Hi it’s Patrik Hutzel from INTENSIVE CARE AT HOME where we provide tailor made solutions for long-term ventilated Adults & Children with Tracheostomies 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 the last blog I talked about
You can check out last week’s blog here.
In this week’s blog I want to answer a question that we get quite frequently
What are the outcomes for Patients at home on ventilation and tracheostomy?
The short answer to this question is that it depends on the client.
There is no “one size fits all” answer.
What all of intensive care at home clients have in common is that they want and do improve quality of life and/or quality of end of life at home and that is a major achievement in and of itself.
One of the most important issues is that goals of care are different for different clients and it really depends on the individual.
Outcomes range from ventilation weaning, tracheostomy weaning all the way to full recovery, to end of life care and palliative care at home for Patients that would otherwise be in intensive care long-term.
Related case study:
- INTENSIVE CARE AT HOME SERVICES FOR A 15 MONTH OLD TODDLER, ANOTHER “WIN-WIN” SITUATION AND SUCCESS STORY
Other clients can live a good quality of life and they might be on a ventilator for the rest of their lives because of the nature of their injury. They can live a good quality of life at home in spite of ventilation and tracheostomy. They can live an active family and social life at home with 24/7 intensive home care nursing. The alternative would be to stay in intensive care indefinitely on life support with no quality of life. The outcomes when Patients are at home on life support with ventilation and tracheostomy for the rest of their lives is the improvement in quality of life and the cutting of the cost of a $5,000- $6,000 ICU/PICU bed by approximately 50%.
Related case study:
- A YOUNG CLIENT WAS GOING BACK TO INTENSIVE CARE REGULARLY! INTENSIVE CARE AT HOME PUT A STOP TO IT, IMMEDIATELY
Other outcomes for ventilated and tracheostomised intensive care at home clients are good quality of end of life outcomes where clients simply have expressed their wishes to approach their end of life at home surrounded by their family, instead of dying in a sterile intensive care unit.
We have provided and we are providing palliative care/end of life care for ventilated and tracheostomised clients at home.
Related case studies:
- MARY IN HER LATE SIXTIES SPENT THE LAST YEAR OF HER LIFE AT HOME DESPITE BEING INTERMITTENTLY VENTILATOR DEPENDENT AND ON CHEMOTHERAPY!
Other treatment options at home for intensive care at home clients can be around BIPAP/CPAP ventilation (NIV= non-invasive ventilation).
For example we have been and are currently providing BIPAP/CPAP ventilation at home for adults and children.
We have been successfully weaning a medically complex toddler off CPAP ventilation at home.
We have also been providing end of life care for another medically complex 18 month toddler on BIPAP with seizures that left PICU in order to approach end of life at home surrounded by his loving parents, grandparents and friends.
Related case studies:
- INTENSIVE CARE AT HOME Nursing Services For A Medically Complex And Ventilated Toddler, Making A Seamless Transition From Hospital To Home To Free Up Hospital Beds!
There are other clients we keep out of ICU/PICU as well that are not necessarily ventilated but have complex neurological medical conditions where they have regular grand-mal or tonic clonic seizures and their airway becomes unstable during seizures. Our critical care nurses then manage unstable airways with guedel airways, nasopharyngeal airways, suctioning, oxygen, jaw thrusts, bag valve masks etc… to maintain a stable airway.
All of our clients and their families have opted to continue care and treatment at home instead of intensive care with 24/7 intensive care nurses coming into their home to improve their quality of life.
The funding bodies have also embraced the concept because we are cutting the cost of a $5,000-$6,000 per bed day ICU/PICU bed by approximately 50% by providing intensive home care.
If you want to find out how we can help you to get your loved one out of Intensive Care including palliative care or Long-term acute care (also nursing home) or if you find that you have insufficient support for your loved one at home on a ventilator, if you want to know how to get funding for our service or if you have any questions please send me an email to [email protected] or call on one of the numbers below.
Australia/New Zealand +61 41 094 2230
USA/Canada +1 415-915-0090
UK/Ireland +44 118 324 3018
Also, check out our careers section here
We are currently hiring ICU/PICU nurses for clients in the Melbourne metropolitan area, northern suburbs, Mornington Peninsula and in South Gippsland/Victoria.
We are an NDIS, TAC (Victoria) and DVA (Department of Veteran affairs) approved community service provider in Australia.
Also, have a look at our range of full service provisions here
We have also been part of the Royal Melbourne health accelerator program for innovative health care companies last year!
Thank you for tuning into this week’s blog.
This is Patrik Hutzel from INTENSIVE CARE AT HOME and I see you again next week in another update!