Patient Service at Home After Intensive Care

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Patient Service at Home After Intensive Care

During the course of intensive care, both patients and their families go through a very difficult process. Our experienced team is at your disposal to help patients adjust to normal life after critical care and to provide the medical support they need.

What is post intensive care at home?

Our services include patients admitted to home care and post-ICU follow-up. This process is performed by expert physicians and nurses after assessment of treatment. There is 24/7 intensive home care including nursing training for relatives of discharged patients. Post-emergency patient services include routine patient care, ventilator support, vital sign monitoring, on-demand tracheostomy care, family emotional support, and vital sign management.

How do you schedule post-critical care home patient services?

The patient’s relatives visit the intensive care services at home after the planned discharge process for the inpatient. As part of this search, a doctor who is an expert in the field will visit the patient’s location. Get detailed information about your patient’s health and have a discussion with your general practitioner. It determines the devices needed in the home environment and creates a patient-specific care plan. After the patient’s health status has been assessed, the process also includes needs such as general practitioners, physical therapists, consultant physicians, chief nurses, imaging units, and laboratory support as needed.

What is included in post intensive care at home in the TRNC?

Medical care
This is a home caregiver providing IV and medication support to the patient.

• Review of vital signs
Regularly monitoring values such as pulse, respiration, temperature, and blood pressure to keep the patient health stable.

• Respiratory support
This service is provided to patients connected to a respiratory support unit called a ventilator and is designed to control the mask and associated devices that cover the patient’s airway. Specifically, this includes ALS patients, COPD patients, and patients on sleep apnea therapy who are unable to provide respiratory support. • PEG or nasogastric catheter service
This is a service that inserts a tube (PEG) through the abdominal wall or inserts a tube through the nose into the stomach (nasogastric catheter) for patients who do not have the urge to ingest or swallow. As part of the service, corresponding applications are also managed by home intensive care nurses.

• Catheter maintenance and replacement
It is the daily management and maintenance of urinary catheters inserted into patients.

• Wound care
This service provides wound care and dressings to prevent infections and pressure ulcers from deepening in patients who have been bedridden for a long period of time.

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What should be considered for post-intensive home care services?

Patient care at home after critical care is a subject that requires attention and experience. Nurses working in this field must be fully aware of all patient complaints and be able to communicate with doctors at all times.

Some patients are on ventilators for long periods of time. For this reason, the device in question and the patient should be checked regularly to see if there has been an accident.

Relevant medical practices should be adhered to according to the patient’s diet to eliminate possible infectious agents.

Patient care and cleanliness is another aspect to consider in critical care. Interventions that jeopardize the patient’s vital health should be avoided, bed baths should be performed with an average of two wipes per day, and eye, mouth, hair, and oral care should not be interrupted.

Intensive care unit patients usually cover their toilet needs by inserting a urinary catheter or wearing diapers. In such cases, it is necessary to undergo regular examinations in order to create a sanitary home environment for the patient.

Regularly check the patient’s general health and remain calm in the event of an accident.

How are intubated patients fed?

The primary method of feeding an intubated patient is a nasogastric tube. In this application, patients meet their nutritional needs with a tube inserted into the stomach and a special formula that meets the body’s energy, protein, vitamin, carbohydrate and fat needs. The patient’s nutrition program is comprehensively adjusted, especially in cases of diabetes, liver failure, renal failure, etc.

Some patients also receive nutrition through the small gastrointestinal tract (PEG). It is a convenient application for easy nutritional supplementation according to the patient’s general condition. This method, known as total parenteral nutrition (TPN), consists of meeting a patient’s nutritional needs by opening vascular access. This application opens the patient’s vascular access and allows catheter feeding.

How to perform a bed wash?

Washing a bedridden patient is typically accomplished in two different ways. The first method is the patient can wipe down with a sponge and the second method is having a tub bed which is suitable for washing the patient’s body as needed. These tub beds have rims and drain hoses which complete the bathing process. After bathing, experienced staff provide the body care needed and make sure that the area is fully sterile.

What is unconscious patient care?

The main purpose of caring for an unconscious patient is to ensure the continuity of the patient’s vital activities.
The patient must be positioned correctly to keep the patient’s airway open and to avoid the risk of edema or thrombosis in the brain vessels.
Suction should be used to ensure airway patency, especially in patients with indwelling endotracheal tubes.
The patient’s heart rate and pulse rate should be carefully monitored during aspiration.
Cannulas used for patient oral care should be changed frequently during the day and the area where the endotracheal tube is placed should be cared for.