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WHY GOING TO THE WARD OR TO DIE ARE NOT THE ONLY OPTIONS TO LEAVE INTENSIVE CARE- AND WHY THERE IS A PROVEN 3RD OPTION!

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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 talked about

5 SERIOUS PROBLEMS AND FRUSTRATIONS THAT ARE NOT ADDRESSED FOR LONG-TERM VENTILATED ADULTS& CHILDREN WITH TRACHEOSTOMIES IN INTENSIVE CARE!

You can check out last week’s blog here.

in this week’s blog I want to talk about

Why going to the ward or to die are not the only options to leave iNTENSIVE CARE- and why there is a proven 3rd option

In a recent blog post I wrote about DRG’s AO6A and AO6B- both categories for long-term ventilation with Tracheostomy in Intensive Care- being the second highest ranking DRG’s in terms of costing and expenses only after LVAD(Left ventricular assist device) insertion in Intensive Care in Australia.

Related article:

“Why current funding models in Intensive Care are not in the best interest of long-term ventilated Patients with tracheostomies!”

Other first world countries have similar (costing) issues when it comes to long-term ventilated adults& children with tracheostomies and the DRG’s AO6A and AO6B in Intensive Care.

Other first world countries -Germany in particular- have therefore adopted a 3rd option for long-term ventilated adults& children with tracheostomies to leave Intensive Care and go home.

Current paradigms in Intensive Care in Australia suggest that a Patient either recovers, leaves Intensive Care and is going to the ward or if they don’t survive their stay in Intensive Care, they die.

That only leaves two options and is a very limiting model and limiting mindset for Patients, families, for Intensive Care Units, for hospitals and for health funding agencies.

When it comes to the care and treatment for long-term ventilated adults& children with tracheostomies, Germany has adopted a 3rd option which is to take Patients home and continue care and treatment there, especially if they are unable to be weaned off the ventilator.

INTENSIVE CARE AT HOME is leaning its service model on the German model of mechanical home ventilation and has created the opportunity for long-term ventilated adults& children with tracheostomies to leave Intensive Care and go home.

It’s how Intensive Care Units in Germany effectively manage their resources, offer a more holistic Patient and family friendly care model and massively reduce their expenses for those high ranking DRG’s in terms of costing!

The upside is huge and it’s a “win-win” situation for all stakeholders.

At this point in time, there seems to be unlimited funding for Intensive Care Units in Australia and there is no or limited accountability in how Intensive Care Units reduce their expenses for the 2nd highest ranking DRG’s when it comes to costs and expenses in Australia.

At this point in time there also appears to be limited or no accountability for Intensive Care Units in how they improve the quality of life for long-term ventilated adults& children with tracheostomies.

Besides the costing aspect, improving the quality of life for long-term ventilated adults& children with tracheostomies and their families can’t be achieved in an Intensive Care environment, it can only be achieved in a home care environment with qualified staff and with a specialised service.

Germany has proven that this model of INTENSIVE HOME CARE is working, nearly two decades ago and all stakeholders benefit from this model.

Related link:

Evidence- Based approach

What are your thoughts? Why do you think that Australian Intensive Care Units still think in outdated paradigms and only offer two options for their Patients, to either go to a ward or die?

Why do you think home care for long-term ventilated adults& children with tracheostomies is nearly 20 years behind countries like Germany?

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.

 

We are also currently hiring enthusiastic and experienced Intensive Care nurses with Critical Care certificate for a ventilated Melbourne Client, close to the CBD. For more information check out our Career section here www.intensivecareathome.com.au/careers or contact Patrik on 041 094 2230

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 www.intensivecareathome.com.au  and I’ll see you again in another update next week.

 

 

 

 

 

 

 

 

 

 

RELATED LINKS:

Default ThumbnailLength of stay in INTENSIVE CARE and how INTENSIVE CARE AT HOME can reduce it Default ThumbnailJuly 2012 Newsletter Default ThumbnailHow to provide more Privacy and Dignity for long-term ventilated Adults& Children with Tracheostomy Default ThumbnailHow long does it take to wake up from a Traumatic brain injury or severe head injury? Default ThumbnailMY TWO YEAR OLD SON COULD DIE AT ANY MOMENT!

After more than 13 years Intensive Care Nursing experience, in a variety of Intensive Care Nursing settings across Australia, the United Kingdom and Germany, which included Trauma, General, Cardiac, Neurology, Paediatrics, as well as providing Intensive Care Nursing for long-term ventilated Patients and their Families in their own home, Patrik Hutzel has gained valuable and tremendous insight into the world of Intensive Care and Critical Care. Not only has Patrik gained insight and experience from a Clinical and a Nursing point of view, but he has also gained excellent insight about frustrations, the limitations, the pain, the suffering, the difficulties and the patience, Families and their critically ill loved ones in Intensive Care are usually dealing with, as they are generally dealing with the unexpected and often life threatening situations that are changing Families and their critically ill loved ones life in an instant.

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