Caring For Patients with Tracheostomy & Ventilator Dependency A Practitionerâs Guide to Managing Communication and Swallowing by Jerome Quellier
Duration:5 Hours 55 Minutes | Format:Audio and Video
Outline:
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
Description:
Develop a comprehensive management plan for adults living with acute and prolonged tracheostomy
As medical technology and intervention advances, more patients are faced with temporary and long-term tracheostomy / ventilation as part of their recovery. The very presence of a tracheostomy tube can induce a visceral response to secretion control and dehumanize the patient who is unable to exercise his ability to make decisions, verbally communicate his needs, and interact socially with staff or family.
Practitioners in acute hospitals, transitional rehabilitation units, qualified long-term institutions, and home care centers must not only understand the basic functionality of the tracheostomy tube, but also perform daily chores, assist their patients with swallowing and verbal communication, and even train non-medical health care providers. Treating a tracheostomized patient is often considered difficult. This misconception can be an obstacle to placement in an environment most conducive to general rehabilitation; promote social closeness with staff, friends and family; and ultimately lead to a delay in the weaning process.
This entry will describe and compare the main components of a tracheostomy tube, make decisions about the most suitable type of tube for use in different populations, and the risks / benefits of placement. With an overview of daily concerns, assessment and placement of the speaking valve, and the characteristics of dysphagia for this population, you will gain the skills and confidence you need to develop a comprehensive management plan. Finish this post with a solid foundation of general knowledge, critical thinking algorithms, and an understanding of the roles and responsibilities of your specialty when dealing with tracheostomy patients.
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Course Features
- Lectures 0
- Quizzes 0
- Duration Lifetime access
- Skill level All levels
- Language English
- Students 175
- Assessments Yes
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