DAD'S ON A VENTILATOR FOR 3 MONTHS& IS DEPRESSED IN ICU. CAN INTENSIVE CARE AT HOME TAKE HIM HOME?

https://intensivecareathome.com/my-dad-is-on-a-ventilator-for-3-months-is-suffering-from-a-major-depression-here-in-icu-can-your-service-at-intensive-care-at-home-help-us-bring-him-home/

MY DAD IS ON A VENTILATOR FOR 3 MONTHS & IS SUFFERING FROM A MAJOR DEPRESSION HERE IN ICU. CAN YOUR SERVICE AT INTENSIVE CARE AT HOME HELP US BRING HIM HOME?

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Hi Patrik,

I am in Melbourne Australia. I’m in the process of gathering more information regarding at home ventilator care and weaning.

My father is 71 and currently in an ICU in Melbourne. He has been in the ICU and on a ventilator for about three months. He is stable and has begun the weaning process. So we are discussing the next steps for him.

However, he’s only been able to wean for a couple of days, and then he went back into controlled mode and it seems to be really slow. He is at times tolerating CPAP settings, and sometimes the tracheostomy collar for small periods throughout the day, but needs to go back in a controlled mode overnight, where he gets a set rate from the ventilator. And then during the daytime, he doesn’t really last for more than an hour on CPAP and then maybe a few minutes on the tracheostomy mask.

I’m interested in any and all information you can give me regarding ventilation care at home and weaning, including availability, cost, insurance coverage, and the list goes on. My dad is actually in a private ICU and has private health insurance.

We believe that going home would be so beneficial for him. It would be beneficial for us as a family. He is really suffering from major depression here in ICU. And if he doesn’t get home, we think he’s losing the will to live. And he’s in a dark room in ICU, no natural daylight. And he has no natural day and night rhythm.

And whilst the ICU seem to be doing all they can, it’s just not a good environment for him. And we believe going home. We’ll speed up the process and weaning him off the ventilator.

Please let me know how you can help us.

From,

Jenna

Hi Jenna,

Thank you so much for your question and for your email.

Now, what you are describing here is, sounds to me like we can help you get your dad home on a ventilator with a tracheostomy and continue the weaning him off the ventilator at home.

Now, in terms of cost, the ICU bed costs around $6,000 per bed day. We can probably provide that for around half of the cost, which means your private health insurance will have an interest in cutting down that cost by half. So the private health insurance will probably pay for it. And the ICU should have an interest in helping your dad leave ICU, free up the ICU bed, free up equipment, free up staff and make room for another patient that is in a dire need of ICU, because your dad can really be looked after at home going forward.

In terms of medical oversight, that could be a GP. It could be here in Melbourne. It could be the Victorian Respiratory Support Service (VRSS), at the Austin hospital. There are a number of avenues we can help you with from a medical point of view. How we can help you with medical oversight and also help us because we can’t really take your dad home against medical advice and we don’t want to do that either. But it sounds to me like your dad is a very good candidate for going home and the cost will be taken care of. I’m pretty sure by the private health insurance.

From our end, it’ll probably take a few weeks to set it up, getting equipment, getting staff and so forth, but we’ve done it before and we can do it for your dad as well. We are Melbourne bases. You might be aware. So get in contact with us and we’ll go from there.

Probably best to call me on 0410942230.

Take care.

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