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Family Reflections

Deciding about Home Ventilation

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    • 1: Considering the Options
    • 2: Talking with your Doctors
    • 3: Life at Home
    • 4: Relationships
    • 5: Your Child’s Experience
    • 6: If Your Child’s Life is Short
    • How can you apply this to your child?
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Getting clear information about the options

Talking With DoctorsTopic 2A

Getting clear information about the options

Asking questions is part of your job as the parent. When your child has a complex medical situation, it can be hard to get all the information you want.

You can listen to two different family experiences below.

Kiana

Kiana helping Devin get secured in their van. Devin is in his wheelchair and is connected to a breathing machine.

“I just wish the doctors had been on the same page sooner…”

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Kiana: I just wish the doctors had been on the same page sooner. There were just so many people telling us different things and giving us information – doctors, nurses, therapists, social workers… oh my goodness, so many people! I understand you need the facts but when you are hearing one thing from pulmonary, and one thing from the PICU, another thing about his brain, another about his feeding, another about his scoliosis… you just don’t know who to believe.

I have to say, I am so glad I had the palliative care team there when we were making the decision about the trach and vent for Devin. Once I learned that I could ask all of the doctors to come to a meeting with me, so I could hear from all of them at once and we can make a decision together…that was much better. If that had happened sooner, maybe I would have decided to go for the trach earlier!

The palliative care team really helped me and Devin’s other doctors figure out what was best for Devin, and for me too. I also talked with my sister, since she was gonna be helping me take care of Devin sometimes. I wished I could have talked to other parents who really knew what it would be like to have the vent at home, but that didn’t work out.

At the end of the day, the doctors said that they weren’t sure if the vent would be permanent, or if he would just need it for a year or two. Well, if there was any chance that he might get better and not even need it down the road, we were going to try it for Devin. So, I pushed for it. I mean, even though now the doctors say the trach and vent are probably going to be permanent, I’m still happy with the decision.

Morgan & Matt

Matt and Morgan looking out the window of their home. There are photos of Ashley on display in the room.

“When we went for that first ultrasound, I could tell something was wrong…”

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Morgan: When we went for that first ultrasound, I could tell something was wrong right away from the look on the nurse’s face. We were so happy to be pregnant…we weren’t expecting that.

Matt: After some more tests, we found out that our daughter, Ashley, had a rare genetic condition. The doctors said Ashley would probably die before her first birthday, that many of her organs would ultimately fail and she would have trouble breathing.

Morgan: We cried a lot. We kept thinking that there must be a solution. But the doctors said that, because of her underlying genetic problems, that a trach and vent wouldn’t improve Ashley’s other problems. It wouldn’t prevent her from dying.

Matt: A part of me wanted them to try everything that could help. I didn’t know how to think about the alternative. At first it was hard for us to talk about it, but I realized it would be selfish to try to keep Ashley with us if it would only mean she would be suffering.

Morgan: A nurse told us about hospice for babies, that it could help Ashley be home with us for as long as possible. So, we brought Ashley home with us when she was seven days old. The hospice folks were there, and our parents, Matt’s sisters, our friends. We had a huge coming home party!

Matt: We spent three amazing months at home with Ashley before she started to have trouble breathing. We brought her back to the hospital to see if anything simple could help. We tried oxygen, medication…nothing helped. The doctors believed that a trach and vent might keep her alive a little while longer, but they couldn’t say how much longer.

Morgan: It was so hard to say “no” to a vent, because of course we wanted Ashley to be with us forever. But being in the hospital, on machines…we knew it was not really living. We wanted to take our daughter home.

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Más información sobre Devin...

Devin tiene 8 años y sufre de parálisis cerebral y escoliosis. Utiliza una silla de ruedas y un tubo de alimentación. Cuándo empezó a tener problemas para respirar, no todo el mundo estaba de acuerdo con la traqueostomía y el ventilador en casa. Pero su madre creía que era lo mejor para Devin. Su tía ayuda a cuidarlo en casa.

Más información sobre Devin...

Devin tiene 8 años y sufre de parálisis cerebral y escoliosis. Utiliza una silla de ruedas y un tubo de alimentación. Cuándo empezó a tener problemas para respirar, no todo el mundo estaba de acuerdo con la traqueostomía y el ventilador en casa. Pero su madre creía que era lo mejor para Devin. Su tía ayuda a cuidarlo en casa.

Más información sobre Vivian...

Vivian tiene 4 años y tuvo cirugía cardíaca cuando era bebé. Luego tuvo neumonía cuando tenía 2 años y no pudo salir del hospital sin una traqueostomía y un ventilador. Su mamá y su papá querían que estuviera en casa y aprendieron a cuidarla con su ventilador a domicilio.

Más información sobre Miguel...

Miguel nació prematuro con pulmones muy frágiles. Cuando tenía 6 meses, sus padres decidieron por una traqueostomía y un ventilador en casa para que pudiera salir del hospital lo más pronto posible. Ahora tiene 9 meses y vive con su madre, su padre y un hermano mayor muy activo.

Más información sobre Miguel...

Miguel nació prematuro con pulmones muy frágiles. Cuando tenía 6 meses, sus padres decidieron por una traqueostomía y un ventilador en casa para que pudiera salir del hospital lo más pronto posible. Ahora tiene 9 meses y vive con su madre, su padre y un hermano mayor muy activo.

Más información sobre Ruby...

Ruby nació prematura y sus pulmones no se desarrollaron por completo. Después de varios meses enferma en el hospital, sus padres decidieron que un ventilador en casa no era adecuado para Ruby y que no funcionaría para su familia. La desconectaron del ventilador del hospital y murió en los brazos de su padre.

Más información sobre Ruby...

Ruby nació prematura y sus pulmones no se desarrollaron por completo. Después de varios meses enferma en el hospital, sus padres decidieron que un ventilador en casa no era adecuado para Ruby y que no funcionaría para su familia. La desconectaron del ventilador del hospital y murió en los brazos de su padre.

Más información sobre Ashley...

Antes de que Ashley naciera sus padres sabían que ella tendría muchos problemas graves de salud, incluyendo problemas para respirar. Morgan y Matt recibieron opciones de su equipo médico. Sabían que la vida de Ashley sería corta, incluso con un ventilador. Eligieron llevarla a casa con hospicio. Ashley murió en casa junto a su familia cuando tenía 3 meses de edad.

Más información sobre Ashley...

Antes de que Ashley naciera sus padres sabían que ella tendría muchos problemas graves de salud, incluyendo problemas para respirar. Morgan y Matt recibieron opciones de su equipo médico. Sabían que la vida de Ashley sería corta, incluso con un ventilador. Eligieron llevarla a casa con hospicio. Ashley murió en casa junto a su familia cuando tenía 3 meses de edad.

Más información sobre Vivian...

Vivian tiene 4 años y tuvo cirugía cardíaca cuando era bebé. Luego tuvo neumonía cuando tenía 2 años y no pudo salir del hospital sin una traqueostomía y un ventilador. Su mamá y su papá querían que estuviera en casa y aprendieron a cuidarla con su ventilador a domicilio.

Más información sobre Chayton...

Chayton tiene 6 años y usa un tubo de alimentación y una silla de ruedas debido a debilidad muscular. Sus padres no querían que se sometiera a la cirugía para una traqueostomía. Ha podido usar BiPAP para ayudarlo a respirar y estar en casa con su madre, su padre y sus hermanos mayores.

Más información sobre Chayton...

Chayton tiene 6 años y usa un tubo de alimentación y una silla de ruedas debido a debilidad muscular. Sus padres no querían que se sometiera a la cirugía para una traqueostomía. Ha podido usar BiPAP para ayudarlo a respirar y estar en casa con su madre, su padre y sus hermanos mayores.

Traqueostomía

Un tubo que atraviesa la garganta y llega a las vías respiratorias. Un ventilador puede conectarse a una traqueostomía.

Ventilador

Una máquina que ayuda a una persona a respirar empujando el aire, y a veces oxígeno, a través de un tubo en la garganta. A veces esto se denomina “máquina de respiración”.

Cuidados paliativos

Los cuidados paliativos tienen como objetivo reducir el dolor o las molestias del niño. Los cuidados paliativos también ayudan a las familias a considerar qué es lo más importante para ellas. Los especialistas en cuidados paliativos proporcionan un nivel adicional de apoyo para los niños con enfermedades graves y sus familias.

BiPAP

Presión positiva de dos niveles en las vías respiratorias: Una máquina que ayuda a una persona a respirar empujando el aire, y a veces oxígeno, a través de una mascarilla. Las correas mantienen la mascarilla en su lugar sobre la cara.

BiPAP

Bilevel Positive Airway Pressure: A machine that helps a person breathe by pushing air, and sometimes oxygen, through a mask. Straps keep the mask in place on the face.

Palliative Care

Palliative care aims to reduce a child’s pain or discomfort. Palliative care also helps families consider what is most important to them. Palliative care specialists provide an extra layer of support for children with serious illness and their families.

More about Chayton...

Chayton is 6 years old and uses a feeding tube and wheelchair because of muscle weakness. His parents did not want him to go through the surgery for a trach. He has been able to use BiPAP to help him breathe at home with his Mom, Dad, and older brothers.

More about Chayton...

Chayton is 6 years old and uses a feeding tube and wheelchair because of muscle weakness. His parents did not want him to go through the surgery for a trach. He has been able to use BiPAP to help him breathe at home with his Mom, Dad, and older brothers.

More about Vivian...

Vivian is 4 years old, and had heart surgery as a baby. Then she got pneumonia when she was 2 years old, and couldn’t leave the hospital without a trach and ventilator. Her Mom and Dad wanted her home, and learned to take care of her home vent.

More about Vivian...

Vivian is 4 years old, and had heart surgery as a baby. Then she got pneumonia when she was 2 years old, and couldn’t leave the hospital without a trach and ventilator. Her Mom and Dad wanted her home, and learned to take care of her home vent.

More about Ashley...

Ashley’s parents knew before she was born that she would have many serious health problems, including trouble breathing. Morgan and Matt were given options by their medical team. They knew Ashley’s life would be short, even with a ventilator. They chose to take her home with hospice care. Ashley died at home with her family when she was 3 months old.

More about Ashley...

Ashley’s parents knew before she was born that she would have many serious health problems, including trouble breathing. Morgan and Matt were given options by their medical team. They knew Ashley’s life would be short, even with a ventilator. They chose to take her home with hospice care. Ashley died at home with her family when she was 3 months old.

More about Devin...

Devin is 8 years old and has cerebral palsy and scoliosis. He uses a wheelchair and a feeding tube. When he started to have trouble breathing, not everyone agreed about doing the trach and home ventilator. But his mom believed it was the best thing for Devin. Her aunt helps her care for him at home.

More about Devin...

Devin is 8 years old and has cerebral palsy and scoliosis. He uses a wheelchair and a feeding tube. When he started to have trouble breathing, not everyone agreed about doing the trach and home ventilator. But his mom believed it was the best thing for Devin. Her aunt helps her care for him at home.

More about Ruby...

Ruby was born prematurely and her lungs didn’t fully develop. After being sick for months in the hospital, her parents decided that a home ventilator was not right for Ruby and would not work for their family. She was removed from the hospital ventilator and she died in her father’s arms.

More about Miguel...

Miguel was born prematurely with very fragile lungs. When he was 6 months old his parents chose to for him to have a trach and home vent so he could leave the hospital sooner. He is 9 months old now, and lives with his Mom, Dad, and very active older brother.

More about Miguel...

Miguel was born prematurely with very fragile lungs. When he was 6 months old his parents chose to for him to have a trach and home vent so he could leave the hospital sooner. He is 9 months old now, and lives with his Mom, Dad, and very active older brother.

More about Ruby...

Ruby was born prematurely and her lungs didn’t fully develop. After being sick for months in the hospital, her parents decided that a home ventilator was not right for Ruby and would not work for their family. She was removed from the hospital ventilator and she died in her father’s arms.

Ventilator (or "Vent")

A machine that helps a person breathe by pushing air, and sometimes oxygen, through a tube in the throat. This is sometimes called a “breathing machine.”

Tracheostomy (or "Trach")

A tube that goes through the throat and into the airway. A ventilator can be hooked up to a tracheostomy.