Description
Trachesostomy and ventilator patients face a number of added challenges that often impact therapy outcomes. While working on compensatory strategies, functional mobility, and ADLs in therapy, they’re also developing communication skills, learning swallowing techniques, and adjusting to medical equipment.
Sheila Clark – Rehabilitation Approaches for Patients with Tracheostomies & Ventilators
This recording explores the latest solutions to these and other challenges of tracheostomy and ventilator management. Examine current tracheostomy benefits, considerations, and best practices by reviewing the anatomy and physiology of respiration, as well as the many different types and combinations of tracheostomy tubes, speaking valves, and ventilators. Discuss how tracheostomies and ventilators impact physical, occupational, and speech therapies, and take home evidence-based tools and rehab strategies the whole team can use to improve rehab outcomes with pediatric and adult populations.
Handouts
Manual – Rehabilitation Approaches for Patients with Tracheostomies & Ventilators (2.89 MB) 83 Pages Available after Purchase
Outline
NEUROANATOMY AND PHYSIOLOGY OF RESPIRATION
Definitions and terminology
Diseases of the respiratory system
TYPES OF VENTILATION
Invasive
Noninvasive
Goals and differences from natural respiration
Sutt articles
TRACHEOSTOMY CONSIDERATIONS
Purpose
Percutaneous vs. surgical
Types of tracheostomy tubes
Changes in function due to tracheostomy
Rehab team approach to treating patients with new tracheostomy
PT/OT therapeutic exercise to maximize respiratory function
Functional transfers/gait while intubated
Changes in subglottic pressure and its effect on PT, OT, and ST treatments
SPEAKING VALVES AND IMPACT ON REHAB OUTCOMES
Commercial speaking valves
Types
Functions
Speaking valves benefits
Phonation
Swallowing
Secretion management
Assessment and treatment considerations
ICU
LTACH
TCU
Outpatient
Home health
Speaking valves contraindications and concerns
Determining use during rehab interventions
Using speaking valves to progress PT/OT/ST goals
Donning/doffing valves during PT/OT/ST treatments
PEDIATRIC VS. ADULT CONSIDERATIONS
Vital signs
Cuffed vs. cuffless trachs
Treatment strategies
TEAM APPROACH TO TRACH AND VENT MANAGEMENT
Global Tracheostomy Collaborative
Purpose of a team approach
Members of the tracheostomy team and their roles
Benefits of rehab professionals as part of the team
Outcome statistics when team is in place
