Sheila Clark – PESI – Rehabilitation Approaches for Patients with Tracheostomies & Ventilators

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Description

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Sheila Clark – PESI – Rehabilitation Approaches for Patients with Tracheostomies & Ventilators

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.

Speaker
Sheila Clark, DHEd, MS, CCC-SLP, has been a Speech Language Pathologist for 26 years, working with both pediatric and adult patients in a variety of settings. She earned a doctorate in health education in 2010, and enjoys educating healthcare professionals on the use of a holistic approach to clinical care. She has worked closely with multiple disciplines to become an advanced practitioner in the specialty areas of dysphagia, neurological disorders, critical care, and the management of patients with tracheostomy and mechanical ventilation.

Ms. Clark continues to work as an SLP on a PRN basis in acute care, outpatient, home care, and subacute care settings. She also provides clinical education with Passy-Muir and St. Catherine’s University in Minneapolis with DPT students. Additionally, she has served in leadership positions, including supervisor and rehab therapy director, which has given her a unique perspective on the communication and collaborative needs across disciplines.

Speaker Disclosures:

Financial: Sheila Clark receives a speaking fee from Passy Muir. She receives a speaking honorarium from PESI, Inc.

Non-financial: Sheila Clark has no relevant non-financial relationship to disclose.

Objectives

  1. Describe the basic neuroanatomy and physiology of respiration
  2. Identify the invasive and non-invasive ventilation techniques
  3. Articulate 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 use
  5. Develop assessment and treatment strategies of speaking valves with tracheostomies
  6. Analyze 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 Collaborative

Outline

NEUROANATOMY AND PHYSIOLOGY OF RESPIRATION

  • Definitions and terminology
  • Diseases of the respiratory system

TYPES OF VENTILATION

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

TRACHEOSTOMY CONSIDERATIONS

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

SPEAKING VALVES AND IMPACT ON REHAB OUTCOMES 

  • Commercial speaking valves
    Types
    Functions
  • Speaking valves benefits
    Phonation
    Swallowing
    Secretion management
  • Assessment and treatment considerations
    ICU
    LTACH
    TCU
    Outpatient
    Home health
  • Speaking valves contraindications and concerns
    Determining use during rehab interventions
    Using speaking valves to progress PT/OT/ST goals
    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 MANAGEMENT

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

Target Audience

  • Speech-Language Pathologists
  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Respiratory Therapists
  • Nurses
  • Nurse Managers
  • ICU Managers
  • Rehab Directors

Frequently Asked Questions:

  1. Innovative Business Model:
    • Embrace the reality of a genuine business! Our approach involves forming a group buy, where we collectively share the costs among members. Using these funds, we purchase sought-after courses from sale pages and make them accessible to individuals facing financial constraints. Despite potential reservations from the authors, our customers appreciate the affordability and accessibility we provide.
  2. The Legal Landscape: Yes and No:
    • The legality of our operations falls into a gray area. While we lack explicit approval from the course authors for resale, there’s a technicality at play. When procuring the course, the author didn’t specify any restrictions on resale. This legal nuance presents both an opportunity for us and a boon for those seeking budget-friendly access.
  3. Quality Assurance: Unveiling the Real Deal:
    • Delving into the heart of the matter – quality. Acquiring the course directly from the sale page ensures that all documents and materials are identical to those obtained through conventional means. However, our differentiator lies in going beyond personal study; we take an extra step by reselling. It’s important to note that we are not the official course providers, meaning certain premium services aren’t included in our package:
      • No coaching calls or scheduled sessions with the author.
      • No access to the author’s private Facebook group or web portal.
      • No entry to the author’s exclusive membership forum.
      • No direct email support from the author or their team.

    We operate independently, aiming to bridge the affordability gap without the additional services offered by official course channels. Your understanding of our unique approach is greatly appreciated.

Refund is acceptable:

  • Firstly, item is not as explained
  • Secondly, Item do not work the way it should.
  • Thirdly, and most importantly, support extension can not be used.

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