Exploring Extubation Within the Home Environment

Exploring Extubation Within the Home Environment
With the baby boomer generation getting older and having to care for their parents, it has become apparent that end of life discussions are becoming more frequent. Many elderly persons have identified that they would prefer to die in their own home. For those who are on a ventilator in the ICU, however, the option to be brought home, and subsequently extubated at home, ensuring that they will die at home has become a new phenomenon.
There is extensive published literature discussing the experiences of family members following the non-extubated death at home and on the experiences of family member’s death after extubation in the hospital. What is unknown is the lived experience of those family members who experienced the extubation at home. Approximately nine adult patients with a southern Californian hospice service have experienced an extubation at home. Of the four patients who met criteria, eight family members met criteria to be interviewed. Three individuals participated in the study, with two themes and one subtheme emerging. 
This qualitative, phenomenological retrospective study found themes of recounting the journey and distrust in the medical system, with a sub-theme of faith as a foundation, shedding light on the experience of the family members. These findings help healthcare providers and others gain insight into an intimate time in the lives of patients and their families.


Tablet Validation: 
Not Suitable
Subscribe to Exploring Extubation Within the Home Environment