Podcast: Play in new window | Download

Subscribe: Apple Podcasts | RSS

Hi, it’s Patrik Hutzel from INTENSIVECAREHOTLINE.COM where we instantly improve the lives for Families of critically ill Patients in Intensive Care, so that you can make informed decisions, have PEACE OF MIND, real power, real control and so that you can influence decision making fast, even if you’re not a doctor or a nurse in Intensive Care!

This is another episode of “YOUR QUESTIONS ANSWERED“ and in last week’s episode I answered another question from our readers and the question was

My Dad In ICU Is Having End- Stage Renal Disease! Why Has The ICU Team Not Informed Me Earlier?

You can check out last week’s question by clicking on the link here.

In this week’s episode of “YOUR QUESTIONS ANSWERED“, I want to answer the questions from one of  my clients Peter, as part of my 1:1 consulting and advocacy service, telling that his Dad came only with pneumonia, but now the ICU team is telling he has end-stage renal disease. 

My Dad in ICU is only having pneumonia. Why does the ICU team tell me that he has end-stage renal disease now?

“You can also check out previous 1:1 consulting and advocacy session with me and Peter here.”

PART 1

Peter:    Didn’t give it to him last night. Didn’t give it to him this morning.

Patrik:    Yeah.

Peter:   So maybe that’s helping him too.

Patrik:    Yes, for sure. For sure.

Peter:   Keppra has the side effect of sleeping.

Patrik:   Oh, absolutely.

Peter:   But he’s still got some junk in his lungs and stuff, that they’re suctioning out.

Patrik:   They do-

Peter:    So he’s not out of the woods yet, but …

Recommended:

• Book your free consultation call here

• Check out our Ebooks and videos

Patrik:    No. They do still suction him?

Peter:   Oh, yeah. They’re still suctioning him.

Patrik:   Right. And how is he tolerating that?

Peter:   Oh, he’s okay. It takes a little bit to get him to gag, to get a cough reflex, you know.

Patrik:    Right. And how do-

Peter:    But my concern is just he’s not urinating.

Patrik:    Yeah, absolutely.

Peter:   He’s never had that problem, ever.

Patrik:   Right, right.

Look. So here’s what I can see, and just before I come to the kidneys I’ll just quickly ask, how do they suction him? Do they suction him through his nose, or through the mouth?

Peter:   No, they’ve been doing the mouth, yeah.

Patrik:   Okay. Alright.

Peter:   The nose is a little bit too risky for … They do as needed, like if he was really … If he’s desaturating then they do that. Right now, I’m looking at the monitor. He’s on a, what do you call it? They’re giving him a nebulizer treatment, so he’s at 100, right now.

Patrik:   Right, so-

Peter:   See, that’s cheating, that’s not …

Patrik:    Right, well, yes and no, but the nebulizer will clear, hopefully will clear his lungs. Basically, what a nebulizer does, is if he’s got secretions on his chest that are hard to mobilize, that will help him to get rid of those secretions. It will also make it easier-

Peter:   Yeah, of course. It’s helping. His heart rate’s about 80 to 85.

Recommended articles:

• THE 10 THINGS YOU DIDN’T KNOW ARE HAPPENING BEHIND THE SCENES IN INTENSIVE CARE THAT HOLD YOU BACK FROM HAVING PEACE OF MIND, CONTROL, POWER AND INFLUENCE, WHILST YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE!

• “FOLLOW THIS ULTIMATE 6 STEP GUIDE FOR FAMILY MEETINGS WITH THE INTENSIVE CARE TEAM, THAT GETS YOU TO HAVE PEACE OF MIND, CONTROL, POWER AND INFLUENCE FAST, IF YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE!”

Patrik:   Right. Right.

Peter:   No PVCs. It’s seeing no PVCs.

Patrik:   Yeah. Yeah.

Peter:   It’s nice and regular sinus. It’s normal sinus.

Patrik:   Right. Right.

Peter:   It’s normal.

Patrik:    Right. So you know what a sinus rhythm is. That’s really good. Not many people do.

Peter:   Yeah. I’m an EMT. I was an EMT I worked 10 years in an ambulance.

Patrik:   Oh, I see.

Peter:    I know a little bit. I know a little basics.

Patrik:   Right. Right.

So let’s-

Peter:   And I worked in a dialysis unit for 15 years.

Patrik:    Right.

Peter:   I’m a little bit up on the dialysis, and I hope he don’t end up on dialysis next. This is …

Patrik:    Well, let’s talk about kidney failure for a moment.

So what will happen is, if they’re giving the furosemide and he’s not weeing, he needs to have dialysis. Now, there would probably be a number of reasons how to go about that. Number one, he might go back into ICU, or they might have a dialysis unit in this hospital. I wouldn’t know whether that’s-

Related link: 

• “Why your critically ill loved one might need Dialysis (Kidney machine) or Haemofiltration for Kidney Failure (Renal Failure) and is having a Dialysis machine attached to them!” (PART 1)

 Peter:    Yeah, they do. I’ve seen it.

Patrik:   They do?

Peter:    I’ve seen it.

Patrik:    Okay. That’s good. That’s good, because that would be preferred to …

You see, when we were talking about this yesterday … I think going into ICU on the one hand, yes, because he’s getting better care. On the other hand, the biggest risk of going back to ICU is probably the infection risk, right?

Peter:   Probably what now?

Patrik:   Can you hear me?

Peter:   A little bit.

Patrik:   Right. Right.

Peter:    Try it now.

Patrik:   Right.

There’s a huge infection risk in ICU, because of all the bugs. But if he’s not starting to pee, he needs to have dialysis. The other thing is, if he’s not starting to pee, especially if he’s de-saturating, there would be more fluid accumulation on his chest, if he’s not starting to pee, and that could get the pneumonia back on board, you know?

Peter:   Yeah. So far, they say his lungs sound good, and they think it’s going in the … I don’t think they think it’s heart failure, or if it’s …

Have you seen this before, where people start … They say they gave him … His blood pressure went low in the ICU, so they gave him a lot of fluids. Now all those fluids are hanging all around him, and then sometimes they gave him 40 milligrams of what’s that stuff? Lasix, yesterday. The second day they gave him 40. He was never on 40. He gets 20, safely. 

Recommended info:

• “PEACE OF MIND, CONTROL, POWER AND INFLUENCE EVEN IN THE MOST CHALLENGING OF CIRCUMSTANCES THAT YOU, YOUR FAMILY AND YOUR CRITICALLY ILL LOVED ONE COULD POSSIBLY FACE IN INTENSIVE CARE!”

• 7 QUESTIONS YOU NEED TO ASK THE MOST SENIOR DOCTOR/ PHYSICIAN/ CONSULTANT IN INTENSIVE CARE IF YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE- you’ll also get one BONUS QUESTION at the end of the Ebook/Video or Audio!

 Patrik:   Right-

Peter:   And they say that the Lasix caused this problem now, with the kidneys and that. Have you seen that before?

Patrik:   Yeah, very much so. There’s two things that I can see. Number one, the hypotension in ICU might have caused some kidney malfunction. And, if the blood pressure is low, the kidneys don’t get perfused.

Peter:   I know, I’m always worried about that, but they said that they pumped him full of fluids, to keep him … Then they gave him a medicine that brought his pressure up.

Patrik:    Yeah, sure, sure.

Peter:    I forget the name of it. Oh, Ephederine and Norephederine

Patrik:   Epinephrine or norepinephrine (inotropes/vasopressors), yeah, yeah. So that’s-

Peter:   Yeah, I remember seeing that hanging on the bag.

Patrik:  Right.

Peter:  I always watch every time they hang a medicine.

Patrik:   Good.

Peter:  I always read the labels.

Patrik:   Good. So, that might have been enough to get him into renal failure, by having a low blood pressure, for a period of time. It’s one of the biggest sort of … Well, not complications, but it’s one of … It happens in ICU all the time, that patients, many patients in ICU in fact, have kidney issues during their ICU stay, because of hypotension, right? It’s nothing unusual.

The furosemide on top of that … Sometimes the furosemide works brilliantly, and sometimes it’s aggravating the kidney failure, yeah. So it’s a bit of a Catch-22.

So, to answer your question, have I seen this before? Definitely, yes.

Peter:   Even when …? What do you see in this thing? I’m trying to get a nephrologist in here, that would intercede.

 Recommended links:

• Why having a loved one critically ill in Intensive Care is a ONCE IN A LIFETIME situation and why YOU can’t AFFORD GETTING IT WRONG!”

• The 5 reasons why you should not trust the Intensive Care team blindly if your loved one is critically ill in Intensive Care

Patrik:    Mm.

Peter:   That’s what I’m trying to find out, you know, how to help him. Is there any medications or any treatments I can get, to try and give the kidneys a kick-start?

Patrik:    Yeah.

Peter:    Or, have you seen anything like that?

Patrik:   Yeah. So how much furosemide have they given him? Did you say 5 milligram?

Peter:   How much what, now?

Patrik:    How much furosemide have they given him? Do you know?

Peter:   What’s that?

Patrik:    The furosemide is the Lasix. Sorry, the Lasix.

Peter:   Oh, Lasix, I’m sorry. That’s right, too. They gave him 40 yesterday, none today.

Patrik:   Right. Sorry, how much did you say?

Peter:   40 yesterday, none today.

Patrik:   How much-

Peter:   40.

Patrik:   40, okay. And there was no response to that?

Peter:   Output? Urine? I mean, volume output? No, not much, no.

Patrik:   Right, okay, so-

Peter:   That’s why I was worried about it. They were worried about that too, when he didn’t make a lot of urine, because of the …

Patrik:   Yeah, look. Right, there is a good chance that 40 was not enough. Maybe they have to try 80 or even 120. If that doesn’t work, then the next step is to get him on dialysis. Now, with the dialysis, many patients-

Peter:    Wouldn’t that inhibit the … One thing I learned in dialysis is that sometimes when you start that, then the body forgets to use the organ, the kidneys, and then they don’t …

Patrik:   Right. I can assure that 90 … There’s some research out there, 90% to 95% of patients who need dialysis as part of their ICU stay, their kidneys fully recover.

Peter:    Oh, is that right?

Patrik:    That is right.

Peter:   So what happens? The kidneys just get tired, or …?

Patrik:   No. What happens is, as I said, with the hypotension, the kidneys shut down temporarily.

Peter:   It’s high, his blood pressure’s good, now. He’s been the-

Patrik:   Well now, yeah.

Peter:   120s.

Patrik:  Yeah, but as I said to you-

Peter:  Even over the last couple of days, he’s been in the 120s.

Patrik:  Right, I-

Peter:   Heart rate’s been good, and-

Patrik:   Yeah, but I can tell you that the short period of time in ICU with hypotension, can be enough to set off renal failure. Can be enough. It doesn’t..

Peter:    That’s what I just … That’s what I worry about with him, but I just wondered about … I want to protect his kidneys here.

Patrik:   Hm.

Peter:  I mean, should I be … They also switched his drink back. That reminds me too, they doubled his flow rate on his food, and they stopped, and they started getting this big residual, and then they had to stop it all together. Now they’re going back the old rate, 40 ccs an hour.

Patrik:   Right.

Recommended info:

• THE 5 THINGS FAMILIES DO WHO HAVE PEACE OF MIND, ARE IN CONTROL, FEEL POWERFUL AND INFLUENCE DECISION MAKING FAST, WHILST YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE!

• INTENSIVE CARE’S HIDDEN SECRETS AND MYTHS BEHIND THE SCENES, THAT THE INTENSIVE CARE TEAM KEEPS AWAY FROM YOU AT ANY COST AND OTHER FAMILIES OF CRITICALLY ILL PATIENTS HAVE NO CLUE ABOUT THOSE HIDDEN SECRETS!

Peter:   Same with the feeding stuff. The feeding tube and stuff, so …

Patrik:   Hm.

Peter:  I don’t know, he’s … Believe it or not though, he’s starting to wake up a little bit now.

Patrik:   That’s good.

Peter:    He’s in the chair, and he’s squinting, and he’s kind of … Things are a little bit better, but his arms are still weak. He can’t really move his hands that much. He gave me a little, tiny, tug when I did something, when I was moving him. But anyway, his eyes are open a little bit now, so that’s a little bit better, but now, he’s got the trade-up now, with the kidneys.

Patrik:   Hm.

Peter:    Jesus. I had a feeling this would happen, too. I said even to my brother and mother. I said, “Watch this, now. He’ll be coming from a pneumonia, but now he’ll have a kidney problem now,” and then the doctor telling me last night, “Oh, you didn’t know he had stage-three renal …?” What do you call it? Renal disease.

Patrik:    Right, right. Well, I-

Peter:    Jesus.

Patrik:   Yeah, but I think … Look, in order to diagnose stage three renal disease, they would really have to get a nephrologist in. Now, I would say that about a good 30% of people in ICU probably end up with some sort of kidney disease during their hospital stay, but that again, that doesn’t mean that people end up on dialysis for the rest of their lives, you know? It’s a matter of treating that.

Peter:    So at what point will they …? His crea is 2.-something now. At what point do they usually push, wheel him down to dialysis? When will that happen?

Patrik:   Yeah, so if he-

Peter:   Is it his vital signs are the cue, or …?

Recommended links:

• Having your loved one critically ill in Intensive Care- follow your gut and intuition!

• HOW TO MAKE SURE THAT “WHAT YOU SEE IS ALWAYS WHAT YOU GET” WHILST YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE!

• 7 QUESTIONS YOU NEED TO ASK THE MOST SENIOR DOCTOR/ PHYSICIAN/ CONSULTANT IN INTENSIVE CARE IF YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE- you’ll also get one BONUS QUESTION at the end of the Ebook/Video or Audio!

Patrik:    No, I can tell you what they’d be looking for. They’d be looking for his creatinine. If that continues to go up over the next 24 hours, and he’s not making urine, and his urea … urea is another marker in the blood for renal function. So if creatinine keeps going up, if urea keeps going up, if he’s not making urine-

Peter:   By urea, do you mean BUN?

Patrik:   Sorry?

Peter:    By urea, do you mean BUN?

Patrik:   No. Urea. U-R-E-A.

Peter:   Oh, okay. How does that show up? What test is that?

Patrik:   It’s a blood test. It usually shows up with the creatinine. It’s usually mentioned at the same time.

Peter:   What is BUN, though? What is that?

Patrik:   BUN-

Peter:   That’s blood, urea, nitrogen, right?

Patrik:   Yes, it is.

Peter:   What is that? That seems to be elevated, ever since he’s been on the feeding tubes.

Patrik:   Right, right.

Peter:   And when he’s off the feeding tube, it seems it usually comes down to the 20s, but …

Patrik:   Right.

Peter:    Anyway, so that’s why I called you, because I was concerned about what I should push for here, or should I wait, and see what happens.

Recommended articles:

• HOW TO STAY POSITIVE IF YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE!

• HOW TO STOP BEING INTIMIDATED BY THE INTENSIVE CARE TEAM AND HOW YOU WILL BE SEEN AS EQUALS!

• THE 10 THINGS YOU DIDN’T KNOW ARE HAPPENING BEHIND THE SCENES IN INTENSIVE CARE THAT HOLD YOU BACK FROM HAVING PEACE OF MIND, CONTROL, POWER AND INFLUENCE, WHILST YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE!

Patrik:   I think you can probably wait for 24 hours. They can probably wait for 24 hours, see what happens, and if by tomorrow … I’m just trying to think what time it is now, for you. For you, it’s in the afternoon.

Peter:    Right here, it’s about noontime.

Patrik:   Yeah, noontime.

Peter:   12:30 in the afternoon.

Patrik:   Yeah, yeah. So if in the next 24 hours, if he’s not making any urine, they will need to start him on dialysis, because if they don’t, he will go into pulmonary edema. Have you heard of that?

Peter:   Oh yes.

Patrik:   Right.

Peter:   Yeah, yes, because they worried about that when he in … He has also the diastolic CHF, they told me, band sometimes that can cause the fluid to back up too, you know?

Patrik:   Oh, absolutely.

Peter:   But he’s been pretty clear of that, it hasn’t been really a problem, you know.

Patrik:   Right, right.

Peter:   So they say this fluid is all … and plus, they were going to give him albumin.

Patrik:   Albumin? Mm-hmm (affirmative), mm-hmm (affirmative). Well-

Peter:    They say that would help draw the water from his tissues into his circulation-

Patrik:   That’s..

Peter:    But now they’re holding that, because he’s not making any urine. I guess they don’t maybe want to overload his circulation, right?

Recommended:

• 1:1 Email counselling and consulting with Patrik

• 7 days unlimited 1:1 phone consulting and advocacy

• Membership for families in Intensive Care

• 1:1 phone and email counselling and consulting with Patrik

Patrik:   Yeah, that’s exactly right. If they gave him albumin, and he’s not making urine, that could cause trouble. That could get him into pulmonary edema relatively quickly, especially with-

Peter:   Now-

Patrik:   … Especially with his heart-

Peter:   …Now if the.., is the medicine to blame for this? The … What’s it called? The Lasix? Is that typically the cause of this type of thing?

Patrik:   No, it’s usually a combination of the hypotension and … Has your dad been on Lasix before? Do you know?

Peter:   Oh yeah, he was taking 10 milligrams a day.

Patrik:   At home?

The 1:1 consulting session will continue in next week’s episode.

How can you become the best advocate for your critically ill loved one, make informed decisions, get peace of mind, control, power and influence quickly, whilst your loved one is critically ill in Intensive Care?

You get to that all important feeling of making informed decisions, get PEACE OF MIND, CONTROL, POWER AND INFLUENCE when you download your FREE “INSTANT IMPACT” report NOW by entering your email below!

In Your FREE “INSTANT IMPACT” report you’ll learn quickly how to make informed decisions, get PEACE OF MIND, real power and real control and how you can influence decision making fast, whilst your loved one is critically ill in Intensive Care! Your FREE “INSTANT IMPACT” Report gives you in-depth insight that you must know whilst your loved one is critically ill or is even dying in Intensive Care!

Sign up and download your FREE “INSTANT IMPACT” REPORT now by entering your email below! In your FREE “INSTANT IMPACT” REPORT you’ll learn how to speak the “secret” Intensive Care language so that the doctors and the nurses know straight away that you are an insider and that you know and understand what’s really happening in Intensive Care! In your FREE report you’ll also discover

• How to ask the doctors and the nurses the right questions

• Discover the many competing interests in Intensive Care and how your critically ill loved one’s treatment may depend on those competing interests

• How to eliminate fear, frustration, stress, struggle and vulnerability even if your loved one is dying

• 5 mind blowing tips & strategies helping you to get on the right path to making informed decisions, get PEACE OF MIND, control, power and influence in your situation

• You’ll get real world examples that you can easily adapt to your and your critically ill loved one’s situation

• How to stop being intimidated by the Intensive Care team and how you will be seen as equals

• You’ll get crucial ‘behind the scenes’ insight so that you know and understand what is really happening in Intensive Care

• How you need to manage doctors and nurses in Intensive Care (it’s not what you think)

Thank you for tuning into this week’s YOUR QUESTIONS ANSWERED episode and I’ll see you again in another update next week!

Make sure you also check out our “blog” section for more tips and strategies or send me an email to [email protected] with your questions!

Also, have a look at our membership site INTENSIVECARESUPPORT.ORG for families of critically ill Patients in Intensive Care here.

Or you can call us! Find phone numbers on our contact tab.

Also check out our Ebook section where you get more Ebooks, Videos and Audio recordings and where you can also get 1:1 counselling/consulting with me via Skype, over the phone or via email by clicking on the products tab!

This is Patrik Hutzel from INTENSIVECAREHOTLINE.COM and I’ll see you again next week with another update!

Related Articles:

• What is an induced coma and why is my critically ill loved one in an induced coma

• How LONG does it take to WAKE UP after an induced coma?

• How LONG can someone stay in an INDUCED COMA?

• How long can you keep a critically ill Patient in Intensive Care in an induced coma

• How long can a breathing tube or an endotracheal tube can stay in

• The 10 COMMANDMENTS for PEACE OF MIND, control, power and influence if your loved one is critically ill in Intensive Care

• Tracheostomy and weaning off the ventilator in Intensive Care, how long can it take?

• Why do doctors in Intensive Care insert a Tracheostomy after an induced coma?

• How long should a Patient be on a ventilator before having a Tracheostomy?

• Why does my loved one need a Tracheostomy in Intensive Care

• What could be the cause if my critically ill loved one is removed from an induced coma but still hasn’t woken up?

• My 80 year old father is in Intensive Care with Myeloma! The Intensive Care team HAS ASKED ME TO SIGN A “DNR” AND I REFUSED! What are MY OPTIONS?

• The 3 most dangerous mistakes that you are making but you are unaware of, if your loved one is a critically ill Patient in Intensive Care

• The 5 questions you need to ask when the Intensive Care team is talking about “Futility of treatment”, “Withdrawal of life support” or about “Withdrawal of treatment”

• HOW TO STOP BEING HELD HOSTAGE BY THE INTENSIVE CARE TEAM if your loved one is critically ill in Intensive Care!

• HOW TO CONTROL YOUR POSITIVE SELF- IMAGE whilst your loved one is critically ill in Intensive Care

• How long does it take to wake up from a Traumatic brain injury or severe head injury

• 5 POWERFUL THINGS YOU NEED TO DO IF THE INTENSIVE CARE TEAM IS NEGATIVE WHEN YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE!

• Does my critically ill loved one in an induced coma or with head injuries feel my presence?

• My 25 year old wife has been in ICU for one month with Tracheostomy and is still in an induced coma

• My Mum has been diagnosed with STOMACH CANCER and is in ICU ventilated. CAN I TAKE HER HOME on a ventilator?

• The questions you need to ask the most senior doctor in Intensive Care, if your loved one is critically ill in Intensive Care

• A 5 step BLUEPRINT for DYING WELL and with DIGNITY in Intensive Care

• How long does it take for my critically ill loved one to be taken off the ventilator and have their breathing tube/ endotracheal tube removed

• Why you must make up your own mind about your critically ill loved one’s situation in Intensive Care even if you’re not a doctor or a nurse!

• The ELEPHANT IN THE ROOM or HOW THE INTENSIVE CARE TEAM IS MAKING DECISIONS whilst your loved one is critically ill in Intensive Care!

• MY PARTNER IS IN INTENSIVE CARE ON A VENTILATOR! THE INTENSIVE CARE TEAM WANTS TO DO A TRACHEOSTOMY AND I WANT TO HAVE HIM EXTUBATED! WHAT DO I DO?

• 5 ways you are UNCONSCIOUSLY SABOTAGING yourself whilst your loved one is CRITICALLY ILL in Intensive Care and HOW TO STOP doing it!

• How to make sure that “what you see is always what you get” whilst your loved one is critically ill in Intensive Care

• 5 steps to become a better negotiator if your loved one is critically ill in Intensive Care

• 5 Ways to have control, power and influence while your loved one is critically ill in Intensive Care

• 6 phrases you should never say when your loved one is critically ill in Intensive Care

• How to REPROGRAM YOUR MIND if your loved one is critically ill in Intensive Care

• How to play a “HIGH STAKES GAME” that only the Intensive Care team knows HOW TO WIN!

• Family overjoyed as top court rules doctors must seek consent before taking a patient off life support

• How to make sure that your values and beliefs are known whilst your loved one is critically ill in Intensive Care

• My loved one has HIV, lymphoma on his brain, seizures, septic and is ventilated! The Intensive Care team is trying to TAKE MY HOPE AWAY and they are all NEGATIVE! HELP!

• MY PARTNER IS IN INTENSIVE CARE AFTER A BLEED ON A BRAIN! WE ARE WORRIED THAT THE INTENSIVE CARE TEAM WANTS TO SWITCH OFF THE VENTILATOR! HELP!

• CAN YOU GO HOME ON A VENTILATOR?

• HOW TO DEAL WITH A DIFFICULT INTENSIVE CARE TEAM, WHEN YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE!

• DISRUPT before you are being DISRUPTED, whilst your loved one is critically ill in Intensive Care!

• HOW TO STAY STRONG WHILST YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE!”

• What the doctors and the nurses behaviour in Intensive Care is telling you about the culture in a unit

• How to take control if your loved one has a severe brain injury and is critically ill in Intensive Care

• Family Meetings in Intensive Care or the Elephant in the Room

• How can I be prepared, be mentally strong and be well positioned for a Family meeting with the Intensive Care team?(PART 1)

• How can I be prepared, be mentally strong and be well positioned for a Family meeting with the Intensive Care team?(PART 2)

• The four DEADLY SINS that Families of critically ill Patients in Intensive Care CONSTANTLY MAKE, but they are UNAWARE OF!

• My HUSBAND had a HORRIBLE work accident and went into CARDIAC ARREST! Will he be PERMANENTLY DISABLED

• HOW TO GET AN UNFAIR ADVANTAGE whilst your loved one is critically ill in Intensive Care!

• How to MUTE your NEGATIVE INNER DIALOGUE whilst your loved one is critically ill in Intensive Care!

• Why decision making in Intensive Care GOES WAY BEYOND your critically ill loved one’s DIAGNOSIS AND PROGNOSIS!

• How to STOP being INTIMIDATED by the Intensive Care team and how you will be SEEN as EQUALS

• WHAT HAPPENS IF MY CRITICALLY ILL LOVED ONE CAN’T BE WEANED OFF THE VENTILATOR?

• The 4 ways you can overcome INSURMOUNTABLE OBSTACLES whilst your loved one is critically ill in Intensive Care!

• How to get PEACE OF MIND, more control, more power and influence if your critically ill loved one is DYING in Intensive Care!

• CAN I TAKE MY LOVED ONE HOME ON A VENTILATOR TO DIE?

• The 5 ways how RESILIENT FAMILIES in Intensive Care STAND BACK UP when life knocks them down!

• Five STRAIGHTFORWARD ways to improve Family satisfaction in Intensive Care

• The 5 QUESTIONS you need to ask, if the Intensive Care team wants you to DONATE your loved one’s ORGANS in an END OF LIFE SITUATION!

• MY PARTNER IS IN INTENSIVE CARE ON A VENTILATOR! THE INTENSIVE CARE TEAM WANTS TO DO A TRACHEOSTOMY AND I WANT TO HAVE HIM EXTUBATED! WHAT DO I DO? (PART 1)

• How MEDICAL RESEARCH DOMINATES your critically ill loved one’s diagnosis and prognosis, as well as the CARE and TREATMENT your loved one IS RECEIVING or NOT RECEIVING

• 5 things NOBODY HAS EVER TOLD YOU about Intensive Care

• WHAT WOULD YOU DO if you knew that you COULD NOT FAIL, whilst your loved one is critically ill in Intensive Care

• How the Intensive Care team is SKILFULLY PLAYING WITH YOUR EMOTIONS, if your loved one is critically ill in Intensive Care!

• My father is in Intensive Care ventilated with LIVER FAILURE and KIDNEY FAILURE, I DON’T THINK HE WILL SURVIVE! HELP

• HOW TO GIVE YOURSELF PERMISSION TO HAVE PEACE OF MIND, CONTROL, POWER AND INFLUENCE WHEN YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE!

• My father has been weaned off the ventilator in Intensive Care and still has the Tracheostomy in. When can the Tracheostomy be removed?

• HOW LONG DO YOU NEED TO BE ON A VENTILATOR AFTER A LUNG TRANSPLANT

• HOW LONG can a critically ill Patient stay on ECMO?

• THE ULTIMATE FASTLANE TO PEACE OF MIND, CONTROL, POWER AND INFLUENCE WHEN YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE!