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Baptist Restorative Care Hospital recognizes the special needs of all patients, allowing them to progress at their own pace. |
In past years, a ventilator-dependent patient had to stay in an intensive care unit. Typically, these patients were seriously ill, with problems such as heart, kidney and neurological diseases, along with ventilator dependency. Today, the continuum of care focuses on getting these patients out of the ICUs and into a more appropriate level of care
Baptist Restorative Care Hospital specializes in caring for acutely ill patients who are ventilator-dependent and medically stable. Most often, patients suffer from additional, unrelated diseases and complications that contribute to prolonged ventilator dependency, making it difficult for them to breathe on their own. Baptist Restorative Care Hospital recognizes the special needs of all patients, allowing them to progress at their own pace. Our multidisciplinary team of specialists has the experience and the advanced technology needed to care for patients who need to be gradually taken off ventilation.
Baptist Restorative Care Hospital's multidisciplinary team consists of a critical care-trained nursing staff, respiratory therapist, physical therapist, occupational therapist, registered dietitian, speech therapist, wound care nurse, infection control nurse, pharmacists, social workers, case managers and a pulmonologist.
Approach to Taking Patients Off Ventilator Support
It is essential to our approach to weaning patients off ventilator support that the respiratory therapist and nurse communicate frequently about each patient’s condition. A respiratory therapist goes to patients’ rooms each morning at around 9 a.m. to obtain patients’ measurements. The respiratory therapist looks at:
- How deeply patients are able to breathe on their own
- The oxygen in their blood
- Their breathing to make sure it is not too rapid
- Their heart rate and blood pressure to make sure they are stable
- Their temperature to make sure it is not above 100.4
At this point, if everything is normal, the respiratory therapist does one of the following:
- Makes adjustments to the ventilator rate
- Takes patients off the ventilator and lets them try breathing on their own
- Patients are monitored closely to make sure they are tolerating the changes.
The head of the bed is elevated at 30 degrees at all times and patients are turned every two hours.
Patients sit up in a chair position in the bed or get out of bed and sit in a chair at least once a day, preferably two times a day. Some patients' medical conditions will prevent this from happening, but as soon as patients can tolerate sitting up, we begin getting them out of bed or putting their bed in a chair position.
Successfully getting patients off ventilators depends on many factors. Patient and family participation is extremely important. Below are a few things families can do to help wean patients off ventilators.
- Encourage patients at all times. Just remember, sometimes you may think they are not trying, but they may be medically unable to do more.
- If patients are capable of performing small tasks for themselves, encourage them to do those tasks.
- Feel free to ask the staff if you have any questions concerning alarms that go off in the room.
- Take care of yourself. This is a hard time for families, as well as patients. Take breaks from the room, go for a walk and relax. If we can do anything for you, please let us know.
For more information, please contact the respiratory manager at Baptist Restorative Care Hospital at (901) 226-0738.
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Baptist Memorial Restorative Care Hospital
1 West
6019 Walnut Grove Rd.
Memphis, Tenn. 38120
(901) 226-1400
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