Hi it’s Patrik Hutzel from www.intensivecareathome.com.au where we provide tailor made solutions for long-term ventilated Adults& Children with Tracheostomy by improving their Quality of life and where we also provide tailor made solutions to hospitals and Intensive Care Units to save money and resources, whilst providing Quality Care!
In last week’s blog I shared “The 3 reasons why long-term ventilated Adults& Children with Tracheostomy and their Families can do so much better”(Australia is 15 years behind when it comes to INTENSIVE HOME CARE compared to other first world countries)
You can check out last week’s update by clicking on the link here.
In this week’s BLOG I want to talk about
“Long term mechanical ventilation in Intensive Care with Tracheostomy, what are the best options?”
Some Patients in Intensive Care are facing the dilemma of being ventilated for a much longer time than expected.
Whenever those Patients in Intensive Care are facing the dilemma of getting a Tracheostomy and then go through multiple failed weaning attempts or don’t even get to those weaning attempts in the first place because their clinical condition doesn’t allow it, that’s when Patients, their Families and Intensive Care Units are in real trouble.
More often than not those Patients are then stuck in Intensive Care with a limited Quality of Life and/or Quality of end of life for many months to come!
Bed blocks in Intensive Care are a real issue and challenge!
More often than not those long-term ventilated Adults& Children with Tracheostomy are then also blocking a bed that could be used for the many other Patients in need of an acute Intensive Care bed.
So what’s the alternative and what are the best options?
Keep them in Intensive Care for a long time to come?
Getting the Patients and their Families involved in the decision making process?
That would probably be a good starting point.
And furthermore, we should also be looking at what proven alternatives are out there, rather than keeping long- term ventilated Adults& Children in Intensive Care for longer than necessary.
INTENSIVE CARE AT HOME is offering a model of care that has been proven in European countries a long time ago and plenty of research has been published about it.
- For example “Mechanical Home Ventilation guidelines” have been published to provide Intensive Care in the Home services as a genuine alternative to a long-term stay in Intensive Care. Those “Mechanical Home Ventilation guidelines” are a set of guidelines that are a direct result from the many years of experience when looking after long-term ventilated Adults& Children with Tracheostomy in the Home
Quality-of life evaluations giving evidence that Home Care is a much better option
Furthermore, “Quality-of-Life Evaluation” of Patients with Neuromuscular and Skeletal Diseases Treated with Non-invasive and Invasive Home Mechanical Ventilation, Agneta Markstro?m, MD, PhD, Kerstin Sundell, RNA;; Michael Lysdahl, MD;; Gillis Andersson, MD;; Ulla Schedin, MD, PhD;; Birgitta Klang, RN, PhD
Invasive home mechanical ventilation, mainly focused on neuromuscular disorders,Geiseler J, Karg O, Börger S, Becker K, Zimolong A
The research and the evidence is there, therefore we should not deny long-term ventilated Adults& Children with Tracheostomy the opportunity to go home.
Thankfully INTENSIVE CARE AT HOME has created the option!
What are your thoughts? Do you think that leaving long-term ventilated Adults& Children with Tracheostomy in Intensive Care is the best option?
Leave your comments on the blog.
Please also note that INTENSIVE CARE AT HOME has been selected as a preferred provider for Queensland Health Services as part of the recent “Hospital in the Home” tender.
You can also contact me on 041 094 2230 if you want to know more about how we can help you, your Intensive Care Unit and your Patients and Families.
Thank you for tuning into this week’s blog.
This is Patrik Hutzel from INTENSIVECAREATHOME.COM.AU and I’ll see you again in another update next week.