’t mentioned anything that she’s not stable. I presume she’s medically stable, not on any inotropes or vasopressors. If that’s the case, we can take her home fairly quickly. We need a few weeks to set up a roster, of course, but that can be sorted out and then she can go home with 24 hours Intensive Care at Home nursing under the NDIS. The NDIS will pay for nursing services at home for ventilation and tracheostomy. The best next step is really for us to talk to the hospital about discharge planning, speak to the NDIS about the funding, and then we can get the ball rolling. But there is definitely hope for you and for your mother to go home as quickly as possible, leave ICU behind, you and your mother. I can understand that she would be depressed and doesn’t have any quality of life there in ICU and she needs to go home as quickly as possible. Please get in touch with us if you have any other questions and then we can get the ball rolling. Thank you... Continue reading at: https://intensivecareathome.com/my-mom-is-now-165-days-in-icu-on-the-tracheostomy-the-ventilator-can-you-help-us-bring-her-home-asap/

https://intensivecareathome.com/my-mom-is-in-icu-on-a-ventilator-with-a-tracheostomy-for-2-months-now-and-i-want-her-to-recover-come-home-what-do-i-do-please-help/ My Mom is in ICU on a Ventilator with a Tracheostomy For 2 Months Now and I Want Her to Recover & Come Home. What do I do? Please 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 #icu #intensivecare #criticalcare In today’s blog post, I want to answer a question from one of our clients and the question today is My Mom is in ICU on a Ventilator with a Tracheostomy For 2 Months Now and I Want Her to Recover & Come Home. What do I do? Please help! Hi Patrik, Thank you so much for the information that you have put on your website. It has helped me and my family out so much with my mom being in intensive care on a ventilator with a tracheostomy for two months now. They wanted to help her wean off the ventilator, but I just feel helpless since they only allow three visits per week and that isn’t right. My mom needs a family to be there for support so she doesn’t feel suppressed, feel depressed or neglected or abandoned by us. If they would allow me to be by her side every day, I would but they don’t call. And I asked to speak with the doctor so they can check her throat for any damage from the tube from the ventilator she had before the tracheostomy and the doctors and the nurses are not returning my calls. It’s been a week now I called and they take forever to get a nurse on the phone. And even then to answer the nurses station takes a long time. I feel that they’re not doing too much. They should be working with her every day to help her get off the ventilator and breathe on her own. I asked them when will she get the therapy to get her off the ventilator and the nurse said on Monday, that it will be on Saturday and that’s what they promised me. But on those days she ain’t getting the therapy. Every day is critical. The more time she will be on a ventilator, the less likely it is she will get off the ventilator. She has had open-heart surgery to replace her atrial valve. And she had a couple of minor strokes after the open-heart surgery. She recovered from that, she’s diabetic, but when she was living with me, we had her sugar and her weight under control. So that helped her too overcome the surgery and the strokes. Initially was a big shock, but again, she is improving and she’s following my commands, like squeezing my hands and she’s opening eyes. She is overweight, even though she now lost some weight since she’s been in ICU. Her insulin was reduced before she went into hospital because she had her sugar well under control. So that was a good thing. But then her kidneys weren’t working well, but from many weeks now of antibiotics, it got better. She recuperated from that as well. And then she ended up with sepsis in the ICU, after she had open-heart surgery. She got better from that as well when she was on antibiotics for almost six weeks. But it’s now been over two months since she’s in ICU. Then her lungs had fluids and they did a bronchoscopy. They helped to get the fluids off the lung. They gave her diuretics, but it was all part of her kidneys failing as well. Then, after she couldn’t come off the ventilator when she had fluids in the lungs, after the open-heart surgery, she ended up with a tracheostomy and here we are two months later, we’re still not getting off the ventilator. It feels like everything is on hold now. And I feel like my mom is really trying not to give up, but the doctors and the nurses are not really trying hard enough to get her off the ventilator and that keeps my mom’s recovery on hold and in danger. I feel that if they would be putting in more effort in helping her every day and allowing me and my other family members to be there by her side, helping her, she would be off that ventilator a long time ago... Continue reading at: https://intensivecareathome.com/my-mom-is-in-icu-on-a-ventilator-with-a-tracheostomy-for-2-months-now-and-i-want-her-to-recover-come-home-what-do-i-do-please-help/

https://intensivecareathome.com/what-difference-intensive-care-at-home-makes-in-the-quality-of-life-for-a-long-term-ventilated-patients-with-tracheostomy-at-home/ The Difference Intensive Care at Home is Making in the Quality of Life for Long-Term Ventilated Patients 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 today’s blog post, I want to answer a question from one of our clients and the question today is The Difference Intensive Care at Home is Making in the Quality of Life for Long-Term Ventilated Patients with tracheostomy! So, today I want to talk about what difference Intensive Care at Home makes in the quality of life for long-term ventilated clients with tracheostomy. And I want to illustrate that with a case study today. So, we are currently working with a young man who is in their early twenties. And when we first started working with the young man, we worked in partnership with another service provider, but the other service provider couldn’t keep the clients safe just simply because they had a big issue with staff selection and they couldn’t select the right staff for the client because they, in their mind, were thinking that enrolled nurses or registered nurses without ICU experience could keep a ventilated client safe. Now, nothing could be further from the truth and I will provide the evidence for that in a minute. But just again, to illustrate that if you look at ICUs, for example, you wouldn’t send an enrolled nurse or a nurse from the general ward or from the general floor into ICU to look after a ventilated patient. That would be like flying an airplane with the cabin crew instead of the pilot. And the same is applicable in a home care environment where Intensive Care at Home is providing home care services that are evidence-based, according to the “Home Mechanical Ventilation Guidelines.” And this research has clearly shown that the only way you can safely look after a ventilated client at home with a tracheostomy with adults or children, is with intensive care nurses with a minimum of two years ICU experience. Plus, ideally a post-graduate critical care certificate or the equivalent. And that’s exactly what we’re doing with Intensive Care at Home. That’s all we do. That’s all our clients get. They’re getting an intensive care nurse with a minimum of two years, ICU, pediatric ICU experience. And most of our nurses have a postgraduate qualification as well... Continue reading at: https://intensivecareathome.com/what-difference-intensive-care-at-home-makes-in-the-quality-of-life-for-a-long-term-ventilated-patients-with-tracheostomy-at-home/

https://intensivecareathome.com/my-husband-is-in-icu-on-a-ventilator-with-a-tracheostomy-hes-getting-depressed-in-icu-and-we-want-to-bring-him-home-please-help/ MY HUSBAND IS IN ICU ON A VENTILATOR WITH A TRACHEOSTOMY. HE’S GETTING DEPRESSED IN ICU AND WE WANT TO BRING HIM HOME. PLEASE 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 #icu #intensivecare #criticalcare In today’s blog post, I want to answer a question from one of our clients and the question today is My Husband is in ICU on a Ventilator with a Tracheostomy. He’s Getting Depressed in ICU and We Want to Bring Him Home. Please Help! Hi Patrik, My name is Denise and I am reaching out to you on behalf of my husband, John. My husband has been diagnosed with COPD and now, also has pneumonia. He was hospitalized on June the 10th and has been in and out of ICU since then. He currently has a tracheostomy and during the day he’s off the ventilator, overnight he’s on pressure support ventilation. He’s mentally and physically stable. And at this point they’re going to keep him in ICU because he’s got nowhere to go. My husband is 68 and me and my family are very upset with this decision for many reasons. We want him at home because he’s getting very depressed in ICU. He’s having sleepless nights. He’s tired during the day and his day and night rhythm is completely upside down. The ICU team also has warned us about him staying in ICU for much longer that he may catch a hospital infection and that he may die. So they are telling us that they keep a very close eye on his care, so he doesn’t fall through the cracks. However, now they want to give him a one to two, nurse-to-patient ratio and I am not sure whether my husband is ready for that. And whether that would really help him with attending to all his needs, which are quite complex, which leads me to another concern with current COVID restrictions. The visitation for this hospital is insane. You can only visit one hour a day from nine to five. So I need to keep up on his care. And how can I do that with these restrictions? I am disabled due to a spinal cord injury and I cannot drive. I am self-sufficient other than driving. We live with our daughter and her husband. She is very knowledgeable in the medical field because she’s a med tech. Your expertise on this subject would be very much appreciated in regards to intensive home health care. Please get back to me at your earliest convenience. We are in Sydney, Australia. I thank you also in advance for your attention to this matter. From Denise. Hi Denise, Thank you so much for writing in and sharing your husband’s situation. Unfortunately, you and your husband are in a very similar situation to many of the families that have a loved one in intensive care long-term. And as long as your husband can’t come off the ventilator overnight he would be stuck in ICU unless he will go home with our service Intensive Care at Home. We can certainly make that happen. It sounds to me like the only thing that’s keeping him in ICU is the tracheostomy and the ventilation. And what might be stopping him as well is the lack of perceived alternatives from the ICU perspective. So I think the next step for you is to bring up our service Intensive Care at Home and then we can organize a meeting with the intensive care team to get your husband home, because that’s where he should be. Now, you haven’t mentioned how far away your husband is to be weaned off the ventilator. You haven’t shared what is his pressure support? What is his PEEP? What is his FiO2? Does he need frequent suctioning? Can he talk when he’s off the ventilator? You haven’t shared any of that. And it would be very good to find out what ventilator settings is he on? Is the pneumonia cleared? Is he still on antibiotics? How often does he get out of bed? How is your home set up... Continue reading at: https://intensivecareathome.com/my-husband-is-in-icu-on-a-ventilator-with-a-tracheostomy-hes-getting-depressed-in-icu-and-we-want-to-bring-him-home-please-help/

https://intensivecareathome.com/can-your-services-at-intensive-care-at-home-help-my-husband-with-end-stage-motor-neuron-disease-to-have-the-option-to-live-rather-than-helping-him-die-comfortably/ CAN YOUR SERVICES AT INTENSIVE CARE AT HOME HELP MY HUSBAND WITH END-STAGE MOTOR NEURON DISEASE TO HAVE THE OPTION TO LIVE, RATHER THAN HELPING HIM DIE COMFORTABLY? 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 today’s blog post, I want to answer a question from one of our clients and the question today is Can your Services at Intensive Care at Home Help My Husband with End-Stage Motor Neuron Disease to Have the Option to Live, Rather than Helping Him Die Comfortably? Hi Patrik, I am very interested in your blog and service. My husband has end-stage motor neuron disease and is on non-invasive (NIV) BiPAP ventilation. I have tried to explore the option of tracheostomy with a medical professional as an option, or when we feel the non-invasive (NIV) BiPAP is no longer supporting him well enough, but have been met with limited evidence-based advice and/or resistance. We want to prepare for this option as a possibility, but for motor neuron disease patients, it is not commonly offered, which we have found very distressing. When it is brought up with the medical professional, it is very clear that it is not a pathway at present in Australia. And it’s also clear that people are not comfortable discussing it, however they are comfortable discussing palliative care. For end-stage MND, which again stands for motor neuron disease patients, the options seem only to be, “How can we help you to die comfortably?” rather than, “What options do you have to live?” if that is your choice. My husband has a good quality of life despite being completely dependent. This should be a choice that we can make and we want to make an educated decision about it. We are NDIS funded and we are in Melbourne Australia. I would very much appreciate knowing more about your service and what is involved and how we go about exploring this option. We really hope you might be able to assist us. From Sharon Hi Sharon, What a great question and I’m very sorry to hear about your husband’s situation. Well, few explorations here, Sharon. We are looking currently after patients with motor neuron disease (MND) at home. They have tracheostomies and they’re looked after with critical care nurses, 24 hours a day funded by the NDIS. Now, I wholeheartedly agree with you that they shouldn’t be discussing palliative care with you. They should be discussing maximizing quality of life, or in some instances, quality of end-of-life at home for people who want to live with a tracheostomy. Now, as you’re probably well aware, they are comfortable discussing palliative care, but they’re not comfortable discussing quality of life. It’s a joke, quite frankly. Now, if you look at this situation in Europe for example, Germany in particular, patients with MND (motor neuron disease) have been getting tracheostomies for decades and they’re living at home, or people who want to live at home with Intensive Care at Home services. It’s a no brainer and it’s a choice... Continue reading at: https://intensivecareathome.com/can-your-services-at-intensive-care-at-home-help-my-husband-with-end-stage-motor-neuron-disease-to-have-the-option-to-live-rather-than-helping-him-die-comfortably/

https://intensivecarehotline.com/breathing-tube/quick-tip-for-families-in-icu-tracheostomy-and-intensive-care-at-home/ Quick Tip for Families in ICU: Tracheostomy and 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 #icu #intensivecare #criticalcare Hi, it’s Patrik Hutzel from intensivecarehotline.com with another quick tip for families in intensive care. So in my last quick tip, I talked about when patients with a tracheostomy go from ICU to a hospital ward and what you need to look for so that your loved one is safe on a hospital ward because the level of care will change dramatically when going from intensive care to a hospital ward. If you’re not having ICU nurses on a hospital ward, looking after a tracheostomy, your loved one might be doomed and might be returning back to ICU or even die. And we’ve certainly seen that with the work that we are doing. Another option and this is what I want to focus on today is Intensive Care at Home. So with Intensive Care at Home, what we are doing there is we’re basically providing an intensive care substitution service at home where we look after patients with ventilation, tracheostomy, and any other medical complexities that require an intensive care nurse. And a tracheostomy is definitely one of those situations where a patient requires an intensive care nurse. It takes years of experience and practice to look after someone with a tracheostomy. So instead of going to a hospital ward or going to a step down unit with a tracheostomy, not ventilated, but even with the ventilator, you can use Intensive Care at Home instead. So go and check out intensivecareathome.com for more information. And that is my quick tip for today... Continue reading at: https://intensivecarehotline.com/breathing-tube/quick-tip-for-families-in-icu-tracheostomy-and-intensive-care-at-home/

https://intensivecareathome.com/quick-tip-for-families-in-intensive-care-are-you-sick-of-being-in-icu-and-you-want-to-go-home/ Quick Tip for Families in Intensive Care: Are You Sick of Being in ICU and You Want To Go Home? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline #icu #intensivecare #criticalcare In today’s blog post, I want to answer a question from one of our clients and the question today is Quick Tip for Families in Intensive Care: Are You Sick of Being in ICU and You Want to Go Home? Hi, it’s Patrik Hutzel from Intensive Care at Home. This is a quick tip for families who have a loved one in intensive care long-term with a tracheostomy and that are ventilated. Now, if you are sick of being in ICU, and if you are being sick of being at the ICU’s mercy coming and going when the visiting hours are, then you should consider Intensive Care at Home. Now we continue intensive care services at home for you and for your loved one and we can substitute the intensive care services in a hospital at home with our growing and amazing team of intensive care nurses. We employ hundreds of years of intensive care nursing experience, and we can continue care and treatment for your loved one at home with Intensive Care at Home, especially when it comes to ventilation & tracheostomy. But also seizure management, also BIPAP and CPAP therapy and anybody that is medically complex and at risk of staying in intensive care long-term. Anybody that needs an intensive care nurse at home, you should contact us at intensivecareathome.com. That is again, intensivecareathome.com. Just call us on one of the numbers on the top of our website, or simply send me an email to Patrik@intensivecareathome.com. That is patrik@intensivecareathome.com. Like this video, comment down below what questions and insights you have from this short video and subscribe to my YouTube channel, where you get updates for families in intensive care regularly. This is Patrik Hutzel from intensivecareathome.com and I’ll talk to you in a few days. Now, if you have a loved one in intensive care and you want to go home with our service intensive care at home and if you want to find out how to get funding for our service and how it all works, please contact us on one of the numbers on the top of our website, or send me an email to Patrik@intensivecareathome.com. That’s Patrik, just with a K at the end... Continue reading at: https://intensivecareathome.com/quick-tip-for-families-in-intensive-care-are-you-sick-of-being-in-icu-and-you-want-to-go-home/

https://intensivecareathome.com/how-to-go-from-hospital-icu-to-intensive-care-at-home-the-discharge-process/ Quick Tip for Families in Intensive Care: How To Go From Hospital ICU to INTENSIVE CARE AT HOME, the Discharge Process! 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 today’s blog post, I want to answer a question from one of our clients and the question today is How to Go from Hospital ICU to INTENSIVE CARE AT HOME, the Discharge Process! Hi, it’s Patrik Hutzel from Intensive Care At Home where we provide tailor-made solutions for long-term ventilated patients with tracheostomy and where we also provide tailor-made solutions for hospitals and intensive care units to save money and resources whilst providing quality care. In this quick tip for families in intensive care but also for intensive care units, I want to focus on how we transition ventilated patients with tracheostomy, adults and children home from intensive care. Let’s dive right into it. The best case scenario is that we start actually with doing some shifts with our team, with a client in intensive care so we can get to know them, can get to know their routine, can get to know their day to day medical and nursing needs. But more importantly, focusing on the routine that a client wants to work with once they’re going home. It gives us time to get to know the client, get to know the family and work with the intensive care team closely towards a discharge home. Also gives us a little bit of time to prepare the home with the equipment that is needed. But at the same time, we have taken clients, adults, and children home from intensive care literally overnight. And given that we are employing hundreds of years of intensive care experience, we are in a position to do so, but the best case scenario is really to do a transition period over, let’s just say three to four weeks, where we start doing some shifts in intensive care with our staff and then transition slowly but surely to a home care environment where we then provide 24 hours intensive home nursing care where we substitute the intensive care bed in a more holistic and family friendly environment at home. That’s my quick tip for today... Continue reading at: https://intensivecareathome.com/how-to-go-from-hospital-icu-to-intensive-care-at-home-the-discharge-process/

https://intensivecareathome.com/my-72-year-old-moms-been-in-icu-for-6-weeks-after-stroke-with-tracheostomy-ventilated-can-she-go-home/ My 72 Year Old Mom's Been in ICU for 6 Weeks After Stroke, Tracheostomy&Ventilated, Can She Go Home? Book your free 15-minute phone consultation here http://intensivecarehotline.com/scheduling-appointment/ Call directly 24/7 +1 415-915-0090 USA/Canada +44 118 324 3018 UK +6141 094 2230 Australia Email support@intensivecarehotline.com Get 1:1 consulting and advocacy 1:1 phone counselling http://intensivecarehotline.com/one-on-one-counselling/ Become a member for families of critically ill Patients in Intensive Care https://intensivecarehotline.com/intensivecaresupport-org-membership/ Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/ https://intensivecareathome.com And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU. https://intensivecarehotline.thrivecart.com/review-of-medical-records/ Facebook Page: https://www.facebook.com/ICUhotline Twitter: https://twitter.com/icuhotline #icu #intensivecare #criticalcare In today’s blog post, I want to answer a question from one of our clients and the question today is My 72-Year Old Mom’s Been in ICU for 6 Weeks after Stroke, with Tracheostomy & Ventilated, Can She Go Home? Hi, it’s Patrik Hutzel from Intensive Care at Home with another quick tip for families in intensive care. So currently we have an inquiry from a client who has their loved one in intensive care for about six weeks. So here’s what’s happened. The client had cardiac surgery, had a quadruple bypass, had some bleeding, and then unfortunately had a stroke after cardiac surgery. Now client was in a prolonged induced coma and then ended up with a tracheostomy. And is now four or six weeks down the line since they have the tracheostomy and they can’t come off the ventilator, they are otherwise stable. They’re off inotropes and vasopressors, but their biggest problem is that they can’t come off the ventilator. Now, obviously the client is getting depressed, a 72-year old lady. The client is getting depressed in ICU. As you can imagine, there’s no day and night rhythm, there is no natural daylight, no fresh air, limited visiting hours at the moment with COVID of course. And the limited time that the family can spend at the bedside with their loved one is just not enough. And again, no surprise that the patient in intensive care is getting depressed and has no quality of life. So what’s the solution for that? Well, the solution for that is actually fairly simple. The solution for that is Intensive Care at Home. Now, we can take your family member home, especially if they’re long-term ventilated. If they’re medically stable, if they’re not inotropes, we can take them home and set them up with 24-hour intensive home care instead of staying in intensive care forever and a day with having little to no quality of life and having limited chances to get off the ventilator, we can do that at home. How to do that? Please contact us on one of the numbers on the top of our website, or send us an email to, or send me an email to patrik@intensivecareathome.com. And we can set you up from there. Please keep in mind for the hospitals, it’s a win-win situation, as much as it’s a win-win situation for you and your family, because you can have intensive care services at home instead of in intensive care. It’s a win for the hospital, they can free up a hospital bed that it’s in high demand because of COVID at the moment. But even outside of COVID intensive care beds are in high demand and we can cut the cost of an intensive care unit by 50% making it therefore economically relevant for a funding body that’s funding intensive care or funding home care. That is my quick tip for today... Continue reading at: https://intensivecareathome.com/my-72-year-old-moms-been-in-icu-for-6-weeks-after-stroke-with-tracheostomy-ventilated-can-she-go-home/

https://intensivecareathome.com/quick-tip-for-families-in-icu-palliative-care-vs-intensive-care-at-home-which-one-to-choose/ Quick Tip for Families in ICU: Palliative Care vs INTENSIVE CARE AT HOME, Which One to Choose? 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 today’s blog post, I want to answer a question from one of our clients and the question today is Quick Tip for Families in ICU: Palliative Care vs INTENSIVE CARE AT HOME, Which One to Choose? Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term intensive care patients and where we provide tailor-made solutions for intensive care units whilst providing quality care, and where we saved money for intensive care units as well. In today’s video blog, I want to talk about the difference between palliative care in intensive care and Intensive Care at Home. For those of you watching and listening to this who have a loved one in intensive care that are faced with palliative care or end-of-life care, where the intensive care team is basically suggesting to you that “it’s in the best interest” for your loved one to die and have the end-of-life in intensive care. I’m telling you, think twice. A) Did you know that 90% of intensive care patients survive? B) Did you know that you can have intensive care treatment at home with our service at Intensive Care at Home? C) Did you know that you can also have palliative care at home? You can prolong your life at home or your loved one’s life at home with services like Intensive Care at Home, or if palliative care is the only option, rather than having palliative care in intensive care, you can have palliative care at home. Some of our clients have been in palliative care actually for many years, and they live a good life at home, surrounded by their families with 24-hour intensive care nurses at home. So whenever the intensive care team is challenging you with your loved one, dying in intensive care, that this is the best option, they’re probably telling you only half of the story. And they’re probably only telling you from their limited intensive care mindset. Whereas we know both worlds, we know intensive care and we know Intensive Care at Home, and we know what’s possible. And by the way, we are providing a win-win situation for all stakeholders, which means we are providing quality of life or quality of end-of-life at home for our clients and for their families. But we’re also providing a win for intensive care units because we are cutting the cost of an intensive care bed by around 50%. And more importantly, we’re giving intensive care units a choice beyond suggesting to you that palliative care is “in the best interest” because palliative care needs to be on your terms, not on the intensive care team’s terms. And most families want palliative care at home, not in a sterile intensive care unit where there are other patients, there’s infections, there’s limited visiting hours, and the list goes on. The advantages of having Intensive Care at Home, the list of the advantages is endless and it’s all there for you and for your family. We’re also freeing up an intensive care bed that is in high demand, which again means we are providing a win-win situation for all stakeholders in intensive care. Intensive care beds are in high demand and we help intensive care units freeing up their in-demand intensive care beds. This is Patrik Hutzel from intensivecareathome.com. Like this video, comment down below what questions and insights you have from this video and subscribe to my YouTube channel. Go to our website at intensivecareathome.com and call us on one of the numbers on the top of our website if you are interested in Intensive Care at Home. Take care for now and have a great day... Continue reading at: https://intensivecareathome.com/quick-tip-for-families-in-icu-palliative-care-vs-intensive-care-at-home-which-one-to-choose/

https://intensivecareathome.com/cerebral-palsy-and-intensive-care-at-home/ CEREBRAL PALSY AND 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 #icu #intensivecare #criticalcare In today’s blog post, I want to answer a question from one of our clients, and the question today is Cerebral Palsy and Intensive Care at Home! Hi, it’s Patrik Hutzel from Intensive Care at Home, where we provide tailor-made solutions for long-term ventilated patients with tracheostomies, and also where we provide tailor-made solutions for medically complex patients in the community, that otherwise require an intensive care bed. And that means we’re also providing tailor-made solutions for hospitals and intensive care units, to save money and resources whilst providing quality care. In this quick tip video, I want to talk about cerebral palsy, and intensive care as well as cerebral palsy in the community. So here at Intensive Care at Home, we’re looking after a number of clients in the community with cerebral palsy that are medically very complex and that need 24-hour intensive care nursing at home because otherwise, those clients would be spending 24 hours a day in intensive care. It would be a burden to the health care system, it would cost a lot of money, but way more important, those clients and their families wouldn’t have any quality of life. Because quality of life really can only be achieved at home where hospital and ICU admissions can be avoided predictably because that’s the service we are providing. We are providing an Intensive Care at Home service, and especially when it comes to cerebral palsy, many of those clients have regular seizures. They need airway management. They often need BiPAP at home. They often need cough assist at home. These are all nursing skills that can only be provided by intensive care nurses with a minimum of two years intensive care experience. Now, this is backed up by evidence-based and research, where if you look at the Home Mechanical Ventilation Guidelines on our website, at intensivecareathome.com, you will find that after nearly 25 years of Intensive Care at Home nursing, the research clearly shows that the only way someone on a ventilator, tracheostomy, BiPAP, seizure management at home, can be managed is with an intensive care nurse with a minimum of two years ICU experience. And again, we’re maximizing the quality of life for our clients by providing this high-level service in the community. I argue we are looking after the sickest and highest acuity clients in the community, worldwide really. There’s no other service, as far as I’m aware, that can provide that level of care at home than we provide. But more importantly, our clients, especially those with cerebral palsy, have a good quality of life at home. In some instances, we are talking about quality of end-of-life as well. But it’s the much-preferred option compared to those clients going in and out of intensive care, which is pretty much what happened with those clients prior to our service providing 24-hour intensive care nursing at home. So this is my quick tip for today... Continue reading at: https://intensivecareathome.com/cerebral-palsy-and-intensive-care-at-home/

https://intensivecareathome.com/can-iv-intravenous-antibiotics-be-given-at-home-with-intensivecare-at-home/ Can IV (Intravenous) Antibiotics Be Given at 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 #icu #intensivecare #criticalcare In today’s blog post, I want to answer a question from one of our clients, and the question today is Can IV (Intravenous) Antibiotics Be Given at Home with INTENSIVE CARE AT HOME? Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with a tracheostomy at home. And where we also provide tailor-made solutions for medically complex patients at home and where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality care and saving money and resources. In today’s tip, I want to talk about, are IV antibiotics able to be given at home with Intensive Care at Home services? And the short answer to that is yes, what is needed is an IV cannula that can be a peripheral cannula. It can be a Venflon. It can be a Hickman’s line. It can be a PICC line, or it can be a central venous line. We can look after all of that at home without any issues. Why can we look after Hickman’s line, PICC line, central lines, IV cannulas at home? Simply because we employ hundreds of years of intensive care nursing experience in the community. As a matter of fact, we are the service provider that is looking after the sickest and highest acuity clients in the community worldwide. And therefore we can provide this level of service at home. So if you have a loved one in intensive care and you think you can’t go home because your loved one is on IV antibiotics, think again, your loved one can go home with our service Intensive Care at Home. And if you are at home already and you need help because your loved one is on ventilation, you don’t have the support, your loved one keeps going back to ICU all the time because you don’t have intensive care nurses at home, you can have IV antibiotics and you can have intensive care nurses at home, 24 hours a day, 365 days of the year with our service at Intensive Care at Home. That’s my quick tip for today... Continue reading at: https://intensivecareathome.com/can-iv-intravenous-antibiotics-be-given-at-home-with-intensivecare-at-home/

https://intensivecareathome.com/the-icu-doctor-is-pushing-us-for-end-of-life-for-our-son-but-we-want-him-home-can-intensive-care-at-home-help-us-to-bring-our-ventilator-dependent-son-home/ THE ICU DOCTOR IS PUSHING US FOR END-OF-LIFE FOR OUR SON BUT WE WANT HIM HOME? CAN INTENSIVE CARE AT HOME HELP US TO BRING OUR VENTILATOR-DEPENDENT SON 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 today’s blog post, I want to answer a question from one of our clients and the question today is The ICU Doctor Is Pushing Us for End-of-Life for Our Son But We Want Him Home? Can Intensive Care at Home Help Us to Bring our Ventilator-Dependent Son Home? Hi Patrik, The precipitating event for my son to go on aspiration pneumonia was in the context of a rare brain disease, Rasmussen’s encephalitis. His course over the past 11 months has been to stay in ICU and he’s still there at present. This has been complicated by a hospital or by a ventilator-associated pneumonia and severe malnutrition. The most probable cause of failure to wean my son off the ventilator is chronic muscle wasting throughout his body with some lung tissue scarring due to multiple pneumonia events. The Rasmussen’s encephalitis has been treated and not progressed per neurologist, but has left my son Jeffrey with a significant left hemisphere defect. My son can often tolerate up to 24 hours of spontaneous breathing with pressure support of 12, PEEP of 5, FiO2 of 28%, but then can only manage about 60 minutes of tracheostomy with a tracheostomy collar. Many of the experienced ICU doctors and ICU nurses we’ve seen believe he’s capable of weaning, but the current ICU doctor believes he will be ventilator-dependent for the rest of his life and is pushing us for either end-of-life or to stay in ICU for longer. But we want him home. I hope this helps to look at our son’s situation. We want him home with your service. What are the next steps? How can you help us in this situation? From Tom Hi Tom, Thank you so much for detailing your son’s situation. Well, it sounds to me like your son is a very good candidate to go home, especially after 11 months of intensive care. That’s terrible. And many of our clients that we look after at home have been in that predicament of having been in ICU for months on end. And whether he can be weaned or not, I couldn’t tell you at the moment. I mean, we would need to talk to the doctors, but in any case, after 11 months of ICU, it’s time to get out there. Sometimes people can’t be weaned in ICU because they’re simply depressed. They’re simply not having any quality of life. They’re stuck in an ICU room, ICU bed space, ICU cubicle, whatever you want to call it, often with no natural daylight, often with no day and night rhythm or with no natural day and night rhythm because often the lights are on and off all day and all night in ICU, because there’s people everywhere. It’s loud. It’s noisy. It’s very difficult to get in a normal day and night rhythm. And unlike at home, where your son could, for example, go on the balcony, he could go on the veranda, whatever your setup is, can go and get some fresh air, can have a routine that is conducive to your son’s lifestyle, at the moment. His routine is dependent on the ICU’s schedule and ICU schedules are very busy. So at home, it is much more tailor-made to your son’s wishes and to your son’s situation, and not dependent on ICU schedules... Continue reading at: https://intensivecareathome.com/the-icu-doctor-is-pushing-us-for-end-of-life-for-our-son-but-we-want-him-home-can-intensive-care-at-home-help-us-to-bring-our-ventilator-dependent-son-home/

https://intensivecareathome.com/how-to-select-service-provider-icah/ How to Select a Service Provider When You Need 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 #icu #intensivecare #criticalcare In today’s blog post, I want to answer a question from one of our clients and the question today is How to Select Service Provider When You Need Intensive Care at Home? Hi, it’s Patrik Hutzel from Intensive Care at Home 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 patients and medically complex patients at home. So in today’s video blog, I want to talk about how to choose your service provider when it comes to Intensive Care at Home services. And I will talk about that today. I break it down into number one, if you have a loved one in intensive care and you want to go home. Now I also want to break it down, if you have a loved one at home already, which happens sometimes as well. So let’s break it down to number one, when you have a loved one in intensive care, ventilation and tracheostomy and you can’t see your loved one leaving intensive care anytime soon. The intensive care team is telling you that it takes a while for your loved one to come off the ventilator. They may even tell you they may not come off the ventilator at all, whatever your situation is, you need to think about how do you approach this when going home into the community. So the first thing that you will need is obviously a service provider and how will you choose a service provider? Well, obviously we, at Intensive Care at Home as far as I’m aware, we are the only service provider worldwide that is accredited to provide Intensive Care at Home. So we are an accredited healthcare service here in Australia. We are also accredited with the NDIS, the National Disability Insurance Scheme, but we are also accredited with hospitals with other funding bodies, such as the TAC in Victoria for Transport Accident Commission or the DVA, the Department of Veteran Affairs. So we can pretty much work with any funding body in Australia, because again we are an accredited health care service. So we have policies and procedures. We have the workforce, the intensive care nurses that can bring the intensive care skills into the home to make a transition from intensive care to a home care environment safe. Again, because we have third-party healthcare service accreditation and we have accreditation for Intensive Care at Home services. Again, no other organization, as far as I’m aware in the whole world has achieved that to this point. So, therefore we are having a workforce and we’re employing hundreds of years of intensive care nursing experience in the community. Again, I don’t think there is any service provider in this world that brings as many intensive care nursing skills in the community than we do at Intensive Care at Home. Now, next, the other thing that is important, you need to look at whether a service is actually providing evidence-based care, evidence-based services. And why is this important? Well, you know, everything in medicine in nursing is based on research and Intensive Care at Home services have been around for the last 25 years, predominantly in Germany and other European countries, but also now in Australia since 2013... Continue reading at: https://intensivecareathome.com/how-to-select-service-provider-icah/