My father has been very missed treated not suctioned. He's has been on a ventilator for a few months. He was doing good and was put on a trach and collar. Then he went to nursing home and was neglected to take care of his trach and Collar and now he's on ventilator with an ammonia not able to breathe on his own .Is it possible that Medicare will pay for home care if we brought him home instead of putting him in a nursing home again. Will Medicare pay for home care being on a ventilator and having respiratory and nurses to come and take care of him or were they teach family members have been through it so we can keep them home .
There was a recent question about caring for someone on a vent.
https://www.agingcare.com/discussions/hospice-on-ventilator-209738.htm
You might want to read it; there are discussions on that thread that might help you put things in perspective.
Personally, I think perhaps the rehab facility he's in wasn't up to the task, or didn't have the requisite staff. If there was no respiratory therapist seeing your father, that would be a big clue to the fact that it wasn't an appropriate facility.
I had trouble finding people with the determination that my father and I had. It was just too easy to conclude that he'd have to live the rest of his life on a vent, but in our minds, that wasn't an acceptable alternative. So I did a lot of research, stood firm, and eventually prevailed.
One of the regular posters here is a nurse and wrote sometime ago, if I remember correctly, that someone could be at home on a vent and be suctioned. (Veronica, I hope I didn't misquote you!). To me, it's a daunting task.
I do recall doing research for forums and found on for people with trachs, including little children who for various reasons were living with trachs and would be for the rest of their lives. I was shocked and saddened at the life these little ones would lead. But the forum I found had a lot of strong people, committed to working with trachs and providing the best lives possible for their children.
You might want to google to see if you can find ventilator forums as well.
And I would research rehab facilities, or long term care hospitals which might be another option even for a short stay for vent weaning, followed by a rehab stay, and try to find good ones in your area. To learn more about whether they're up to par, contact them with a list of questions on how they would proceeded to vent wean him and hopefully eventually decannulate him.
Definitely inspect the facilities. Try to meet with the respiratory therapist or speech pathologist if possible. I asked not only what the procedures were for vent weaning (making it clear I expected that), but what were milestones, how they dealt with dysphagia, etc.
Lots of folks died post Hurricane Katrina as hand-venting is hard to reliably do & keep up for days.