Doctor insights on:
Depends why in ICU: It all depends on why they are in the intensive care unit. Most patients do recover, but certainly there are very ill patients that do not recover after being in the icu. There are also those that have conditions that would not lead to a good quality of life. Those patients do not recover. But overall, the majority of ICU patients recover. ...Read more
Variable: It has been recently recognized that survivors of critical illness often have physical and emotional recovery issues after ICU stay. Post-traumatic stress, memory loss, and weakness are common and can take weeks to months to improve. It is worth discussing these issues when you follow up with your provider. ...Read more
It depends...: It depends on the hospital course. If the person was admitted for a condition and treated but worsened during the hospitalization to the point that death was imminent, comfort care or hospice care may occur in the hospital. However, most hospitals will try and transfer people home or to a skilled nursing facility with hospice care if the person has a little longer to live. ...Read moreSee 1 more doctor answer
No: Every hospital does have an area to transition babies while they maybe experiencing problems after birth. However, not all hospitals have a neonatal intensive care unit. If you have a prenatal diagnosis that recommends or suggests neonatal care after delivery you should deliver in a hospital with a level one or two nicu. ...Read moreSee 2 more doctor answers
Hospice: Well, you may just need a palliative approach to care; comfort over cure. Hospice is palliative care in the last months of life. Discuss with your physician about working on your comfort or find a physician who is hospice and palliatively board-certified. It is unfortunate that cms has sort of defined hospice meaning palliative care for the last six months of life, but this is only an estimate. ...Read moreSee 3 more doctor answers
Oncology: Who are the best candidates to receive 24 hour IV chemotherapy in a hospital setting vs. 6 hour out patient? Thank-you.
Usually not: Some nh who have rn round the clock can administer IV medications. Most of them do not provide this service. ...Read more
It happens: Pneumonia, heart failure, stroke, & serious injury are some of the more common reasons; it's important to consider the goals of care & realistic expectations. Patients/family/power of attorney should make it clear what level of support they feel is acceptable. It's ok to make comfort a priority & say "no" to the ventilator. It's also ok to say "yes". Best to discuss this before the crisis. ...Read more
Dementia pt. had aspirational pneumonia D'C'd back to RCFE even tho needs higher level of care. Nursing scvs provided by hospice. Why not sent to SNF?
A different focus: Hospice services are a wonderful asset to have at the end of one's life. We all have an end. When the end is near, we don't go to a skilled nursing facility (think of an SNF as a place to recover and get back to good mental and good physical functioning). When our end is in sight, hospice is the way to go. It lets one die a good death, at home, pain-free, worry-free, in peace and quiet. ...Read more
Diagnostic tool: There are a number of tools used to diagnose delirium in the intensive care unit. The two most common tools in north america include the cam-icu and the intensive care delirium screening checklist. Both have good sensitivity for detecting delirium. ...Read moreSee 1 more doctor answer
Emergently: Dic (disseminated intravascular coagulation) is an emergency in any situation. The patient with dic has, for one of several reasons, consumed elements in her blood which are needed to cause blood to clot. Without the ability to clot, she will bleed continuously until something is done to replace the "clotting factors" or otherwise arrest the bleeding, e.g., hysterectomy. ...Read moreSee 1 more doctor answer
Pt w/asp pneumonia, ave stay is 6 days, but hospital only 3 days, o2 and antibiotics 2 days, back to facility w/some hospice care. Was pt written off?
This does not: make any sense to me. A patient with aspiration pneumonia needs more therapy than what you are describing. How long you stay in hospital would depend on how sick you are. However, hospice care does not mean you are dying or "written off". They offer spectacular care to those who need it and can't be at home. Talk to your doctor for more information ...Read more