Rehabilitation Approaches for Patients with Tracheostomies & Ventilators – Sheila Clark

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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.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.

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.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.

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1. Describe the basic neuroanatomy and physiology of respirationDescribe the basic neuroanatomy and physiology of respiration
2. Identify the invasive and non-invasive ventilation techniquesIdentify the invasive and non-invasive ventilation techniques
3. Articulate the positive and negative effects of tracheostomy and areas of function it impactsArticulate the positive and negative effects of tracheostomy and areas of function it impacts
4. Describe tracheostomy tubes and speaking valve options and the benefits/contraindications for useDescribe tracheostomy tubes and speaking valve options and the benefits/contraindications for use
5. Develop assessment and treatment strategies of speaking valves with tracheostomiesDevelop assessment and treatment strategies of speaking valves with tracheostomies
6. Analyze common differences in pediatric and adult management of tracheostomies and speaking valvesAnalyze common differences in pediatric and adult management of tracheostomies and speaking valves
7. Recognize the importance of a team approach and the goals of the Global Tracheostomy CollaborativeRecognize the importance of a team approach and the goals of the Global Tracheostomy Collaborative

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NEUROANATOMY AND PHYSIOLOGY OF RESPIRATIONNEUROANATOMY AND PHYSIOLOGY OF RESPIRATION

• Definitions and terminologyDefinitions and terminology
• Diseases of the respiratory systemDiseases of the respiratory system

TYPES OF VENTILATIONTYPES OF VENTILATION

• InvasiveInvasive
• NoninvasiveNoninvasive
• Goals and differences from natural respirationGoals and differences from natural respiration
• Sutt articlesSutt articles

TRACHEOSTOMY CONSIDERATIONSTRACHEOSTOMY CONSIDERATIONS

• PurposePurpose
• Percutaneous vs. surgicalPercutaneous vs. surgical
• Types of tracheostomy tubesTypes of tracheostomy tubes
• Changes in function due to tracheostomyChanges in function due to tracheostomy
• Rehab team approach to treating patients with new tracheostomy Rehab team approach to treating patients with new tracheostomy
  • PT/OT therapeutic exercise to maximize respiratory functionPT/OT therapeutic exercise to maximize respiratory function
  • Functional transfers/gait while intubatedFunctional transfers/gait while intubated
• Changes in subglottic pressure and its effect on PT, OT, and ST treatmentsChanges in subglottic pressure and its effect on PT, OT, and ST treatments

SPEAKING VALVES AND IMPACT ON REHAB OUTCOMES SPEAKING VALVES AND IMPACT ON REHAB OUTCOMES 

• Commercial speaking valves Commercial speaking valves
  • TypesTypes
  • FunctionsFunctions
• Speaking valves benefits Speaking valves benefits
  • PhonationPhonation
  • SwallowingSwallowing
  • Secretion managementSecretion management
• Assessment and treatment considerations Assessment and treatment considerations
  • ICUICU
  • LTACHLTACH
  • TCUTCU
  • OutpatientOutpatient
  • Home healthHome health
• Speaking valves contraindications and concerns Speaking valves contraindications and concerns
  • Determining use during rehab interventionsDetermining use during rehab interventions
  • Using speaking valves to progress PT/OT/ST goalsUsing speaking valves to progress PT/OT/ST goals
  • Donning/doffing valves during PT/OT/ST treatmentsDonning/doffing valves during PT/OT/ST treatments

PEDIATRIC VS. ADULT CONSIDERATIONSPEDIATRIC VS. ADULT CONSIDERATIONS

• Vital signsVital signs
• Cuffed vs. cuffless trachsCuffed vs. cuffless trachs
• Treatment strategiesTreatment strategies

TEAM APPROACH TO TRACH AND VENT MANAGEMENTTEAM APPROACH TO TRACH AND VENT MANAGEMENT

• Global Tracheostomy CollaborativeGlobal Tracheostomy Collaborative
• Purpose of a team approachPurpose of a team approach
• Members of the tracheostomy team and their roles Members of the tracheostomy team and their roles
  • Benefits of rehab professionals as part of the teamBenefits of rehab professionals as part of the team
• Outcome statistics when team is in placeOutcome statistics when team is in place

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