My expertise is with vulnerable patients that are critically ill and on mechanical ventilation. I help them preserve their “voice” and autonomy by allowing them to be awake and communicating through non-verbal methods as soon as possible. By doing this shortly after intubation for most patients they are usually able to keep their cognition intact so they can understand their circumstances and express their needs and wishes to their caregivers and loved ones.

Empowering vulnerable patients to take charge of their healthcare decisions is central to my practice. While some patients may not view themselves as "vulnerable," it’s essential to respect and honor their perspective. My role is to provide clear, timely information that enables them to make informed choices confidently. I remind them, "This is your care; it’s in your hands. I am here as an extension to help." By fostering a collaborative approach and connecting them with support networks when needed, I help build the confidence and clarity they need to make decisions that best align with their values.

Vulnerable patients are people just like you. Talking to them and not at them should be the first step. Find out what they know, and what needs to be explained better.

Many vulnerable patients are very proactive about their care, despite enormous obstacles in their way. The reality is that clearing obstacles for patients to get access to care is the most important thing providers can do to help vulnerable patients. They're often exhausted by the process of trying to get access, so opening the door wide from the provider's side is crucial.