Source:

Nursing2015

November 2009, Volume 39 Number 11 , p 8 - 8 [FREE]

Author

  • MARY SPREMULLI CCC-SLP, MA

Abstract

function set_JnlFullText_Print() { metaTag = document.createElement('meta'); metaTag.setAttribute('name','OvidPageId'); metaTag.setAttribute('content','JnlFullText_Print'); head = document.getElementsByTagName('head')[0]; head.appendChild(metaTag); return; } if (window.addEventListener) { // DOM Level 2 Event Module (NS 6+) // Firefox throws an uncaught exception error executing this // code, even though it seems to work. Adding a do nothing // try/catch clause around it for now, since the exection itself // appears to be innocuous try { window.addEventListener('onload',set_JnlFullText_Print(),false); } catch(e) {} } else if (window.attachEvent) { // IE 5+ Event Model window.attachEvent('onload',set_JnlFullText_Print); } // For anything else, just don't add the event Print Close A shout-out for speech-language pathologists DOI: 10.1097/01.NURSE.0000363362.56922.8d ISSN: 0360-4039 Accession: 00152193-200911000-00002 Author(s):

SPREMULLI, MARY CCC-SLP, MA

Issue: Volume 39(11), November ...

 

"How to Care for a Patient with a Tracheostomy" (August 2009)* noted many clinical benefits associated with early tracheostomy. I'd like to add some information. The tracheostomy can significantly alter the normal physiology of the aerodigestive tract, leading to swallowing problems, aspiration, and other complications.

 
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I urge healthcare facilities to develop a multidisciplinary policy and procedure, which includes referral to a speech-language pathologist (SLP) 24 to 48 hours posttracheostomy to help identify patients at risk for swallowing problems. In addition, the SLP can assess the patient's candidacy for speaking valve placement. Even while patients are on mechanical ventilation, the valve may help to restore speech, allowing them to more actively participate in their care, and reduce disuse atrophy of the oral-pharyngeal musculature. Early rehabilitation strategies improve patient safety and outcomes, and documented patient response to this treatment may serve as a guide in predicting successful decannulation.

 

-MARY SPREMULLI, CCC-SLP, MA

 

Punta Gorda, Fla.

 

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