Monday, November 26, 2012

Creating a Virtuous Cycle in 7 Steps


Today I want to further highlight how breaking out of the intensive care environment can create a virtuous cycle for all stakeholders. Long-term ventilation with Tracheostomy in ICU is usually a vicious cycle, with ventilator dependency, depression and hospital acquired infection at its core.

We can break out of this vicious cycle and create a virtuous cycle. Home intensive care nursing is an evolving and dynamic alternative for long-term mechanically ventilated adults & children with Tracheostomy and their families and it has become a massive success in other countries, in Europe in particular and I was very fortunate to gain insight and 'hands-on' experience in the Industry in Germany for a number of years.

In order to go the extra mile and create something of value for long-term mechanically ventilated adults & children with tracheostomy and their families, as well as for hospitals and intensive care units, INTENSIVE CARE AT HOME is extending services outside of the traditional intensive care approach, by looking at ways of how innovative and effective alternatives can be created in the context of:

1) Creating a virtuous cycle by dramatically improving quality of life outside of an icu environment - just by taking a long-term ventilated adult or a child with tracheostomy outside of the ICU environment back home, gives them and their family such a boost, with the natural consequence of feeling so much better.

2) Establishing quality of life that is focused around a holistic approach towards the ventilated adult or child in their own home, outside of ICU.

3) Establishing quality of life that is focused not only on the quality of life of the ventilated adult or child, but is also focused on the quality of life of the family- we all know how much time families spend in icu to be with their loved ones and essentially putting their life on hold, whilst feeling very stressed and outside of their comfort zone.

4) Creating and freeing up expensive resources for hospitals and ICU's in particular that can be used for more acute and sick patients that have a much higher need for critical care, in comparison to adults or children who are long-term ventilated with tracheostomy and have little or no quality of life in ICU.

5) Creating win-win situations for long-term ventilated adults & children with tracheostomy, their families, as well as for intensive care units and hospitals, in view of intensive care beds being one of the most expensive resources used in a hospital

6) Creating a quality solution outside of the traditional hospital approach, where intensive care trained nurses can contribute and use their specialist skills to make a massive difference to the quality of life of ventilated adults & children with tracheostomy and their families, whilst maintaining high quality nursing standards in a home care environment that enable the customer's quality of life to be the main focus.

7) Breaking out of the vicious cycle of long- term ventilation in ICU, where long term-ventilation triggers depression and depression causes long- term ventilation. On top of that - more often than not-long-term ventilated adults & children with tracheostomy in intensive care catch a hospital acquired infection that usually prolongs their already expensive stay in intensive care, adding on another loop to the vicious cycle and putting additional costs on to their already long list of expenses.

The list could probably go on and please leave your comments on our blog, as I have put this month's newsletter on our blog, as well as in the newsletter section.

Have a great weekend!




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