How Important is ICU/Hospital Discharge Planning for INTENSIVE CARE AT HOME Clients?

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How Important is ICU/Hospital Discharge Planning for INTENSIVE CARE AT HOME Clients?

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Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies and where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality care for long-term ventilated adults and children with tracheostomies, and also otherwise medically complex adults and children at home, including Home BIPAP (bilevel positive airway pressure), Home CPAP (continuous positive airway pressure), home tracheostomy care when adults and children are not ventilated, also Home TPN (total parenteral nutrition). We also provide IV potassium, IV magnesium infusions at home, as well as IV antibiotic infusions at home. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, Hickman’s line management, as well as palliative care services at home, and that also includes ventilator weaning at home.

Now, today I want to answer a question that we get quite frequently from our clients, but also from hospitals as well. They ask, “How important is discharge planning for Intensive Care at Home clients or Intensive Care at Home patients?”

Well, discharge planning when going home from hospital is everything, that really sets the scene, and it really is a make-or-break point. We have done so many successful transitions from ICU to home to improve the quality of life for our clients and in some instances, improve the quality of end of life for our clients. It’s really a critical point to make it a successful transition for Intensive Care at Home clients, which includes the patient and the family, of course, but it also includes the hospitals because the goal for the hospital is to discharge patients into a safe environment, making sure they’re not coming back, that’s the whole purpose of intensive care. So, let’s look at this in more detail.

So, first of all, you have to identify the right client or the right patient that they can benefit from Intensive Care at Home, that they can improve their quality of life at home or, in some instances, quality of end of life at home. Predominantly, it’s for patients with ventilation and tracheostomy adults and children. They have been identified as having the inability to wean off the ventilator and the tracheostomy for now. That’s not to say they might not be able to do that later, but it would take long periods of time, and hospitals and ICUs, in particular, are often not the right place because they are very depressive environments with no quality of life.

One of the obstacles for patients to wean off a ventilator is simply they’re not in a patient and family friendly environment. Anyone that set a foot into an ICU knows it’s just there to help treat critical illness and save lives, and that’s fantastic. But at some point, when someone is stuck in their long term, it is no longer the right environment for them. It’s also no longer the right environment for the families because they more or less “live in ICU” and that’s not a good thing either.

Moreover, ICU beds are in short supply. Critical care beds are in short supply. Critical care beds are the most sought-after beds in a hospital. So therefore, freeing up an ICU bed and moving patients home if they can’t go to a hospital ward or hospital floor makes a lot of sense and is a win-win situation.

Continue reading at: https://intensivecareathome.com/how-important-is-icu-hospital-discharge-planning-for-intensive-care-at-home-clients/