Rehab Strategies for Patients with Tracheostomies and Ventilators – Jerome Quellier

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Hospitals and long-term care settings are commonly caring for patients with acute and chronic tracheostomy/ventilator dependency as medical care becomes increasingly sophisticated.

This short recording is designed to rapidly familiarize clinicians with terminology, evidence based diagnostics, and intervention surrounding communication, dysphagia, and considerations for safe patient mobilization. Take home evidence-based tools and rehab strategies the whole team can utilize to improve rehab outcomes with this unique patient population.

1. Describe steps to assess both vent and nonevent dependent patients for speaking valve utilization
2. Identify contraindications for use and safety measures for successful placement of a speaking valve during acute and long-term rehabilitation
3. Recognize at least three unique aspiration risks for the tracheotomized patient and three ways in which a speaking valve positively impacts swallowing physiology
4. Explain three mechanical vent settings for which a speaking valve can be safely used in the tracheotomized patient

When Should You Use a Speaking Valve?

• Patient assessment
• Equipment and placement options

Successful Placement of a Speaking Valve during Acute & Long-term Rehabilitation

• Contraindications for use and safety measures
• Impact of speaking valve upon voicing and communication success
• Problem-solving strategies for difficult placements

Unique Risks & Solutions

• Overcoming aspiration risks
• Impact of swallowing physiology
• Research and case studies

Safe Use of Mechanical Vents with Speaking Valves

• Modes of ventilation the speaking valve can be safely used
• Parameters on vent that impact candidacy for successful use
• Case Study