Trach and PEG

There I was in ICU rounds (the Palliative Care Team attends ICU rounds) shaking my head as usual. One of my nurse practioner students told me she disliked going to ICU rounds because it was like a “Nursing Home.” She was saddened to see so many geriatric patients, in the ICU, mostly with a poor overall prognosis. The words “Trach and Peg,” ran through my mind for hours after rounds because so many patients were being “Trached and Pegged.” Those words brought so many negative emotions and feelings; sadness, fear, isolation, pain and suffering to name a few. The words and images burned into my mind, that for the rest of the day it was like a song that haunted me…”Trach and Peg, Trach and Peg.” The words bothered me to the point that I had to write the following:

“Trach and PEG”

“Trach and PEG”

Those words sound horrible in my ears.

Unknowing to families an artificial prison for months or years.

The family will never know what to expect.

Bedsores, UTI’s, pneumonias, you name it, continue to occur even without neglect.

Most families doing the best they can,

thinking that this is the best plan.

While I make rounds in the ICU

will the patient suffer through another code blue?

“Trach and PEG”

“Trach and PEG”

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