Palliative Care at Home for a Client on BIPAP Instead of ICU! INTENSIVE CARE AT HOME Case Study!

https://intensivecareathome.com/palliative-care-at-home-for-a-client-on-bipap-instead-of-icu-intensive-care-at-home-case-study/

Palliative Care at Home for a Client on BIPAP Instead of ICU! INTENSIVE CARE AT HOME Case Study!

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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 adults and children, including BIPAP (bilevel positive airway pressure) and CPAP (continuous positive airway pressure) ventilation, including medically complex patients at home, such as seizure management, including home TPN, as well.

So, in today’s video, I want to talk about a case study of ours where we actually provided palliative care at home for a gentleman in his early 70s last year. Now, I’ll quickly talk about the gentleman’s history, and then gentleman’s premedical history, and then also why he needed Intensive Care at Home services.

So, he had a longstanding history of cancer. Initially, he was diagnosed with bowel cancer in the early 2000s. He had a colostomy back for that. Eventually, the bowel cancer spread into the lungs. He had lung metastasis. He also had a history of pancreatitis. He had blocked right ear with tinnitus. The right side of his diaphragm was paralyzed. He had a total knee replacement. He also had an upper left lobectomy as part of the metastatic lung cancer. And eventually, he was BIPAP dependent, initially only overnight. But then, as the lung cancer progressed, he was BIPAP dependent, 24 hours a day.

As part of his diaphragm paralyzed, he had phrenic nerve palsy. And as I said, eventually, he was BIPAP dependent at 24 hours a day. Initially, he might have been able to take the BIPAP off for about five minutes when he was in the shower. But then as time progressed, we ended up having him in the shower even with BIPAP on, but he was still mobile. The last few weeks, he was no longer mobile. We were basically providing palliative care for about three or four months at home last year. The alternative for this man would’ve been to be in intensive care with his BIPAP dependency, also oxygen dependency. We had an oxygen concentrator at home to supplement with oxygen when needed.

Obviously, the referral was made to us, and I’ll just read out the referral from the specialist, “Chronic respiratory failure requiring ventilation life support, 24 hours per day, 365 days per year. Home care required by Intensive Care at Home with ICU trained nurses, ventilation, mobilization, stomach care, and all nursing care.”

And also, what’s important here to understand as well is, we are providing home care according to best practice and evidence-based guidelines. We are providing those care services according to the mechanical home ventilation guidelines that you can read on our website at intensivecareathome.com. The mechanical home ventilation guidelines are evidence-based. Services such as Intensive Care at Home have been around in Europe, particularly in Germany since the late 1990s. And all the evidence is there that Intensive Care at Home can be provided safely if there are intensive care nurses available, 24 hours a day, with a minimum of two years hospital ICU or pediatric ICU experience. And that’s exactly what we are providing at Intensive Care at Home.

Continuation...
https://intensivecareathome.com/palliative-care-at-home-for-a-client-on-bipap-instead-of-icu-intensive-care-at-home-case-study/