Description
Caring For Patients With Tracheostomy & Ventilator Dependency: A Practitioner’S Guide To Managing Communication And Swallowing, Jerome Quellier – Caring For Patients With Tracheostomy & Ventilator Dependency: A Practitioner’S Guide To Managing Communication And Swallowing, Caring For Patients With Tracheostomy & Ventilator Dependency: A Practitioner’S Guide To Managing Communication And Swallowing download, Jerome Quellier – Caring For Patients With Tracheostomy & Ventilator Dependency: A Practitioner’S Guide To Managing Communication And Swallowing review, Caring For Patients With Tracheostomy & Ventilator Dependency: A Practitioner’S Guide To Managing Communication And Swallowing free torent
Jerome Quellier – Caring For Patients With Tracheostomy & Ventilator Dependency: A Practitioner’S Guide To Managing Communication And Swallowing
Develop a Comprehensive Management Plan for Adults Living with Acute & Long–Term Tracheostomy
As medical technology and intervention evolves, more patients are faced with temporary and long–term tracheostomy/ventilation as a part of their recovery. The very presence of a tracheostomy tube may elicit visceral reaction to secretion management and dehumanize the patient who is unable to exercise their decision making capacity, orally communicate their needs, and interact socially with staff or family.
Practitioners in acute hospitals, transitional rehabilitation units, skilled long–term settings, and homecare arenas are challenged to not only understand the basic functionality of a tracheostomy tube, but complete daily cares, assist their patients with swallowing and oral communication, and even train non-medical care providers. Management of the tracheostomized patient is often assumed to be complex. This misconception may become a barrier for placement in an environment most conducive to overall rehabilitation; to foster social closeness with staff, friends and family; and ultimately result in prolonging the weaning process.
This recording will outline and compare the basic components of a tracheostomy tube, decision making surrounding the most appropriate type of tube to use for various populations, and the risks/benefits of placement. Through review of daily cares, the assessment and placement of a speaking valve, and dysphagia characteristics for this population, you will build the skills and confidence necessary to develop a comprehensive management plan. Finish this recording with a solid foundation of general knowledge, critical thinking algorithms, and an understanding of the roles and responsibilities of their specialty when faced with tracheostomized patients.
Review the components to various tracheostomy tubes available and their functions
Discuss the decision making process for placement of a tracheostomy tube and the advantages/disadvantages to short- and long-term placement
Review basic daily nursing cares necessary for maintaining a tracheostomy
Explain the assessment, safety precautions, and utilization of speaking valves
Discuss assessment and treatment of swallowing and the application of a speaking valve to minimize aspiration risks and maximize oral communication including bedside screening vs. formal assessment
Develop a plan of care and establish professional responsibilities across a multidisciplinary team to manage safe swallowing and maintain verbal communication
ANATOMY AND PHYSIOLOGY OF TRACHEOSTOMY
Definition of terminology used
Surgical vs. Percutaneous Tracheostomy
CLINICAL FEATURES OF A TRACHEOSTOMY TUBE INTUBATION AND TRACHEOSTOMY – BENEFITS AND RISKS
Endotracheal tube advantages/disadvantages
Tracheostomy tube advantages/disadvantages
SIZING TRACHEOSTOMY TUBES
MANUFACTURERS OF TRACHEOSTOMY TUBES
SPECIAL CONSIDERATIONS OF MANAGING A TRACHEOSTOMY TUBE
Cuff pressures
Essential daily cares
Necessary supplies
Cannula cleaning/exchanging
Maintaining stoma and skin integrity
Minimal Leak technique vs. minimal occlusive volume
SPEAKING VALVES
Anatomy & physiology of common speaking tubes
Population and timing
Warning/Precautions
Assessment and placement guidelines
Trouble shooting during valve assessment/use
Ventilator modifications for safety and success
Inline speaking valves
Decision making for the respiratory therapists
Tidal volumes
Peak inspiratory pressures
Minimal vent parameters to facilitate successful application
FENESTRATED TRACHEOSTOMY TUBES
DYSPHAGIA AND THE TRACHEOTOMIZED PATIENT
Post extubation consideration
Effect of tracheostomy on swallowing
Effect of cervical bracing on tracheotomized patient
Assessment of swallowing
Blue Dye vs. Fees vs. MBSS
Impact of speaking valve upon swallowing
MULTIDISCIPLINARY CARE OF A PATIENT WITH TRACHEOSTOMY
Role of SLP, nurse, and respiratory therapist
Review a sample of policy/procedure
