My Father is Quadriplegic & Needed a Tracheostomy. What's the Safest Way to Get Him Home?

https://intensivecareathome.com/my-father-is-quadriplegic-needed-a-tracheostomy-whats-the-safest-way-to-get-him-home/

My Father is Quadriplegic & Needed a Tracheostomy. What's the Safest Way to Get Him 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. And where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality services for long-term ventilated adults and children with tracheotomies, which also includes patients at home that have a tracheostomy and are not ventilated. It includes adults and children at home that are BiPAP (bilevel positive airway pressure) and CPAP (continuous positive airway pressure) needs. It includes Home TPN (total parenteral nutrition), Home IV electrolyte infusions, Home IV antibiotics and anyone who’s medically complex, we can serve at home.

So anyone who needs intensive care long-term can go home with our service if they’re medically stable, but they are on life support.

So in today’s blog, I want to answer a question from Anita and she says, “My father is in intensive care. He’s been a quadriplegic for a long time, but now he’s got a tracheostomy. He was living at home independently. But now with the tracheostomy, he needs 24-hour nursing care at home. We need someone that can manage a tracheostomy safely at home because we fear he’s at risk of dying or going back to ICU if we send him home without support.”

Yeah, Anita, you’re right on the money here. And, this is what our service does, Intensive Care at Home. We are looking after patients at home that have a tracheostomy and we’re looking after them at home 24 hours a day because with critical care nurses or with intensive care nurses with a minimum of two years ICU or critical care nursing experience, because that is what is needed and is also evidence-based.

So, you already know that your dad is at high risk of potentially dying with a tracheostomy, especially if he’s a quadriplegic and he can’t maintain his own airway. And he can’t manage his own airway in case of a medical emergency, which can happen at any given time with a tracheostomy.

So, when you look on our website at intensivecareathome.com, there’s a section called the Mechanical Home Ventilation Guidelines and you will see that it’s documented in those evidence-based guidelines that anyone at home with a tracheostomy, ventilation, needs a critical care nurse with a minimum of two year’s critical care nursing experience 24-hours a day to keep them at home predictably and safely more importantly.

So, what I’m saying, here is evidence-based. You won’t see anybody else talking about what’s evidence-based.

So, case in point we know of many participants or clients in the home that have died because they didn’t have evidence-based care, they didn’t have critical care nurses at home. And clearly either family members, disability support workers, or even general registered nurses without intensive care experience, that could not manage a medical emergency with the tracheostomy and clients have passed away because of that.

So I’m talking from decades of experience here. What can happen in the home if you’re not having the appropriate care for your father? So, I hope that answers your question.

Continuation...
https://intensivecareathome.com/my-father-is-quadriplegic-needed-a-tracheostomy-whats-the-safest-way-to-get-him-home/