Critical care

Nau mai, haere mai. Welcome. You're here to visit someone, be they whānau or friend, because they have a serious illness or injury and are needing more specialised care. 

This is the place for them to be. We understand how stressful visiting can be for whānau. We want to show you around so you feel a bit more prepared for your time here. 

No matter what part of Aotearoa New Zealand you're in, the team is here to support you. When you arrive on the unit, you might need to use a buzzer, an intercom or talk to a receptionist before you come in. On your first visit, you will be shown the whānau waiting area with the facilities available. Your loved on is being attended to by the team. 

You'll be brought in to see them as soon as possible. You'll also be given information about how to contact the unit, hospital parking, and options for overnight accommodation. Check the visiting hours, because often they are different to the rest of the hospital. When you visit, the first thing you'll notice is that it can be busy with lots of staff and equipment around. 

There's a large team of nurses, doctors and other specialists all caring for your loved one. They'll explain who they are and how they're here to help. But please ask any questions if you're not sure. Let's take a look at some of the equipment you may see. 

The bedside monitor shows us vital signs such as blood pressure, heart rate, breathing and oxygen levels. Different types of face masks and machines may be used to give oxygen and support breathing. 

Lines will be inserted to help with blood pressure monitoring, take blood samples and, using pumps, deliver fluids and strong medications. If someone can't eat or swallow normally, a feeding tube may be inserted. They might also need a urinary catheter to empty their bladder. 

The bed space can be surprisingly noisy. If there are any changes, a machine alert will sound to let the team know. This doesn't always mean that there's an emergency. It's just important that we know if things change. Keeping our patients comfortable is so important. That's why the bedside nurse will be washing them, doing mouth and eye care and may help to clear their chest secretions. Regular position changes will help to avoid pressure injuries or infection. 

You might be able to help with some of this care. Talk with the bedside nurse if it's something you'd like to do. But if it's not for you, there are other practical ways to help support the person you're here to see. Even if they're not awake, let them know that you're near. Hold their hand, talk to them, offer karakia or waiata. Play music they love. Bring in taonga. All simple but helpful things you can do. It's really important that you stay updated with what's going on. 

There's lots of different ways to do this, from ward rounds to family conferences, where you can meet with the clinical team to ask questions, share information and find out what the plan is. Talk to the bedside nurse about how this works where you are or if you want to, ask a doctor. It's easy to become overwhelmed at this time. Writing down questions and making notes of what you've been told during meetings can help you to keep track. 

Choosing someone from your whānau to keep your wider family and friends informed can help to share the load. Talk to the team on whether visiting with tamariki is possible, and get advice on how to discuss the situation with younger people. 

If you ever feel unhappy about the care given, please let the staff know so they can help. If you're still unable to find a way forward, get in touch with the National Health and Disability Advocacy Service for more advice and support. 

Visiting can be tough. It can be stressful and upsetting seeing someone you care for critically ill and supported by medical equipment. You may be worried about what might happen next. It's common for shock, distress and any range of other responses to come to the surface. And it's also okay to be okay. Take care of yourself as best you can with breaks away from the bedside for rest, kai and fresh air. 

If possible, share the visiting with others and trust that the team will contact you if there's any change or cause for concern. If you're feeling overwhelmed, talking to someone often helps. Social workers, kaumātua or spiritual support may be available to you. Check what kaimahi Hauora Māori or Pacific Health Services are available in the hospital. Talk with a bedside nurse about how you're feeling and they'll help with next steps. We want you to feel as supported as possible while you're here, so please reach out if you have any questions. 

Nō reira, tēnā koutou, tēnā koutou, tēnā koutou, tatou katoa. 

Nau mai, haere mai.

Kei konei koe ki te tirotiro i tētahi,
tērā pea whānau, hoa rānei, i te mea i pā he māuiui, he wharanga nui rānei,
ā, me whiwhi tiakanga motuhake.

Koinei te wāhi tika mōna. E mōhio ana mātou he kōhuki te
haere ki te tirotiro mō te whānau.

Kei te hiahia mātou ki te whakaatu haere i ngā wāhi
kia rite koe mō tō toronga ki konei.

Ahakoa kei hea koe i Aotearoa
kei konei te tira ki te tautoko i a koe.

Kia tae koe ki te whare, ka kite koe i tētahi wheowheo,
he pūwhiti reo, me kōrero rānei ki tētahi kiripaepae i mua o te kuhunga.

I tō toronga tuatahi, ka whakaaturia te wāhi
tatari ā-whānau me ngā whare e wātea ana.

Ka tiakina tō whānau e te tira.

Ka wawe te kawe i a koe ki te tiro i a rātou.

Ka tukuna hoki he kōrero ki a koe mō te āhua o te whakapā mai, ngā tūnga waka, me ngā kōwhiringa o te noho pō.

Tirohia ngā haora toronga, i te mea he rerekē i ētahi atu wāhi o te hōhipera. 

Ina toro mai koe, ko te mea tuatahi ka kite koe, e pokea ana ngā kaimahi e te mahi, ā, he nui ngā taputapu.

He tira nui o ngā nēhi, ngā tākuta me ētahi atu mātanga e tiaki ana i te tangata e arohatia ana e koe.

Mā rātou e whakamārama ko wai rātou, ā, me te āhua o ngā āwhina.

Engari me pātai mēnā he mea kāore nei koe i te tino mārama.

Me titiro tātou ki ētahi o ngā taputapu ka kitea e koe.

Ka whakaatu te mata i te taha o te moenga i ngā tohu waiwai pēnei i te pēhanga toto, te hoto manawa, te hēhē me ngā taumata hāora.

Ka whakamahia pea ngā momo maruhā me ngā pūrere rerekē, ki te tuku i te hāora me te tautoko i te hēhē.

Ka werohia he ngongo ki te āwhina ki te aroturuki i te pēhanga toto, te tango tīpakohanga toto, me te whakamahi papu, hei tuku wē me ngā rongoā kaha.

Ki te uaua te kai, te horomi rānei, ka kōkuhua pea he ngongo kai.

Ka hiahia pea he pū tōngāmimi hei whakawātea i te pukumimi.

He hoihoi tonu te āhua o te wāhi moe.

Mēnā he panoni anō, ka tangi te matohi o te pūrere ki te whakamōhio ake i te tira.

Ehara i te mea he take ohotata tēnei i ngā wā katoa.

Engari he mea hirahira kia mōhio mēnā ka panoni ētahi mea.

He mea hirahira rawa hoki te tiaki i ngā tūroro kia pai te noho.

Ko tā te nēhi mahi he horoi i a ia, te tiaki i te waha me ngā kanohi, me te āwhina pea ki te whakawātea i ngā pipīnga o te uma.

Ka āwhina ngā tahuritanga auau o te tinana ki te karo i ngā wharanga pēhanga, i ngā pokenga rānei.

Ka taea pea e koe te āwhina ki ētahi o ēnei mahi.

Me kōrero ki te nēhi taha moenga mēnā koinei tēnei mahi e hiahia ana koe ki te mahi.

Engari ki te kore, tērā ētahi atu āwhinatanga māu hei āwhina ki te tautoko i te tangata e tirohia ana e koe.

Ahakoa kāore anō kia oho, me whakamōhio i tō tatanga.

Puritia tōna ringa, ka kōrero atu, ka karakia, ka waiata rānei.

Whakatangihia ngā puoro e pai ana ki a ia.

Haria mai he taonga.

He mea ngāwari noa engari he āwhina ka taea e koe.

He mea hirahira rawa kia mārama koe ki ngā āhuatanga hou o ngā whakanekeneke.

He maha ngā huarahi e tutuki ai tēnei, mai i ngā huringa wāri, ki ngā hui ā-whānau, te wāhi e tūtaki ai koe ki te tira haumanu ki te whiu pātai, te whiti mōhiohio me te rapu he aha ngā whakanekeneke.

Me kōrero ki te nēhi taha moenga mō te āhua o tēnei i tō wāhi noho, ā, ki te hiahia, tēnā pātai atu ki te tākuta.

Kei tūpono pōkia koe e te taumaha i taua wā.

Me tuhi he pātai me te kōrero o ngā mea kua whākina, i te wā o ngā hui, otirā ka āwhina kia mau tō aronga.

Mā te tohu i tētahi mema o tō whānau hei whakamōhio haere i te whānau whānui hei whakangāwari i te taumahatanga.

Me kōrero ki te tira mēnā e āhei ana te toro atu me ngā tamariki, me te whai tohutohu o te kōrero i
te take nei ki te hunga taiohi.

Ki te pāpōuri koe ki te āhua o te tiakanga,tēnā whakamōhiotia ngā kaimahi, kia pai ai tā rātou āwhina.

Ki te kore e kitea he ara whakamua tēnā whakapā atu ki te ratonga o Ngā Kaitautoko
mō ētahi atu tohutohu me te tautoko.

He mahi nui te toro ki te hōhipera. He kōhuki, ā, he pāpōuri pea te kite i tētahi me te mate hārukiruki, e tautokotia ana hoki e ngā taputapu hauora.

Ka māharahara pea koe ki ngā āhuatanga ka pā i muri ake. He pātahi noa ngā urupare te whētuki, auhī me te whānuitanga noa o ngā urupare ka ara ake.

He pai hoki te noho pai noa. Me kaha te tiaki i a koe anō mā te māwehe ake i te taha moenga ki te whakatā, te kai, kia pūhia e te hau.

Mēnā ka taea, me tohatoha ngā wā toronga ki ētahi atu, ā, me whakapono ki te tira ka whakapā atu rātou ki a koe ki te pā he rerekētanga, he take āwangawanga rānei.

Ki te taumahatia koe, he āwhinatanga pea te kōrero ki tētahi atu.

Ka wātea pea he kaitauwhiro, he kaumātua, he kaitautoko taha wairua rānei ki a koe.

Tirohia ko wai ngā kaimahi Hauora Māori me ngā Ratonga Hauora Pasifika e wātea ana i te Hōhipera.

Kōrero ki te nēhi taha moenga i ō whakaaro ā, māna koe e āwhina ki te huarahi whakamua.

Ko tā mātou hiahia kia rongo koe i te tautoko i a koe i konei, nā reira toro mai mēnā he pātai āu.

Nō reira, tēnā koutou, tēnā koutou, tēnā koutou, tātou katoa.

Talofa lava. Afio mai.

Ua e tau mai, e fia vaai i se isi o lou aiga po o sau uo, ua faataotolia i se gasegase tuga po o se lavea
ma o moomia i ai se tausiga faapitoa.

O le nofoaga tonu lava lea mo ia.

E ioeina le faigata o tulaga faapenei mo aiga.

E iai vaega autu e fia faasino atu ina ia e iloa lelei ai tulaga o le nofo ai iinei.

O fea lava le vaipanoa o Aotearoa Niu Sila e te aumau ai, e mafai na fesoasoani atu.

A e taunuu mai, e muamua faatatagi le logo pe talanoa i le tali telefoni a o le i ulufale mai.

O le taimi muamua lava e te asiasi mai ai, e faasino atu ai le potu faatalitali mo aiga.

A o faagasolo tulaga o moomia mo le tagata na e sau e asi mai.

Lua te feiloai i se taimi vave ma talafeagai.

E avatu foi faamatalaga e faafesootai mai ai, nofoaga e paka ai taavale, ma apitaga e momoe ai.

Siaki itula e tatala ai, aua e masani na ese le taimi e tatala ai mai isi vaega o le falemai.

A e asiasi mai, e muamua lava tau lau vaai i le pisi o le aufaigaluega ma le tele o masini.

E toatele tausimai, fomai ma tomai faapitoa o faia le tausiga.

Tou te feiloai ma faamatala atu matafaioi ma tulaga e mafai na fesoasoani atu ai.

Ae faamolemole fesili pe a lē mautinoa. 

Tagai mai foi i masini e te tau mai ai.

O le masini i autafa o le moega e iloa ai le ola o totoga taua e pei o le toto, fatu, mānava ma le okesene.

Ituaiga ufi fofoga eseese ma masini e fafaga ai le okesene ma faamānava ai.

Faatautau laina i le tino e iloa ai le maualuga o le toto, maua ai se vaega o le toto e siaki, ma faaaoga pamu,
e fafaga ai le vai ma fualaau malosi i le tino.

Afai e le o mafai na 'ai pe folo lelei, e ono fai se faagaau e fafaga ai.

E ono moomia foi se taga e faaalu ai feauvai.

E uma ifo ua tele mea e pao i autafa o le moega.

A ese se tulaga ua oo iai, ona tatagi lea o le masini e iloa ai e le vaega o faia le tausiga se suiga.

E lē faapea ai ua tupu se faalavelave.

E taua lo matou iloa o se suiga ua tulai mai.

E taua le maua e tagata o matou vaaia o le toafilemu ma le tausiga lelei.

O le mea tonu lava lena e solo mamā ai lona tino e le tausimai, ma vaai lelei gutu ma mata ma faamamā ese le vai mai le fatafata.

E faatoaga na liliu ia aua ne'i papala po o le leaga faia i le umi na taoto po o le saofai.

Atonu o se tulaga lea e mafai na e fesoasoani mai ai.

Fai i le tausimai pe a e fia fesoasoani mai.

A lē fetaui ma oe, e leai se afaina e iai lava isi mea e mafai na e fesoasoani atu ai.

A e tau atu ua na leiloa se mea, faalatalata ia ona iloa oe.

Tago e uu lona lima, talanoa i ai, fai se lua tatalo.

Tātā se pese e fiafia tele ai.

Ae ā se measina!

O mea faigofie ae aoga.

E taua tele lou iloa o tulaga ua iai le gasegase.

E eseese auala e maua ai se lipoti lata mai, siaki a fomai faasolo atu i feiloaiga ma aiga, tou te feiloai ma fomai o vaega eseese e tali fesili, fefaasoaai faamatalaga ma iloa ai le isi laasaga.

Talanoa i le tausimai i le auala e fetaui ma oe po o lou fai sa'o i le fomai.

E vave lava na lofituina i tulaga faapenei.

Tusitusi faafesili ma tulaga na faailoa atu i le tou feiloaiga e te iloa ai tulaga ua oo i ai.

E māmā foi lau avega pe a fai ma galuega a se isi le faailoa i le tou aiga ma uo o tulaga ua iai le ma'i.

Talanoa i le vaega o faia le tausiga pe fetaui na asiasi atu tamaiti, ma saili se fautuaga i auala e faatalanoa
ai tulaga faapenei ma fanau laiti.

A e lē fiafia i se tausiga o fai, faamolemole faailoa i le aufaigaluega e iloa ai le mea e tatau na fai.

A aunoa ma se suiga mo le agai i luma, faafesootai le National Health and Disability Advocacy Service
mo se fautuaga ma lagolagosua.

E lē faigofie lou sau e asi mai. E faatupu vevesi i le mafaufau ma le mafatia e vaai atu

i sē pele ia te oe o tigaina ma tau faaola i se masini.

Atonu o se avega mamafa se mea e ono tupu. O tulaga masani le faateia, lē mautonu ma isi mau
faalogona e maua ai.

Ae leai foi se afaina pe a e toafilemu.

Tautuana lou tausi lelei ia te oe lava fai ma alu i se isi mea e malolo ai, fai ai sina meaai ma faasavili ai.

A mafai, vaai nisi tou te fefaasoaai le fetausiai ma tuu lau faatuatuaga i le aufaigaluega e faafesootai atu pe a
iai se suiga po o se tulaga ua faapopoleina ai.

A e lofituina, e aoga tele lou talanoa i se isi.

E ono maua se fesoasoani mai social workers ma faufautua faaleagaga.

Fesili pe o maua i le falemai auaunaga mo Māori po o tagata Pasifika.

Talanoa i le tausimai i mea o e faalogoina na te faasino atu le isi laasaga e fai.

E taua le faatino o taumafaiga aoga i le vaitaimi atoa o e asiasi mai ai, fesili mai mo tulaga o fia malamalama i ai.

Malo le onosai malo foi le loto tele.

Nau mai, haere mai. Welcome, welcome whānau. Moving from critical care to another ward or hospital can happen for a number of reasons.

Here, we're going to take you through what happens when your loved one makes the next step in their recovery. 

You might have noticed their nursing and medical needs reduce with less machines needed to support them. These are often positive signs that they are ready for care in a different part of the hospital. The intensive care team will talk to you about the transfer and when this will happen. 

This is an important step. As with any change, it might take some time to adjust to new staff and routines, as well as the environment of a hospital ward. We're going to take you through some of what to expect at this time. 

On transfer to the new area, a full handover is given so your ward team is across all the details. 

Many things about the ward may be different to what you're used to. Check with staff about visiting information, the ward phone number, hospital parking and any available accommodation. Nurses will not always be at the bedsides as they are caring for more patients. They will be nearby. 

Use the call bell to get their attention. In the following hours and days, you will get to meet the whole team, whose mahi is to help your loved one become more independent and regain strength. Ward nurses, doctors and other health professionals such as physiotherapists and dietitians will work together to manage ongoing care and promote independence. You may want to have a hui for updates on how things are going or have questions you want answered. Talk with the bedside nurse who can help.

Your hospital may have a critical care outreach team who will call to check up on progress. If at any point you have concerns, raise these early with local staff or check if a Kōrero mai service is available for you to use. If you are still unable to find a way forward, access the National Health and Disability Advocacy Service for advice and support. Physical and mental recovery from significant illness can take time. A move to the ward is a step in this journey. 

Encourage your loved one to do as much for themselves as they can to help build their confidence. Support them in setting realistic short-term goals and help them see where they are making progress. Talk to staff about what you can bring in from home to help with recovery, what tikanga or practices you would like observed, or even if trips off the ward are possible. 

It is not uncommon for patients recovering from critical illness to become confused, worried or appear unmotivated. They may not recall periods of their hospital stay or be sleeping poorly. This should pass in time. Listen to what they need, and if they ask, talk to them about what has happened. Filling in gaps with accurate information can be helpful especially when a person is ready to hear it.

Supporting a person in their recovery can be physically and emotionally exhausting and your support is likely to be needed for some time into the future. Take time to look after yourself so you can be there for others. Take rest breaks and time away from the hospital and look after your needs. 

Ask about social worker support or if kaumātua or spiritual support is available. Check what kaimahi Hauora Māori or Pacific Health Services are available in the hospital. Your GP can also be a good resource for further support. MyLifeAfterICU.com is a useful website. We want you to feel as supported as possible whilst on the ward, so please reach out if you have any questions. 

Nō reira, tēnā koutou, tēnā koutou, tēnā koutou katoa.

Nau mai, haere mai. Haere mai e ngā whānau.

He maha ngā take o te hūnuku i te tiakanga hārukiruki ki tētahi atu wāri, hōhipera rānei.

I konei ka arahina koe ki ngā āhuatanga ka pā ina whāia e tō hoa aroha te huarahi whakamua i tōna oranga ake.

Kua kite pea koe i te itinga o ngā hiahia nēhi me te rongoā i te itinga o ngā pūrere hei tautoko i a ia.

He tohu pai ēnei kua rite ia mō te tiakanga i tētahi atu wāhi o te hōhipera.

Ka kōrero te tira whāomoomo ki a koe mō te whitinga, ā, me te wā ka tū tēnei.

He huarahi hirahira tēnei.

Pērā ki ngā whakarerekētanga maha, ka āhua roa pea te rarata ki ngā kaimahi me ngā tikanga hou, me te taiao hoki o te wāri hōhipera.

Ka arahina koe e mātou ki ētahi o ngā āhuatanga ka tatū i tēnei wā.

Ina whiti ki tētahi wāhi hou, ka tukuna katoatia ngā whakahaere kia mātau ai tō tira wāri ki ngā taipitopito katoa.

He maha pea ngā mea rerekē o tēnei wāri ki tāu i taunga ai.

Pātai atu ki ngā kaimahi mō ngā mōhiohio toronga, te nama waea o te wāri, ngā tūnga waka, me ngā wāhi noho e wātea ana.

E kore pea e noho he nēhi i te taha moenga i te mea kei te tiakina hoki ētahi atu tūroro.

Engari kāore e tino tawhiti atu.

Whakamahia te pere waea ki te tono i a ia.

I ngā haora me ngā rā i muri iho, ka tūtaki koe ki te tira katoa, ko ā rātou mahi he āwhina i tō taupuhi kia motuhake ake tana noho, kia pakari anō ai te tinana.

Ka mahi tahi ngā nēhi wāri, ngā tākuta me ētahi atu mātanga hauora pēnei i ngā kaihaumanu kōiri, me ngā mātanga taiora ki te whakahaere i te tiakanga moroki me te whakatairanga i te motuhaketanga.

Ka hui pea koutou e mōhio ai koe ki ngā kōrero hou me te ahunga o ngā take, mēnā rānei he pātai āu.

Me kōrero ki te nēhi taha moenga māna koe e āwhina.

Tērā pea he tira toro tiakanga hārukiruki kei tō hōhipera ka peka atu ki te tiro i ngā kokenga.

Mēnā he āwangawanga tāu i tētahi wā, me wawe te pupū ake i ēnei ki ngā kaimahi tūtata, tirohia rānei mēnā he ratonga Kōrero Mai e wātea ana.

Ki te kore e kitea he ara whakamua, toro atu ki te Ratonga o Ngā Kaitautoko mō ētahi tohutohu me te tautoko.

Ka āhua roa pea te whakamātūtū ā-tinana, ā-hinengaro hoki i tētahi mate taumaha.

Ko te nekehanga ki te wāri tētahi ara o tēnei tūāoma. 

Me akiaki i tō taupuhi kia kaha ki te mahi motuhake, i a ia e whakapiki ana i tana manawanui.

Me tautoko i a ia ki te whakarite whāinga taupoto motuhenga me te āwhina ki te kite i ngā wāhi koke whakamua.

Me kōrero ki ngā kaimahi mō ngā mea e āhei ana mai i te kāinga hei āwhina i te whakamātūtūtanga, he aha ngā tikanga hei whakatinanatanga, ā, mēnā ka taea te puta i te wāri.

Ehara i te mea ohorere ki te rangirua ngā tūroro e whakaora mai ana i tētahi mate hārukiruki, te māharahara rānei, te hihiko-kore rānei o te āhua.

Ka wareware pea ki ētahi wā o te noho ki rō hōhipera, kei te moe hurihuri rānei.

Ka hipa pea tēnei ā tōna wā.

Me whakarongo ki āna hiahia, ā, ki te pātai ia, me kōrero ki a ia i ahatia ia.

He āwhina pea te whakakī i ngā āpure ki ngā mōhiohio tika, ina koa rā mēnā kua rite te tangata ki te whakarongo.

He ruhi ā-tinana, ā-mahamaha hoki te tiaki i te tangata e whakaora mai ana ā, ka hiahiatia pea tō tautoko ae noa ki te wā koroī.

Me āta whai wā koe ki te tiaki i a koe anō kia taea e koe te tū hei taituara mō ētahi atu.

Me whakatā, me puta rānei i te hōhipera ki te tiaki i ō hiahia ake.

Me pātai mēnā kei te wātea te tautoko kaitauwhiro Māori, he kaumātua, he tohunga rānei.

Tirohia ko wai ngā kaimahi Hauora Māori, he aha rānei ngā Ratonga Hauora Pasifika e wātea ana i te hōhipera.

He pai tonu pea tō GP hei rauemi tautoko.

He paetukutuku pai a MyLifeAfterICU.com.

Ko tā mātou hiahia kia rongo hoki i te tautoko i a koe i roto i te wāri, nā reira toro mai mēnā he pātai āu.

Nō reira, tēnā koutou, tēnā koutou, tēnā koutou, tātou katoa.

Talofa lava. E fia faafeiloai atu i aiga.

E mafai na sui tausiga o se ma'i tigaina e ave i se isi potu i luga o mafuaaga e tatau ai.

Maimoa mai i faiga o faasino atu ai le isi laasaga e saili malosi ai mo sē pele ia te oe.

Atonu ua e vaaia ua tau lē moomia tausiga faatausimai po o tulaga sa faia e pei o masini sa faaaoga.

O foliga masani na e iloa ai suiga lelei ma ua fetaui le ave i le is i vaega o le falemai e tausi ai.

E faailoa atu e le vaega o vaaia gasegase tigaina le taimi e ave ai i le isi vaega o le falemai.

O se laasaga taua lea tulaga.

Aua e leai ma se suiga, e te'i lava ua masani ai e moomia le tau faamasani i le fou o le aufaigaluega ma faiga fou, faapea le ese o tulaga o vaaia i se potu o le falemai.

O lea o le a faasino atu nisi o tulaga e tapenapena i ai.

A aulia le aso e ave ai i le isi potu, ona faasino lea o vaega uma mo le silafia e le vaega o le a vaaia oe.

E tele mea e ese ai le potu o le a ave i ai oe mai le potu sa e taoto muamua ai.

Fesili i le aufaigaluega po o a taimi e faataga ai asiasiga, numera telefoni o le potu, nofoaga e paka ai taavale ma apitaga o avanoa.

E le o taimi uma e maua ai se tausimai e iai foi isi ma'i o vaai.

E lata atu lava.

Oomi le logo e valaau i ai.

E mavae atu nai itula ma aso, ua e feiloai ma le vaega atoa, o faia le tausiga mo sē pele ia gafatia le fai toatasi o se mea ma toe maua lona malosi.

O tausimai i potu o faataotolia ai, fomai ma isi tomai faafomai e pei o fomai faamalositino ma tomai meaai paleni e galulue faatasi e faatino le tausiga ma faamalosi ia ona mafaia le fai toatasi o se mea.

Atonu e sili ai na tou feiloai e iloa tonu ai tulaga ua oo i ai po o le faamalamalama atu o tulaga o fesiligia.

Talanoa i le tausimai e maua atu ai le fesoasoani.

Atonu e iai le vaega faapitoa mo tausiga faaeteete gatā e asiasi atu pe ua iai se suiga lelei.

O soo se tulaga lava ua e popole ai, faailoa vave loa i le aufaigaluega po o le auaunaga Kōrero Mai.

A aunoa ma se suiga mo le agai i luma, e maua le National Health and Disability Advocacy Service mo fautuaga ma lagolagosua.

E umi se vaitaimi o taumafai e toe faafoisia le malosi faaletino ma le mafaufau pe a tigaina tele i se faama'i.

E faasolo faiga e toe faafoisia ai le malosi mai le siitia i le isi potu.

Faamalosi i ai ia taumafai e fai toatasi se mea e aunoa ma le faalagolago i se isi e maua ai lona talitonuga mautinoa.

Lagolagoina ana taumafaiga e gafatia na faatino mo se vaitaimi lata mai ma faamanatu i ai taumafaiga ua iloga ai suiga lelei.

Fai i le aufaigaluega mo se manatu i se mea manaia e avatu mai le fale e faatupu ai lona malosi, o faiga masani e fai mo ia, po o le ave e faatietie ma faatafao atu ai.

E le o se tulaga ese mo tagata sa tigaina tele le tau faamalamalama i ai o se mea, popole po o le aunoa ma se faamoemoe ola ia te ia lava.

Atonu ua galo vaitau ma le vaitaimi na faataotolia ai i le falemai po o le moe alaala.

E le tumau ai.

Gauai i mea o moomia mo ia, ma faamatala i ai le mea na tupu, pe a fesili atu.

E fesoasoani le faamanatu i ai o le mea tonu na tupu aemaise lava pe a ua ia lavatia na faalogo ma iloa tonu mea na tutupu.

E avea tausiga e faatupu ai lona malosi e faatupu ai foi ma le ivā ma le vaivai ma e ono moomia lau fesoasoani i nisi o tulaga mo sina vaitaimi i le agai i luma.

Sema se taimi mo oe lava Sema se taimi e vaai lelei ai oe lava e gafatia ai ona e fesoasoani mo isi.

Fai ma alu ese ma le falemai e maua ai sau malologa ma tautuana le maua o mea o e moomia.

Fesili mo se fesoasoani mai le social worker po o le faufautua faaleagaga.

Vaai po o ā auaunaga mo Māori po o tagata Pasifika o maua i le falemai.

O lau GP le isi e maua atu ai le fesoasoani.

E aoga foi le MyLifeAfterICU.com.

E leai se mea sili na i lo le fai o le lagolagosua i taimi e te asiasi mai ai i le falemai, ma talanoa mai i tulaga o fia faafesili ai.

Malo le onosai, malo foi le loto tele.

Nau mai, haere mai, welcome.

After heart surgery, whether it's a bypass graft, valve repair or valve replacement, you'll spend some time in the ICU. For me, it was a valve repair, and I'm here to tell you what it's like being in the ICU, from the equipment and people around you to what you can expect to happen while you're there.

After your surgery, you'll be moved from the operating theatre to the ICU while still asleep. In there, you'll be looked after by the ICU and cardiac surgery teams. When you wake up, you'll have a lot of medications on board. Some people feel a bit sleepy or confused, although this usually passes within a few days. Some people may not recall their ICU stay at all, although I remember feeling relieved that the surgery was behind me. 

You'll have a breathing tube in your throat connected to a ventilator. This helps you breathe while you're under anaesthetic. The tube can feel uncomfortable and you won't be able to speak while it's in place, but it's usually removed soon after waking and will be replaced with an oxygen mask. You'll be offered ice chips or small sips of water and may even be able to eat the next day. 

You'll be connected to a monitor that tracks your vital signs. If there are any changes, a machine alert will let the team know. This can be unsettling, but it's pretty normal and doesn't necessarily mean there's an emergency.

You'll have lots of tubes and wires attached to you, including intravenous lines giving fluids and medications, such as those helping to support blood pressure, wires attached to a pacing box, which may be used to increase your heart rate, and drains to help remove air and fluid from your chest. These are usually removed one to two days after surgery. I remember the drains limiting my movement and feeling uncomfortable when taken out. I was relieved when they were gone, as it was a good sign of progress. You'll have a chest scar and, depending on the type of surgery, you may have incisions on your legs or arms too. 

Nurses and physios will start your rehab as soon as possible. Even with all the equipment attached, they're keen for you to do deep breathing exercises and to get moving because it helps you bounce back faster.

Keeping you comfortable is really important. The nurses will ask if you have any pain or nausea, and you'll receive strong medications to help manage these for the first few days.

Do speak up if anything is bothering you so that the staff can help. You won't need to get to the toilet when you're in the ICU as you'll have a urinary catheter, and you likely won't have any bowel movements for a few days after surgery. But don't worry, the nurses will help you take care of all your hygiene needs.

Your whānau may be able to visit you as soon as you're settled in after surgery. It can be tough for them to see you connected to so many machines, but they'll be relieved the procedure's over. If they can't be there in person, the team will provide regular updates by phone.

Once you're well enough, you'll be transferred to a step-down area. This is usually the day after surgery,but it can vary as everyone recovers at their own pace. After the move, you'll continue to have the support of a skilled team as your recovery enters its next phase. If you have any questions about the ICU or what happens next, check in with the team caring for you.

All the very best as you prepare for your surgery.

Nō reira, tēnā kotou, tēnā kotou, tēnā kotou, katoa.

Nau mai, haere mai.

I muri o te hāpara manawa, ahakoa hāpara ia-tuku autaki, whakatika takirere, whākapi takirere rānei, ka noho koe mō tētahi wā ki te ICU.

Mōku ake, he whakatika takirere, ā, kei konei au ki te whakaatu ki a koe te āhua o te noho ki te ICU, mai i ngā taputapu me ngā tāngata kei tō taha, tae atu ki ngā āhuatanga ka pā ki a koe i a koe i reira.

I muri i te hāpara, ka nekehia koe i tētahi taiwhanga poka ki te ICU i a koe e moe ana.

I roto rā, ka tiakina koe e ngā kāhui ICU me ngā kāhui hāpara manawa.

Kia oho mai koe, ka nui ngā rongoā i roto i tō tinana.

Ka āhua ngenge, ka āhua rangirua ētahi, engari ka hipa tēnei i te rua rā pea.

E kore pea ētahi e maumahara ki te wā noho ki te ICU, engari ka maumahara au ki te manawa tau i te mea kua oti te hāpara.

Ka uru he ngongo whakahā ki tō korokoro e hono ana ki te pūrere hauhau.

Ka āwhina tēnei i a koe ki te whakahā i a koe e rehurehu ana.

Ka hōhā pea koe i te ngongo ā, kāore e taea e koe te kōrero i taua wā, engari ka tangohia i muri tata o te ohonga, ā, ka whakakapihia ki te kōpare hāora.

Ka āhei koe ki te kai kongakonga tio, te inu wai rānei ā, ka whakaaetia pea ki te kai i te rangi i muri mai.

Ka tūhonotia koe ki tētahi mata e tirotiro ana i ō tohu toiora.

Mēnā he rerekētanga, mā te pūrere e whakatūpato i te kāhui.

Ka tūtakarerewa pea koe, engari he mea māori noa, ā, ehara i te tohu o tētahi āhuatanga ohotata rawa.

Ka nui ngā ngongo me ngā aho e hono ana ki a koe, tae atu ki ngā ngongo ia-auraki e tuku ana i te wē me te rongoā, pēnei i ngā mea hei āwhina i te pēhanga toto, ngā aho e hono ana ki te pouaka hoto, ka whakamahia pea ki te whakapiki i tō hoto manawa, me ngā ngongo hei āwhina ki te ngote i te hau me te wē i tō uma.

Ka tangohia ai ēnei i te tahi, te rua rā rānei i muri o te hāpara.

E maumahara ana au ki ngā ngongo e here ana i aku nekeneke, ā, me te manawarau anō i te wā i tangohia.  

Engari i tau taku manawa i te wā i tangohia, otirā he tohu pai tērā o te kokenga whakamua.

Ka kitea he riwha ki tō uma, ā, kei te āhua o te hāpara, ka kitea pea he motunga i ō waewae me ō ringa.

Ka wawe te tīmata a ngā nēhi me ngā kaihaumanu koiri i ō haumanutnga.

Ahakoa e here ana ngā taputapu maha, e rikarika ana rātou kia mahia ngā koiri whakahā me te nekeneke haere i te mea ka āwhina i a koe ki te whakaora wawe.

He mea hira te tiaki i a koe kia hāneanea te noho.

Ka pātai ngā nēhi pēnā e mamae ana, e papairuaki ana rānei, ā, ka whāngaihia koe ki ngā rongoā kaha hei āwhina ki te whakahaere i ēnei mō ētahi rā.

Me whakaputa kōrero mēnā kei te hēmanawa koe, kia pai ai tā rātou āwhina.

Ehara i te mea me haere rawa koe ki te wharepaku i rō ICU i te mea ka mau pū tōngāmimi koe, ā, e kore pea koe e mimi, e tiko rānei, mō ētahi rā i muri mai i te hāpara.

Engari kaua e māharahara, mā ngā nēhi koe e āwhina i a koe ki te tiaki ki te taha akuaku.

Ka taea pea e tō whānau te toro atu kia tau rawa tō noho i muri o te hāpara.

Ka uaua pea ki a rātou te kite i a koe e hono ana, ki ngā pūrere maha, engari ka tau ō rātou ngākau kua oti te hāpara.

Ki te kore e tae ā-tinana te whānau, mā te kāhui e tuku kōrero hou mā runga waea.

Kia pakari rawa koe, ka whakawhitia koe ki tētahi wāhi kē atu.

Hei te rangi pea i muri mai i te hāpara, engari ka rerekē pea inarā kei tēnā, kei tēnā anō te tikanga.

I muri o te nekehanga, ka tautoko tonu te kāhui mātanga i a koe i te wā ka kuhu tō wā whakaora ki te wāhanga hou.

Mēnā he pātai āu mō te ICU, mō ngā āhuatanga ka tatū ināianei rānei, me pātai ki tō kāhui tiaki.

Ko ngā whakaaro pikiora ki a koe i te takatūtanga ki te hāpara.

Nō reira, tēnā kotou, tēnā kotou, tēnā kotou, katoa.

He mea tautoko tēnei ataata e te Heart Foundation

Ngā mihi ki ngā kaimahi o te Hōhipera o Ngā Puna Wai Ora, nā ō tautoko hirahira i tutuki ai te hangā o tēnei ataata.

Talofa lava, afio mai.

A uma se taotoga o le fatu, e fai ai se alāuaua fou, pe toe lipea ai uaua malosi o lou fatu, na e taofia lea i le ICU. 

Na toe lipea le uaua malosi o lo'u fatu, se'i faamatala atu le taofia ai o a'u i le ICU, e faaaoga masini ma e vaaia tagata i le taimi atoa o taofia ai oe i le falemai.

E uma lau taotoga, toso mai lou moega mai le potu taoto i le ICU a o lena e te moe.

E vaai oe e le aufaigaluega ICU ma fomai o le fatu na faia le taotoga.

E tau lau vaai pe a e ala mai, i mau fualaau ua faatulaga solo.

E lagona e nisi le fia moe po o le lē mautonu, ma e lē umi mou ese atu faalogona faapena.

O isi e matuā lē manatua le vaitaimi na taofia ai i le ICU, pau le lagona ia te a'u o lo'u faafetai ua uma la'u taotoga. E faamānava oe i le faagaau mai lou faaī e faaola i le masini.

Talu ai e le i tea le malosi o le vailaau na faamoe ai oe.

E lē manaia i lau faalogo le faagaau ma lē mafai ai na e tautala, ae masani na tatala ese pe a e ala mai ona sui lea i le ufi fofoga okesene.

E avatu poloka aisa po o sina vai e mitimiti ma atonu e gafatia sina meaai i le aso sosoo ai.

E faapipii uaea i lou tino e iloa ai tulaga o ou totoga taua.

A iai ni suiga, ona tatagi lea o le masini e iloa ai e le aufaigaluega.

E faateia ai, ae o tulaga masani ma e lē faapea ai ua tupu se faaletonu.

E tele faagaau ma uaea e faapipii solo i lou tino, ma le uaea e fafaga ai le vai ma fualaau, e faatumauina ai le malosi o fegasoloaiga o le toto, ma uaea e faapipii i le pusa mo le fatu, e ono moomia e faamalosi ai le tātā o lou fatu, ma faagaau e mimiti mai i fafo le ea ma le vai mai lou fatafata.

E masani na talai ese pe a mavae le tasi pe lua aso talu na uma le taotoga.

Ou te manatua tau lē mafai na ou minoi toe tiga i le taimi na talai ese ai.

Ua ta faafetai ua talai ese, ta te iloa ai ua faasolosolo manuia.

E ma'ila lou fatafata ma, e faalagolago i le ituaiga taotoga, pe na fai se tipi i lou vae po o lou lima.

E amata na faagaioi lou tino e tausimai ma tomai faamalositino i se taimi vave e mafai ai.

Tusa lava pe o pipii uaea i lou tino, e faasino atu le faiga e lelei ai lau mānava ma faagaioi lou tino e vave ai na e malosi.

E taua tele lou saili malosi.

E fesili atu le tausimai po o iai se mea o tiga po o le faafaufau, ona avatu lea o fualaau malolosi e te lavatia ai tulaga faapenei mo nai aso.

Faaleo soo se mea o e popole ai e iloa ai e le aufaigaluega le fesoasoani e fai.

E lē moomia na e alu i le falelēta'ua a o taofia oe i le ICU e fai le taga e faaalu i ai feauvai, ma ailoga e tatala lou manava mo nai aso talu na uma lau taotoga.

Aua e te popole, o le galuega a tausimai le fufulu mamā o lou tino atoa.

Atonu e mafai na asiasi atu lou aiga pe a mautu le potu e taofia ai pe a uma lau taotoga.

E ono faigata mo lou aiga le vaai atu i mau masini o faapipii solo i lou tino, ae sili na faafetai ua uma lau taotoga.

Afai ua lē saofia atu lou aiga, e mafai na fesootai i ai i le telefoni.

A e malosi lelei loa, ona tuuitiitia lea o faiga e vaai ai oe.

O tulaga e masani na fai i le isi aso pe a uma lau taotoga, ae e lē tututsa le vave faafoisia o le malosi mo tagata uma.

A sui faiga e vaai ai oe, e faaauau pea lagolagosua mai le vaega faapitoa e tusa ai ma suiga o lou malosi.

A iai se fesili e faatatau i le ICU po o isi laasaga sosoo ai, fesili i le vaega o tausia oe. Ia manuia tele le sauni ai mo lau taotoga.

Malo lava le saili malosi, soifua ma ia manuia!

Na faatupeina le ata lenei e le Heart Foundation.

E avatu le faamalo ma le faafetai i le aufaigaluega a le Wellington Regional Hospital mo le lagolagoina o le ata lenei.