Sheila Clark – Rehabilitation Approaches for Patients with Tracheostomies & Ventilators

 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

NEUROANATOMY and PHYSIOLOGY IN RESPIRATION

• Definitions and terminology
• Diseases of the respiratory tract

TYPES OF VENTILATION

• Invasive
• Noninvasive
• Goals and differences in natural respiration
• Sutt articles

TRACHEOSTOMY CONSIDERATIONS

• Scope
• Percutaneous vs. surgical
• Types of Tracheostomy Tubes
• Tracheostomy-related changes to function
• The rehab team approach to treating patients with new tracheostomy
  • Exercises in PT/OT to improve respiratory function
  • Functional transfers/gait during intubation
• Subglottic pressure fluctuations and their impact on PT, OT and ST treatments

SPEAKING VALVES and IMPACT ON REHAB RESULT OUTCOMES 

• Commercial speaking valves
  • Types
  • Functions
• Speaking valves benefits
  • Phonation
  • Swallowing
  • Management of secretion
• Assessment and treatment considerations
  • ICU
  • LTACH
  • TCU
  • Outpatient
  • Health at home
• Talking valves: Concerns and contraindications
  • During rehab interventions, determining the use
  • To reach your PT/OT/ST goals you can use speaking valves
  • 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 CONTROL

• Global Tracheostomy Collaborative
• Team approach: What is the purpose?
• The tracheostomy staff and their respective roles
  • Benefits of having rehab professionals in the team
• Team members are able to see outcomes

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Description:

Patients with ventilators and tracheostomy have additional challenges that can impact their therapy results. 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.

This recording explores these and other issues in ventilator management and tracheostomy. Review the current benefits and best practices of tracheostomy by looking at the anatomy and physiology behind respiration. Also, the various types and combinations of ventilators, speaking valves and tracheostomy tubes. Talk about how ventilators and Tracheostomies can impact speech, occupational, physical and speech therapy. Take home evidence-The whole team can use the same rehab strategies and tools based on evidence to improve their rehab results. with Children and adults.