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Caring For Patients with Tracheostomy & Ventilator Dependency: A Practitioner’s Guide to Managing Communication and Swallowing, 6/9/2018 12:00:00 AM CDT, Digital Seminar More info »
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Caring For Patients with Tracheostomy & Ventilator Dependency: A Practitioner’s Guide to Managing Communication and Swallowing


Faculty :
Jerome Quellier
Duration:
Full Day
Brochure Code:
PLW19166
Media Type:
Live Webcast - Also available: Digital Seminar
Access:
Access for 90 day(s) after program date.

Program no longer active
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Description

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 course 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, course participants will build the skills and confidence necessary to develop a comprehensive management plan. Attendees of this seminar will leave 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.

Credits

Nurse Practitioners

is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 060313. This activity was planned in accordance with AANP Accreditation Standards and Policies. This course is offered for 6 contact hour(s).


Occupational Therapists, Occupational Therapy Assistants

is an AOTA Approved Provider of continuing education. This course is offered for 0.6 AOTA CEU(s). The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. AOTA Educational level Intermediate, category 1: Domain of OT, 2: Occupational Therapy Process, .


Occupational Therapists, Occupational Therapy Assistants - Florida

is an approved provider #50-466 with the Florida Department of Health Board of Occupational Therapy Practice. This course is approved for 6 contact hour(s) for Occupational Therapist and Occupational Therapy Assistants.


Other Professions

This educational offering qualifies for 6 continuing education hour(s) as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements. 


Speech-Language Pathologists, Audiologists (General)

This educational offering qualifies for 6 continuing education hour(s) as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements. 


Handouts

Faculty

Jerome Quellier Related seminars and products: 3

MS, CCC-SLP


JEROME QUELLIER, MS, CCC-SLP, is a licensed Speech-Language Pathologist with over 20 years of acute care experience whose clinical subspecialties include swallowing, traumatic brain injury, stroke rehabilitation, oral-pharyngeal cancer rehabilitation, and assisting patients in palliative decision making for the dysphasic patient.  He is currently a Clinical Specialist at a Level 1 trauma hospital in Saint Paul, Minnesota, treating neurologically impaired adults and geriatrics and managing Tracheoesophageal Prosthesis (TEP) care. Additionally, he treats head and neck cancer patients in conjunction with the Department of Radiation Oncology, amd trains hospital-based rehab staff, nurses, and internal medicine residents on the management of this unique population.


 


Mr. Quellier has been a faculty member at the University of Minnesota-Duluth and adjunct faculty at the University of Wisconsin, teaching graduate coursework on tracheostomy and head and neck cancer. He also possesses extensive experience in quality and process improvement for rehabilitation services. Mr. Quellier received his bachelor’s and master’s degrees from the University of Wisconsin-Eau Claire. During his professional tenure, he has been a direct care provider in hospitals, skilled nursing facilities and homecare settings, and has acted as the shared services coordinator between various community hospitals.


 


Disclosure:



  • Financial- Receives a speaking honorarium from Vyne Education, LLC.

  • Nonfinancial-No relevant nonfinancial relationship exists.



Objectives

  1. Review the components to various tracheostomy tubes available and their functions
  2. Discuss the decision making process for placement of a tracheostomy tube and the advantages/disadvantages to short– and long–term placement
  3. Review basic daily nursing cares necessary for maintaining a tracheostomy
  4. Explain the assessment, safety precautions, and utilization of speaking valves
  5. Discuss assessment and treatment of swallowing and the application of a speaking valve to minimize aspiration risks and maximize oral communication including bedside screening vs. formal assessment
  6. Develop a plan of care and establish professional responsibilities across a multidisciplinary team to manage safe swallowing and maintain verbal communication

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

Target Audience

Speech-Language Pathologists, Speech-Language Pathology Assistants, Occupational Therapists, Certified Occupational Therapy Assistants, Nurse Managers, Nurses, Respiratory Therapists, Rehab Directors, Licensed Practical Nurses

Reviews

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Overall:     4.7

Total Reviews: 15

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