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.
Jerome Quellier MS, CCC-SLP, is a specialist in traumatic brain injury and communication disorders at a 500+ bed Level 1 Trauma hospital in Saint Paul, MN. He has accumulated 25+ years of acute, residential, and outpatient rehabilitation experience. During his tenure at the hospital, he has focused on neuro-based diagnostics and intervention for cognitive-linguistic deficits, dysphagia, head and neck cancer management, and patient advocacy. Mr. Quellier has completed advanced training in brain dissection at Marquette University, recently joined a surgery team to preserve language function during tumor resections, and has shared his expertise with interdisciplinary audiences around the country.