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Facilitating speech in the patient with a tracheostomy.
Respir Care ; 50(4): 519-25, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15807915
ABSTRACT
A tracheostomy tube decreases the ability of the patient to communicate effectively. The ability to speak provides an important improvement in the quality of life for a patient with a tracheostomy. In mechanically ventilated patients, speech can be provided by the use of a talking tracheostomy tube, using a cuff-down technique with a speaking valve, and using a cuff-down technique without a speaking valve. Speech can be facilitated in patients with a tracheostomy tube who are breathing spontaneously by use of a talking tracheostomy tube, by using a cuff-down technique with finger occlusion of the proximal tracheostomy tube, and with the use of a cuff-down technique with a speaking valve. Teamwork between the patient and the patient care team (respiratory therapist, speech-language pathologist, nurse, and physician) can result in effective restoration of speech in many patients with a long-term tracheostomy.
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Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Fonoterapia / Traqueostomia Limite: Humanos Idioma: Inglês Revista: Respir Care Ano de publicação: 2005 Tipo de documento: Artigo País de afiliação: Estados Unidos