Struggling with tracheostomy care and carer's burn out

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We are struggling to find tracheostomy trained carers to offer some respite for us. My partner has terminal head and neck cancer and relies on a tracheostomy to breathe. At the moment the both of us are unable to get a restful night's sleep as I will have to help him to change the cannula and help with deep suction if needed. I am worried about leaving him alone as he has fallen twice already rushing to the bathroom- one time we had to go into A&E via ambulance. 

Not sure how we are going to manage over the next few months as his condition deteriorates. I feel that if I can just get some sleep it would help us both in getting to all his hospital appointments and somehow managing through the day. 

I have tried calling round to several care agencies and unfortunately have not had any luck in finding one that has trained staff. Even when we attend appointments in hospital for chemo I am asked to stay as the nurses don't feel comfortable managing his trache care. Feel like I can't leave my partner alone for one minute and we are both struggling. 

Does any one have any contacts for care organisations that have tracheostomy trained staff that might be able to provide care over night? Or any other ideas for respite- we are willing to try anything. 

  • Oh lovely, I'm so sorry you're both going through this awful time.

    My OH also had a trache in situ for two months before his TL but I was 'fortunate' he remained in hospital throughout, so the nurses did the honours until I was trained up. When he came home after over three months, I was confident enough to deal with his stoma care, mucous secretions and the lary tubes. We weren't loaned a suction machine. However, we were told the district nurses would call should we need any help. Has this option not been offered? You really need to get on to his CNS and let her/him know you're struggling and whacked out, as I know how exhausting everything you've got to deal with is.

    I can't offer any help with agencies and can only suggest you tell his team, as they should really have contacts to help you find some respite.

    I'm wishing you so much luck and love and please post again, if only for support and sympathy, as you'll find plenty of both on here.

    Sending you and your hubby strength and big hugs xxx

  • Hi

    so sorry you are going through this and my heart goes out to you both.

    im not sure if you live in the uk but if you do your husband should be entitled to a continuing health care assessment for complex medical needs which is NHS funded care. 
    his CNS or District Nursing team should be able to complete the assessment for him. Ask if he is eligible for a fastrack assessment 
    I would advise you to contact his Head and Neck Specialist Nurses at the hospital where he is being treated to enquire about this or speak to his GP surgery for an urgent referral.  You should not have to deal with alone. 

    sending hugs and strength x

  • So sorry to hear what a hard time both of you are having. Would your husband be eligible for palliative care? Maybe you can get some info on this through the Macmillan help line or your G.P. I do hope that you are able to track down some help soon.

    Sending my best wishes

    Lyn

    Sophie66

  • Thank you so much Gill. The district nurses have been quite challenging to get a hold of but the suggestion of getting in touch with his CNS is really helpful. I will get in touch with them and see what they can offer. Thank you- I really didn’t know where to turn to having pointers is really giving me some hope. Xx

  • Dear Lyn,

    he’s just been admitted to hospital and the hospital palliative care team are going to see him. So I’m hoping they will be able to help us with some support or liaise with the community palliative care team.

    thank you xx

  • Thank you for your kind message. I’m going to get in contact with the CNS’s and see what support they can offer. Xx

  • Hi again lovely.

    I'm so glad the messages have given you some ideas and hope. Fingers crossed the palliative team will give you both the support you deserve and the rest you need.

    Sending best wishes and hugs xxx