Tracheostomy Care – Coursework Example
Tracheostomy Care What to explain to the Family Tracheostomy is a lifesaving and a very high-risk procedure. Evidence-based guidelines are employed by trained nurses to avoid poor outcomes. Such patients may also be seen outside the intensive care units and most of the times the patient may not have fully recovered (Morris & Afifi, 2010).In this respect, the family need to be given in-depth explanation on the signs of the condition and need to assist the patient at all stages. Because of the high number of admissions with more complex conditions in hospitals, tracheostomy patients are being cared for in the general nursing units.
What to anticipate
The family should be ready for a long term hospitalization of the patient with close supervision and care. The care should be customized to the patient depending on the the type of tract tube that is used. A suctioning procedure may be required if the patient is unable to clear the airway effectively (Morris & Afifi, 2010). This should also be tailored. Suctioning always involves; assessments, oxygenation management, correct suction pressure, liquefying secretions, proper suction catheter, appropriate positioning and evaluation. Adequate psychological support is an absolute requirement for fast and complete recovery.
Evaluation and routine data collection
Evaluation is done after suctioning and involves assessment and documentation of physiologic and psychological responses of the patient to the procedure.
The LPN should also take into account the following in routine data collection
Vital signs such as blood pressure,
O2 saturation and also temperature
Super infections, airway obstructions, impaired ventilations (Morris & Afifi, 2010).
Measures to avoid complications
To prevent infections, the tracheostomy site should be cleaned and dressed appropriately; Cleaning should be done using normal saline, a skin barrier applied after cleaning using intact fibers (not loose).
The tube must also be secured at all times in order to prevent accidental dislodgement.
Close supervision and monitoring is a must to detect any complications early enough to enable early corrective measures to be taken (Morris & Afifi, 2010).
Morris, L. L., & Afifi, M. S. (2010). Tracheostomies: The complete guide. New York: Springer Pub. Co..