My 38-year old Sister is in ICU with Ovarian Cancer on TPN. Can She Go Home?

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My 38-year old Sister is in ICU with Ovarian Cancer on TPN. Can She Go Home?

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In today’s blog post, I want to answer a question from one of our clients and the question today is

My 38-year old Sister is in ICU with Ovarian Cancer on TPN. Can She Go Home?

So Lorena writes,

Hi Patrik,

My 38-year old sister has been diagnosed with stage 4 ovarian cancer. She has been in and out of ICU after surgery, and thankfully, while she’s not ventilated, she does require a 24 hours TPN and she has a central line.

Now, the hospital is very reluctant to discharge her home saying that TPN can’t be managed at home without 24-hour nursing care. What are our options to leave the hospital? We are so tired going to hospital every day to support our sister. We desperately want to go home. Can you please let us know what our options are?

From Lorena.

Hi Lorena.

Thank you so much for making contact and sharing your sister’s situation with us. Lorena, your sister can go home with TPN. There’s absolutely no reason why she can’t go home as long as she’s hemodynamically stable.

You haven’t mentioned anything about ventilation. You haven’t mentioned anything about inotropes or vasopressors. So on that end, your sister can go home because with a service like Intensive Care at Home, we can manage central lines at home, PICC lines at home. We can manage the infusion, obviously with the pump, with the TPN, especially with TPN, there can be a lot of air alarms in particular because it’s so sensitive with the solution that’s running through the pump.

So, you know, there’s often a lot of troubleshooting going on just by having the infusion running. And you certainly don’t want air going into your sister’s body and if that’s not being troubleshooted properly and not being troubleshooted 24 hours a day, it could cause great damage. Furthermore, just hooking on and hooking off TPN really requires the skill of a critical care nurse.

And also, just a dressing change for a central line or for a PICC line, again requires the skill of a critical care nurse. Flushing the lumens on the central line and on the PICC line, again requires the skill of a critical care nurse who is used to dealing with central lines or PICC lines all the time.

So the options really are to, you know, talk to us more and look at the options of taking your sister home if she needs 24-hour TPN and therefore also 24-hour nursing care with intensive care nurses who can manage the TPN and the PICC line/central line.

You should also be looking at NDIS funding or potentially a hospital in the home funding and take the first step there but we can help you with accessing, especially NDIS funding. We are quite experienced in advocating for our clients and with our clients to get the funding necessary to leave hospital and have a better quality of life at home, or in some instances have a better quality of life at home.

If you have any other questions, please let me know. Take care.

From Patrik...

Continue reading at: https://intensivecareathome.com/my-38-year-old-sister-is-in-icu-with-ovarian-cancer-on-tpn-can-she-go-home/