My Mother's in ICU Needing Tracheostomy After Heart Attack,Can INTENSIVE CARE AT HOME Take Her Home?

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My Mother's in ICU Needing Tracheostomy After Heart Attack, Can INTENSIVE CARE AT HOME Take Her Home?
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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 at home and where we also provide tailor-made solutions for hospitals and intensive care units at home whilst providing quality care for long-term ventilated adults and children with tracheostomies at home. We’re also providing home care services to otherwise medically complex adults and children at home, which includes Home BIPAP (Bilevel Positive Airway Pressure), Home CPAP (Continuous Positive Airway Pressure), also home tracheostomy care for adults and children that are not ventilated. We also provide Home TPN (Total Parenteral Nutrition), home IV potassium infusions, home IV magnesium infusions, and home IV antibiotics. This also includes port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, as well as Hickman’s line management, and that also includes palliative care services at home.
We are also sending our critical care nurses into the home or into a residential aged care facility to provide emergency department bypass services.
Now, let’s get to an email today from James who says,
“Hi Patrik,
Our mom was admitted to ICU after a heart attack on the 28th of May. She was intubated after a stent procedure in the catheter lab, and since then, her health has declined with light pneumonia, kidney failure, dialysis, bed sores, secretions on her lungs etc.
At Day 13, they tried to extubate her. Extubation means the removal of the breathing tube.
After 14 hours of her sitting up, speaking with us, getting her voice back, and having speech therapy and physiotherapy, we then got a call at 2 a.m. saying her heart rate became sporadic and her breathing labored, and they were forced to intubate her again. Intubation means putting the breathing tube back into someone’s throat to start ventilating them. They now want to do a tracheostomy.
The palliative care doctor is being very forceful with us to make a decision to either do palliative care or a tracheostomy. We think that she would be able to fight through it with a tracheostomy, as aside from her smoking, she was a fairly healthy active senior before being admitted to the catheter lab and then to ICU for an angioplasty and an angiogram.
We would like to know that if we agree to a tracheostomy and she can’t be weaned off the ventilator, if your service can take my mom home because we would like to bring her home as soon as possible because we don’t think that intensive care is a conducive environment for weaning her off the ventilator and it’s also not conducive for her quality of life. It is also not conducive for our family’s quality of life because we are over an hour away from the ICU.
Any advice how Intensive Care at Home can help, get my mom back home, get our family reunited at home, would be greatly appreciated. As presently, we are very concerned with our mom’s situation and also the constant churn of nurses in ICU is causing her sundowner’s syndrome and we think a familiar home care environment will help.
From, James.”
But James, thank you so much for sharing your mom’s situation, your family situation. I mean, this is a very common situation that we’re seeing all the time that patients are stuck in ICU long-term because they can’t be weaned off the ventilator.
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