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VENTILATION AND TRACHEOSTOMY - HOW LONG IS THE INTENSIVE CARE STAY?
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In this week’s BLOG I want to talk about
“VENTILATION AND TRACHEOSTOMY- HOW LONGIS THE INTENSIVE CARE STAY?”
First up, happy new year to you, the reader of our blog! I hope you have a successful, happy and healthy new year!
Thank you for continuing to support INTENSIVE CARE AT HOME’s cause and mission!
Now, as you know many critically ill Patients in Intensive Care that end up ventilated with a Tracheostomy, by far exceed their projected length of stay in Intensive Care!
And if you look at the medical conditions of long-term ventilated Adults& Children with tracheostomies who have exceeded their projected length of stay, they tend to be mainly medically stable, off inotropes and off sedation.
And yet, many Intensive Care Units and hospitals still work from a paradigm that Patients when they leave Intensive Care either go to the ward or die. It’s a very black and white approach and it doesn’t leave much room for flexibility and it doesn’t serve Intensive Care Units and it doesn’t serve Patients and their Families!
It’s a very conservative approach and it doesn’t take into consideration what our service is successfully providing to our Clients and what has successfully been done in many European countries for more than 15 years now, to take long-term ventilated Adults& Children with tracheostomies home with Intensive Home Care nursing services such as INTENSIVE CARE AT HOME!
The upside of this approach is limitless as it creates win-win situations all around as it
1. Improves the quality of life and/or quality of end of life for long-term ventilated adults& children with tracheostomies and their families
2. Finally introduces cost savings for hospitals, departments of health, private health funds and other health funding agencies who pay in excess of $ 4,500 for a bed day in Intensive Care
3. Provides a holistic care model for long-term ventilated adults& children with tracheostomies and their families
4. Provides opportunities for Patients and their families who can finally carry on with their lives, rather than staying in Intensive Care for months on end
5. Frees up scarce, expensive, “in-demand” and precious ICU beds that can be used for other more acutely unwell Patients in need of an Intensive Care bed
Families, who previously put their lives on hold because their loved one staying in ICU can finally go back to live their lives, go back to their jobs, families etc… rather than spending day and night in Intensive Care.
If we keep long-term ventilated adults& children with tracheostomies in Intensive Care for longer than necessary, society is paying a huge cost by having disrupted Family lives, rather than providing a holistic service that takes into account the needs of all stakeholders such as the Patients, their Families, Intensive Care Units, Hospitals, Departments of health and private health insurances.
Everybody who has worked in Intensive Care has seen the “Guillan Barre Patient” who has been in ICU for 6 months because of their ventilator dependency and they were otherwise medically stable.
That Patient could have been weaned off the ventilator at home and then continued their treatment in hospital after being weaned off the ventilator.
They can be with their family, rather than in ICU, have a better quality of life at home, free up the ICU bed and in the process save hundreds of thousands of Dollars $$$ of precious tax payers money.
It’s a no-brainer...
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