I feel bad for the family, but unfortunately, they are on the losing end of this battle. From firsthand experience, a person who is already brain dead won't survive long, even with a trach and peg. They require artificial hormones, vasopressors, and multiple iv replacements to make up for what their brain isn't able to do anymore. Long term acute care facilities aren't able to manage that type of care, and will not accept the patient. This "New Beginnings" facility is not available yet, not licensed, and will never be equipped to handle brain death. I work in an inner city SICU, and we (on average) take care of about 1 brain death case a week, with many having to be artificially kept alive until Gift of Life finds organ and tissue recipients. It takes a few days to a week or intense one on one nursing care, as many tests are done to make sure the organs will be viable and appropriate for donation. The nurses assigned to a GOL patients in my facility are always singled, and I can tell you...it is a long, difficult day emotionally and physically when you get that assignment.
As for keeping the comatose alive, I have 4 years of prior nursing experience there, too. It is a torturous existence for those people. Trached to the vent, bedridden, tube fed, cannot move or talk. Most develop huge bedsores within a few months of being at nursing homes. Many eventually require dialysis, then it leads to multi system organ failure. Pneumonia and sepsis time and time again since they have a hole in their respiratory tract, and they live in facilities with many other chronically ill patients. We have these families insisting we find a way to keep their loved ones alive, even after years of deterioration. Refusing the staff from adequately treating pain during baths and dressing changes because we may "overdose" them. So we torture these poor souls...day after day, year after year. I loved my job. I loved trying to make a patient that leads such a bleak existence a bit more comfortable. But after a few years, I was so burned out. My body hurt, and my soul hurt. We play God by standing in the way of what he wants.