Psychobiologic
|
Aspiration of secretions(11. Nakarada-Kordic I, Patterson N, Wrapson J, Reay SD. A systematic review of patient and caregiver experiences with a tracheostomy. Patient. 2018;11(2):175–91. doi: http://doi.org/10.1007/s40271-017-0277-1. PubMed PMID: 28914429. https://doi.org/10.1007/s40271-017-0277-...
,1111. Freire-Figueroa F, Poblete-Figueroa C, Villarroel-Sgorbini C, Marín-Navarro V, González-Cuesta F, Muñoz-Sotelo C, et al. Descripción y manejo del paciente traqueostomizado en Hospitalización Domiciliaria: experiencia en el Complejo Asistencial Doctor Sótero del Río. Hosp. Domic. 2022;6(2):67–78. doi: http://doi.org/10.22585/hospdomic.v6i2.154. https://doi.org/10.22585/hospdomic.v6i2....
,1212. da Costa ECL, Rodrigues CF, Matias JG, Bezerra SMG, Rocha DM, Machado RS, et al. Cuidados para a prevenção de complicações em pacientes traqueostomizados. Rev Enferm UFPE. 2019;13(1):169–78. doi: http://doi.org/10.5205/1981-8963-v13i1a238545p169-178-2019. https://doi.org/10.5205/1981-8963-v13i1a...
,1414. Karaca T, Altinbas Y, Aslan S. Tracheostomy care education and its effect on knowledge and burden of caregivers of elderly patients: a quasi-experimental study. Scand J Caring Sci. 2019;33(4):878-84. doi: http://doi.org/10.1111/scs.12684. PubMed PMID: 30883869. https://doi.org/10.1111/scs.12684...
,1515. Loerzel VW, Crosby WW, Reising E, Sole ML. Developing the tracheostomy care anxiety relief through education and support (T-CARES) program. Clin J Oncol Nurs. 2014;18(5):522–7. doi: http://doi.org/10.1188/14.CJON.522-527. PubMed PMID: 25253106. https://doi.org/10.1188/14.CJON.522-527...
,1818. Karaca T, Altinbas Y, Aslan S. Caring for patients with a tracheostomy at home: a descriptive, cross-sectional study to evaluate health care practices and caregiver burden. Wound Manag Prev. 2019;65(3):22-9. doi: http://doi.org/10.25270/wmp.2019.3.2229. PubMed PMID: 30986200. https://doi.org/10.25270/wmp.2019.3.2229...
,2020. Lewarski JS. Long-term care of the patient with a tracheostomy. Respir Care. 2005;50(4):534–7. PubMed PMID: 15807917.,2222. Mohammadi N, Farahani M, Vatandost S. Effect of videotape for home instruction on the quality of life of tracheostomy patients: a randomized clinical trial. J Med Life. 2015;8(4):287–94.,2323. Patry-lahey R. Helping a laryngectomy patient go home. Nursing. 1985;15(3):63–5. doi: http://doi.org/10.1097/00152193-198503000-00016. PubMed PMID: 3844649. https://doi.org/10.1097/00152193-1985030...
). |
– Use aseptic technique(1111. Freire-Figueroa F, Poblete-Figueroa C, Villarroel-Sgorbini C, Marín-Navarro V, González-Cuesta F, Muñoz-Sotelo C, et al. Descripción y manejo del paciente traqueostomizado en Hospitalización Domiciliaria: experiencia en el Complejo Asistencial Doctor Sótero del Río. Hosp. Domic. 2022;6(2):67–78. doi: http://doi.org/10.22585/hospdomic.v6i2.154. https://doi.org/10.22585/hospdomic.v6i2....
). – Pre-oxygenate the patient(1818. Karaca T, Altinbas Y, Aslan S. Caring for patients with a tracheostomy at home: a descriptive, cross-sectional study to evaluate health care practices and caregiver burden. Wound Manag Prev. 2019;65(3):22-9. doi: http://doi.org/10.25270/wmp.2019.3.2229. PubMed PMID: 30986200. https://doi.org/10.25270/wmp.2019.3.2229...
). – Use vacuum pressure between 100 and 150 mmHg(1111. Freire-Figueroa F, Poblete-Figueroa C, Villarroel-Sgorbini C, Marín-Navarro V, González-Cuesta F, Muñoz-Sotelo C, et al. Descripción y manejo del paciente traqueostomizado en Hospitalización Domiciliaria: experiencia en el Complejo Asistencial Doctor Sótero del Río. Hosp. Domic. 2022;6(2):67–78. doi: http://doi.org/10.22585/hospdomic.v6i2.154. https://doi.org/10.22585/hospdomic.v6i2....
,1212. da Costa ECL, Rodrigues CF, Matias JG, Bezerra SMG, Rocha DM, Machado RS, et al. Cuidados para a prevenção de complicações em pacientes traqueostomizados. Rev Enferm UFPE. 2019;13(1):169–78. doi: http://doi.org/10.5205/1981-8963-v13i1a238545p169-178-2019. https://doi.org/10.5205/1981-8963-v13i1a...
). – Perform the procedure within 10 to 15 seconds(1111. Freire-Figueroa F, Poblete-Figueroa C, Villarroel-Sgorbini C, Marín-Navarro V, González-Cuesta F, Muñoz-Sotelo C, et al. Descripción y manejo del paciente traqueostomizado en Hospitalización Domiciliaria: experiencia en el Complejo Asistencial Doctor Sótero del Río. Hosp. Domic. 2022;6(2):67–78. doi: http://doi.org/10.22585/hospdomic.v6i2.154. https://doi.org/10.22585/hospdomic.v6i2....
,1212. da Costa ECL, Rodrigues CF, Matias JG, Bezerra SMG, Rocha DM, Machado RS, et al. Cuidados para a prevenção de complicações em pacientes traqueostomizados. Rev Enferm UFPE. 2019;13(1):169–78. doi: http://doi.org/10.5205/1981-8963-v13i1a238545p169-178-2019. https://doi.org/10.5205/1981-8963-v13i1a...
,2323. Patry-lahey R. Helping a laryngectomy patient go home. Nursing. 1985;15(3):63–5. doi: http://doi.org/10.1097/00152193-198503000-00016. PubMed PMID: 3844649. https://doi.org/10.1097/00152193-1985030...
). – Instill saline solution(2323. Patry-lahey R. Helping a laryngectomy patient go home. Nursing. 1985;15(3):63–5. doi: http://doi.org/10.1097/00152193-198503000-00016. PubMed PMID: 3844649. https://doi.org/10.1097/00152193-1985030...
). – Use a portable aspirator(11. Nakarada-Kordic I, Patterson N, Wrapson J, Reay SD. A systematic review of patient and caregiver experiences with a tracheostomy. Patient. 2018;11(2):175–91. doi: http://doi.org/10.1007/s40271-017-0277-1. PubMed PMID: 28914429. https://doi.org/10.1007/s40271-017-0277-...
). – Perform the procedure daily, 1 to 5 times a day(1818. Karaca T, Altinbas Y, Aslan S. Caring for patients with a tracheostomy at home: a descriptive, cross-sectional study to evaluate health care practices and caregiver burden. Wound Manag Prev. 2019;65(3):22-9. doi: http://doi.org/10.25270/wmp.2019.3.2229. PubMed PMID: 30986200. https://doi.org/10.25270/wmp.2019.3.2229...
). |
Stoma care: cleaning and changing dressings(1111. Freire-Figueroa F, Poblete-Figueroa C, Villarroel-Sgorbini C, Marín-Navarro V, González-Cuesta F, Muñoz-Sotelo C, et al. Descripción y manejo del paciente traqueostomizado en Hospitalización Domiciliaria: experiencia en el Complejo Asistencial Doctor Sótero del Río. Hosp. Domic. 2022;6(2):67–78. doi: http://doi.org/10.22585/hospdomic.v6i2.154. https://doi.org/10.22585/hospdomic.v6i2....
12. da Costa ECL, Rodrigues CF, Matias JG, Bezerra SMG, Rocha DM, Machado RS, et al. Cuidados para a prevenção de complicações em pacientes traqueostomizados. Rev Enferm UFPE. 2019;13(1):169–78. doi: http://doi.org/10.5205/1981-8963-v13i1a238545p169-178-2019. https://doi.org/10.5205/1981-8963-v13i1a...
13. Zago MMF, Casagrande LDR. As necessidades de aprendizagem dos pacientes laringectomizados. Rev Gaúcha Enferm. 1992;13(2):17–7. PubMed PMID: 1297160.
14. Karaca T, Altinbas Y, Aslan S. Tracheostomy care education and its effect on knowledge and burden of caregivers of elderly patients: a quasi-experimental study. Scand J Caring Sci. 2019;33(4):878-84. doi: http://doi.org/10.1111/scs.12684. PubMed PMID: 30883869. https://doi.org/10.1111/scs.12684...
15. Loerzel VW, Crosby WW, Reising E, Sole ML. Developing the tracheostomy care anxiety relief through education and support (T-CARES) program. Clin J Oncol Nurs. 2014;18(5):522–7. doi: http://doi.org/10.1188/14.CJON.522-527. PubMed PMID: 25253106. https://doi.org/10.1188/14.CJON.522-527...
-1616. Hasanvand S, Daraie S, Goudarzi F, Rassouli M. Gaining experience over time: the family caregivers’ perception of patients with a tracheostomy in home care. Iran J Nurs Midwifery Res. 2021;26(2):137–43. doi: http://doi.org/10.4103/ijnmr.IJNMR_173_20. PubMed PMID: 34036061. https://doi.org/10.4103/ijnmr.IJNMR_173_...
,1818. Karaca T, Altinbas Y, Aslan S. Caring for patients with a tracheostomy at home: a descriptive, cross-sectional study to evaluate health care practices and caregiver burden. Wound Manag Prev. 2019;65(3):22-9. doi: http://doi.org/10.25270/wmp.2019.3.2229. PubMed PMID: 30986200. https://doi.org/10.25270/wmp.2019.3.2229...
19. Murali S, Leng M, Rosemund S. Home care nursing advice for patients with head and neck cancer in India. Indian J Palliat Care. 2006;12(12):77. doi: http://doi.org/10.4103/0973-1075.30250. https://doi.org/10.4103/0973-1075.30250...
20. Lewarski JS. Long-term care of the patient with a tracheostomy. Respir Care. 2005;50(4):534–7. PubMed PMID: 15807917.
21. Mason J, Murty GE, Foster H, Bradley PJ. Tracheostomy selfcare: the Nottingham System. J Laryngol Otol. 1992;106(8):723–4. doi: http://doi.org/10.1017/S0022215100120699. PubMed PMID: 1402367. https://doi.org/10.1017/S002221510012069...
22. Mohammadi N, Farahani M, Vatandost S. Effect of videotape for home instruction on the quality of life of tracheostomy patients: a randomized clinical trial. J Med Life. 2015;8(4):287–94.-2323. Patry-lahey R. Helping a laryngectomy patient go home. Nursing. 1985;15(3):63–5. doi: http://doi.org/10.1097/00152193-198503000-00016. PubMed PMID: 3844649. https://doi.org/10.1097/00152193-1985030...
). |
– Change the dressing twice a day or as necessary given the amount of secretions(1111. Freire-Figueroa F, Poblete-Figueroa C, Villarroel-Sgorbini C, Marín-Navarro V, González-Cuesta F, Muñoz-Sotelo C, et al. Descripción y manejo del paciente traqueostomizado en Hospitalización Domiciliaria: experiencia en el Complejo Asistencial Doctor Sótero del Río. Hosp. Domic. 2022;6(2):67–78. doi: http://doi.org/10.22585/hospdomic.v6i2.154. https://doi.org/10.22585/hospdomic.v6i2....
). – Change the dressing daily(1212. da Costa ECL, Rodrigues CF, Matias JG, Bezerra SMG, Rocha DM, Machado RS, et al. Cuidados para a prevenção de complicações em pacientes traqueostomizados. Rev Enferm UFPE. 2019;13(1):169–78. doi: http://doi.org/10.5205/1981-8963-v13i1a238545p169-178-2019. https://doi.org/10.5205/1981-8963-v13i1a...
,1919. Murali S, Leng M, Rosemund S. Home care nursing advice for patients with head and neck cancer in India. Indian J Palliat Care. 2006;12(12):77. doi: http://doi.org/10.4103/0973-1075.30250. https://doi.org/10.4103/0973-1075.30250...
). – Sanitize the peristomal skin with saline solution(1212. da Costa ECL, Rodrigues CF, Matias JG, Bezerra SMG, Rocha DM, Machado RS, et al. Cuidados para a prevenção de complicações em pacientes traqueostomizados. Rev Enferm UFPE. 2019;13(1):169–78. doi: http://doi.org/10.5205/1981-8963-v13i1a238545p169-178-2019. https://doi.org/10.5205/1981-8963-v13i1a...
,1919. Murali S, Leng M, Rosemund S. Home care nursing advice for patients with head and neck cancer in India. Indian J Palliat Care. 2006;12(12):77. doi: http://doi.org/10.4103/0973-1075.30250. https://doi.org/10.4103/0973-1075.30250...
). – Sanitize the peristomal skin with 3% hydrogen peroxide, soap and water, absorbent cotton, cotton buds, clean cloths and gauze(1515. Loerzel VW, Crosby WW, Reising E, Sole ML. Developing the tracheostomy care anxiety relief through education and support (T-CARES) program. Clin J Oncol Nurs. 2014;18(5):522–7. doi: http://doi.org/10.1188/14.CJON.522-527. PubMed PMID: 25253106. https://doi.org/10.1188/14.CJON.522-527...
,2020. Lewarski JS. Long-term care of the patient with a tracheostomy. Respir Care. 2005;50(4):534–7. PubMed PMID: 15807917.). – Identify signs of infection in the stoma(2222. Mohammadi N, Farahani M, Vatandost S. Effect of videotape for home instruction on the quality of life of tracheostomy patients: a randomized clinical trial. J Med Life. 2015;8(4):287–94.). – Use sterile water (obtained after boiling water for 20 minutes), a mirror to guide cleaning and gauze(2323. Patry-lahey R. Helping a laryngectomy patient go home. Nursing. 1985;15(3):63–5. doi: http://doi.org/10.1097/00152193-198503000-00016. PubMed PMID: 3844649. https://doi.org/10.1097/00152193-1985030...
). |
Hygienization of the endocannula(11. Nakarada-Kordic I, Patterson N, Wrapson J, Reay SD. A systematic review of patient and caregiver experiences with a tracheostomy. Patient. 2018;11(2):175–91. doi: http://doi.org/10.1007/s40271-017-0277-1. PubMed PMID: 28914429. https://doi.org/10.1007/s40271-017-0277-...
,1111. Freire-Figueroa F, Poblete-Figueroa C, Villarroel-Sgorbini C, Marín-Navarro V, González-Cuesta F, Muñoz-Sotelo C, et al. Descripción y manejo del paciente traqueostomizado en Hospitalización Domiciliaria: experiencia en el Complejo Asistencial Doctor Sótero del Río. Hosp. Domic. 2022;6(2):67–78. doi: http://doi.org/10.22585/hospdomic.v6i2.154. https://doi.org/10.22585/hospdomic.v6i2....
12. da Costa ECL, Rodrigues CF, Matias JG, Bezerra SMG, Rocha DM, Machado RS, et al. Cuidados para a prevenção de complicações em pacientes traqueostomizados. Rev Enferm UFPE. 2019;13(1):169–78. doi: http://doi.org/10.5205/1981-8963-v13i1a238545p169-178-2019. https://doi.org/10.5205/1981-8963-v13i1a...
13. Zago MMF, Casagrande LDR. As necessidades de aprendizagem dos pacientes laringectomizados. Rev Gaúcha Enferm. 1992;13(2):17–7. PubMed PMID: 1297160.
14. Karaca T, Altinbas Y, Aslan S. Tracheostomy care education and its effect on knowledge and burden of caregivers of elderly patients: a quasi-experimental study. Scand J Caring Sci. 2019;33(4):878-84. doi: http://doi.org/10.1111/scs.12684. PubMed PMID: 30883869. https://doi.org/10.1111/scs.12684...
15. Loerzel VW, Crosby WW, Reising E, Sole ML. Developing the tracheostomy care anxiety relief through education and support (T-CARES) program. Clin J Oncol Nurs. 2014;18(5):522–7. doi: http://doi.org/10.1188/14.CJON.522-527. PubMed PMID: 25253106. https://doi.org/10.1188/14.CJON.522-527...
16. Hasanvand S, Daraie S, Goudarzi F, Rassouli M. Gaining experience over time: the family caregivers’ perception of patients with a tracheostomy in home care. Iran J Nurs Midwifery Res. 2021;26(2):137–43. doi: http://doi.org/10.4103/ijnmr.IJNMR_173_20. PubMed PMID: 34036061. https://doi.org/10.4103/ijnmr.IJNMR_173_...
17. Toussaint M, Steens M, Van Zeebroeck A, Soudon P. Is disinfection of mechanical ventilation tubing needed at home? Int J Hyg Environ Health. 2006;209(2):183–90. doi: http://doi.org/10.1016/j.ijheh.2005.09.009. PubMed PMID: 16376145. https://doi.org/10.1016/j.ijheh.2005.09....
18. Karaca T, Altinbas Y, Aslan S. Caring for patients with a tracheostomy at home: a descriptive, cross-sectional study to evaluate health care practices and caregiver burden. Wound Manag Prev. 2019;65(3):22-9. doi: http://doi.org/10.25270/wmp.2019.3.2229. PubMed PMID: 30986200. https://doi.org/10.25270/wmp.2019.3.2229...
19. Murali S, Leng M, Rosemund S. Home care nursing advice for patients with head and neck cancer in India. Indian J Palliat Care. 2006;12(12):77. doi: http://doi.org/10.4103/0973-1075.30250. https://doi.org/10.4103/0973-1075.30250...
20. Lewarski JS. Long-term care of the patient with a tracheostomy. Respir Care. 2005;50(4):534–7. PubMed PMID: 15807917.
21. Mason J, Murty GE, Foster H, Bradley PJ. Tracheostomy selfcare: the Nottingham System. J Laryngol Otol. 1992;106(8):723–4. doi: http://doi.org/10.1017/S0022215100120699. PubMed PMID: 1402367. https://doi.org/10.1017/S002221510012069...
22. Mohammadi N, Farahani M, Vatandost S. Effect of videotape for home instruction on the quality of life of tracheostomy patients: a randomized clinical trial. J Med Life. 2015;8(4):287–94.-2323. Patry-lahey R. Helping a laryngectomy patient go home. Nursing. 1985;15(3):63–5. doi: http://doi.org/10.1097/00152193-198503000-00016. PubMed PMID: 3844649. https://doi.org/10.1097/00152193-1985030...
). |
– Perform mechanical cleaning with sterile water or sterile saline solution(1111. Freire-Figueroa F, Poblete-Figueroa C, Villarroel-Sgorbini C, Marín-Navarro V, González-Cuesta F, Muñoz-Sotelo C, et al. Descripción y manejo del paciente traqueostomizado en Hospitalización Domiciliaria: experiencia en el Complejo Asistencial Doctor Sótero del Río. Hosp. Domic. 2022;6(2):67–78. doi: http://doi.org/10.22585/hospdomic.v6i2.154. https://doi.org/10.22585/hospdomic.v6i2....
,2323. Patry-lahey R. Helping a laryngectomy patient go home. Nursing. 1985;15(3):63–5. doi: http://doi.org/10.1097/00152193-198503000-00016. PubMed PMID: 3844649. https://doi.org/10.1097/00152193-1985030...
). – Clean with hydrogen peroxide(1717. Toussaint M, Steens M, Van Zeebroeck A, Soudon P. Is disinfection of mechanical ventilation tubing needed at home? Int J Hyg Environ Health. 2006;209(2):183–90. doi: http://doi.org/10.1016/j.ijheh.2005.09.009. PubMed PMID: 16376145. https://doi.org/10.1016/j.ijheh.2005.09....
,2323. Patry-lahey R. Helping a laryngectomy patient go home. Nursing. 1985;15(3):63–5. doi: http://doi.org/10.1097/00152193-198503000-00016. PubMed PMID: 3844649. https://doi.org/10.1097/00152193-1985030...
). – Clean the endocannula daily(1212. da Costa ECL, Rodrigues CF, Matias JG, Bezerra SMG, Rocha DM, Machado RS, et al. Cuidados para a prevenção de complicações em pacientes traqueostomizados. Rev Enferm UFPE. 2019;13(1):169–78. doi: http://doi.org/10.5205/1981-8963-v13i1a238545p169-178-2019. https://doi.org/10.5205/1981-8963-v13i1a...
,1313. Zago MMF, Casagrande LDR. As necessidades de aprendizagem dos pacientes laringectomizados. Rev Gaúcha Enferm. 1992;13(2):17–7. PubMed PMID: 1297160.,2323. Patry-lahey R. Helping a laryngectomy patient go home. Nursing. 1985;15(3):63–5. doi: http://doi.org/10.1097/00152193-198503000-00016. PubMed PMID: 3844649. https://doi.org/10.1097/00152193-1985030...
). – Use lukewarm water and neutral detergent (with the exception of silicone cannula, where only saline solution is recommended)(1212. da Costa ECL, Rodrigues CF, Matias JG, Bezerra SMG, Rocha DM, Machado RS, et al. Cuidados para a prevenção de complicações em pacientes traqueostomizados. Rev Enferm UFPE. 2019;13(1):169–78. doi: http://doi.org/10.5205/1981-8963-v13i1a238545p169-178-2019. https://doi.org/10.5205/1981-8963-v13i1a...
). – Use brushes(11. Nakarada-Kordic I, Patterson N, Wrapson J, Reay SD. A systematic review of patient and caregiver experiences with a tracheostomy. Patient. 2018;11(2):175–91. doi: http://doi.org/10.1007/s40271-017-0277-1. PubMed PMID: 28914429. https://doi.org/10.1007/s40271-017-0277-...
,1111. Freire-Figueroa F, Poblete-Figueroa C, Villarroel-Sgorbini C, Marín-Navarro V, González-Cuesta F, Muñoz-Sotelo C, et al. Descripción y manejo del paciente traqueostomizado en Hospitalización Domiciliaria: experiencia en el Complejo Asistencial Doctor Sótero del Río. Hosp. Domic. 2022;6(2):67–78. doi: http://doi.org/10.22585/hospdomic.v6i2.154. https://doi.org/10.22585/hospdomic.v6i2....
,1212. da Costa ECL, Rodrigues CF, Matias JG, Bezerra SMG, Rocha DM, Machado RS, et al. Cuidados para a prevenção de complicações em pacientes traqueostomizados. Rev Enferm UFPE. 2019;13(1):169–78. doi: http://doi.org/10.5205/1981-8963-v13i1a238545p169-178-2019. https://doi.org/10.5205/1981-8963-v13i1a...
) or gauze(1111. Freire-Figueroa F, Poblete-Figueroa C, Villarroel-Sgorbini C, Marín-Navarro V, González-Cuesta F, Muñoz-Sotelo C, et al. Descripción y manejo del paciente traqueostomizado en Hospitalización Domiciliaria: experiencia en el Complejo Asistencial Doctor Sótero del Río. Hosp. Domic. 2022;6(2):67–78. doi: http://doi.org/10.22585/hospdomic.v6i2.154. https://doi.org/10.22585/hospdomic.v6i2....
). – Use a dishwasher for 90 minutes at 70ºC or use hot water, brushes and detergent, followed by complete drying(1717. Toussaint M, Steens M, Van Zeebroeck A, Soudon P. Is disinfection of mechanical ventilation tubing needed at home? Int J Hyg Environ Health. 2006;209(2):183–90. doi: http://doi.org/10.1016/j.ijheh.2005.09.009. PubMed PMID: 16376145. https://doi.org/10.1016/j.ijheh.2005.09....
). – Clean with sodium bicarbonate solution, cloth or gauze and running water, boil the endocannula for 10 minutes and dry with a clean cloth after cooling(1919. Murali S, Leng M, Rosemund S. Home care nursing advice for patients with head and neck cancer in India. Indian J Palliat Care. 2006;12(12):77. doi: http://doi.org/10.4103/0973-1075.30250. https://doi.org/10.4103/0973-1075.30250...
). |
Tracheostomy fixation(1111. Freire-Figueroa F, Poblete-Figueroa C, Villarroel-Sgorbini C, Marín-Navarro V, González-Cuesta F, Muñoz-Sotelo C, et al. Descripción y manejo del paciente traqueostomizado en Hospitalización Domiciliaria: experiencia en el Complejo Asistencial Doctor Sótero del Río. Hosp. Domic. 2022;6(2):67–78. doi: http://doi.org/10.22585/hospdomic.v6i2.154. https://doi.org/10.22585/hospdomic.v6i2....
,1212. da Costa ECL, Rodrigues CF, Matias JG, Bezerra SMG, Rocha DM, Machado RS, et al. Cuidados para a prevenção de complicações em pacientes traqueostomizados. Rev Enferm UFPE. 2019;13(1):169–78. doi: http://doi.org/10.5205/1981-8963-v13i1a238545p169-178-2019. https://doi.org/10.5205/1981-8963-v13i1a...
,1414. Karaca T, Altinbas Y, Aslan S. Tracheostomy care education and its effect on knowledge and burden of caregivers of elderly patients: a quasi-experimental study. Scand J Caring Sci. 2019;33(4):878-84. doi: http://doi.org/10.1111/scs.12684. PubMed PMID: 30883869. https://doi.org/10.1111/scs.12684...
,1515. Loerzel VW, Crosby WW, Reising E, Sole ML. Developing the tracheostomy care anxiety relief through education and support (T-CARES) program. Clin J Oncol Nurs. 2014;18(5):522–7. doi: http://doi.org/10.1188/14.CJON.522-527. PubMed PMID: 25253106. https://doi.org/10.1188/14.CJON.522-527...
,2121. Mason J, Murty GE, Foster H, Bradley PJ. Tracheostomy selfcare: the Nottingham System. J Laryngol Otol. 1992;106(8):723–4. doi: http://doi.org/10.1017/S0022215100120699. PubMed PMID: 1402367. https://doi.org/10.1017/S002221510012069...
). |
– Change the fixation with four hands (two people)(1111. Freire-Figueroa F, Poblete-Figueroa C, Villarroel-Sgorbini C, Marín-Navarro V, González-Cuesta F, Muñoz-Sotelo C, et al. Descripción y manejo del paciente traqueostomizado en Hospitalización Domiciliaria: experiencia en el Complejo Asistencial Doctor Sótero del Río. Hosp. Domic. 2022;6(2):67–78. doi: http://doi.org/10.22585/hospdomic.v6i2.154. https://doi.org/10.22585/hospdomic.v6i2....
). – Change the fixation every day, keeping a gap of two fingers so as not to suffocate the patient(1212. da Costa ECL, Rodrigues CF, Matias JG, Bezerra SMG, Rocha DM, Machado RS, et al. Cuidados para a prevenção de complicações em pacientes traqueostomizados. Rev Enferm UFPE. 2019;13(1):169–78. doi: http://doi.org/10.5205/1981-8963-v13i1a238545p169-178-2019. https://doi.org/10.5205/1981-8963-v13i1a...
). – Change the fixation every day, keeping a gap of one finger between the fixator and the patient’s neck(1515. Loerzel VW, Crosby WW, Reising E, Sole ML. Developing the tracheostomy care anxiety relief through education and support (T-CARES) program. Clin J Oncol Nurs. 2014;18(5):522–7. doi: http://doi.org/10.1188/14.CJON.522-527. PubMed PMID: 25253106. https://doi.org/10.1188/14.CJON.522-527...
). |
Airway humidification(1111. Freire-Figueroa F, Poblete-Figueroa C, Villarroel-Sgorbini C, Marín-Navarro V, González-Cuesta F, Muñoz-Sotelo C, et al. Descripción y manejo del paciente traqueostomizado en Hospitalización Domiciliaria: experiencia en el Complejo Asistencial Doctor Sótero del Río. Hosp. Domic. 2022;6(2):67–78. doi: http://doi.org/10.22585/hospdomic.v6i2.154. https://doi.org/10.22585/hospdomic.v6i2....
,1212. da Costa ECL, Rodrigues CF, Matias JG, Bezerra SMG, Rocha DM, Machado RS, et al. Cuidados para a prevenção de complicações em pacientes traqueostomizados. Rev Enferm UFPE. 2019;13(1):169–78. doi: http://doi.org/10.5205/1981-8963-v13i1a238545p169-178-2019. https://doi.org/10.5205/1981-8963-v13i1a...
,1414. Karaca T, Altinbas Y, Aslan S. Tracheostomy care education and its effect on knowledge and burden of caregivers of elderly patients: a quasi-experimental study. Scand J Caring Sci. 2019;33(4):878-84. doi: http://doi.org/10.1111/scs.12684. PubMed PMID: 30883869. https://doi.org/10.1111/scs.12684...
,1818. Karaca T, Altinbas Y, Aslan S. Caring for patients with a tracheostomy at home: a descriptive, cross-sectional study to evaluate health care practices and caregiver burden. Wound Manag Prev. 2019;65(3):22-9. doi: http://doi.org/10.25270/wmp.2019.3.2229. PubMed PMID: 30986200. https://doi.org/10.25270/wmp.2019.3.2229...
,2020. Lewarski JS. Long-term care of the patient with a tracheostomy. Respir Care. 2005;50(4):534–7. PubMed PMID: 15807917.). |
– Perform airway nebulization daily, 1 to 5 times a day(1818. Karaca T, Altinbas Y, Aslan S. Caring for patients with a tracheostomy at home: a descriptive, cross-sectional study to evaluate health care practices and caregiver burden. Wound Manag Prev. 2019;65(3):22-9. doi: http://doi.org/10.25270/wmp.2019.3.2229. PubMed PMID: 30986200. https://doi.org/10.25270/wmp.2019.3.2229...
). |
Emergency care(1212. da Costa ECL, Rodrigues CF, Matias JG, Bezerra SMG, Rocha DM, Machado RS, et al. Cuidados para a prevenção de complicações em pacientes traqueostomizados. Rev Enferm UFPE. 2019;13(1):169–78. doi: http://doi.org/10.5205/1981-8963-v13i1a238545p169-178-2019. https://doi.org/10.5205/1981-8963-v13i1a...
,1515. Loerzel VW, Crosby WW, Reising E, Sole ML. Developing the tracheostomy care anxiety relief through education and support (T-CARES) program. Clin J Oncol Nurs. 2014;18(5):522–7. doi: http://doi.org/10.1188/14.CJON.522-527. PubMed PMID: 25253106. https://doi.org/10.1188/14.CJON.522-527...
,1616. Hasanvand S, Daraie S, Goudarzi F, Rassouli M. Gaining experience over time: the family caregivers’ perception of patients with a tracheostomy in home care. Iran J Nurs Midwifery Res. 2021;26(2):137–43. doi: http://doi.org/10.4103/ijnmr.IJNMR_173_20. PubMed PMID: 34036061. https://doi.org/10.4103/ijnmr.IJNMR_173_...
). |
– Reinsert the cannula (in case of decannulation)(1515. Loerzel VW, Crosby WW, Reising E, Sole ML. Developing the tracheostomy care anxiety relief through education and support (T-CARES) program. Clin J Oncol Nurs. 2014;18(5):522–7. doi: http://doi.org/10.1188/14.CJON.522-527. PubMed PMID: 25253106. https://doi.org/10.1188/14.CJON.522-527...
). – Remove the endocannula (in the event of a mucous plug), assess breathing, aspirate secretions and, if the patient does not improve, call the emergency services(1515. Loerzel VW, Crosby WW, Reising E, Sole ML. Developing the tracheostomy care anxiety relief through education and support (T-CARES) program. Clin J Oncol Nurs. 2014;18(5):522–7. doi: http://doi.org/10.1188/14.CJON.522-527. PubMed PMID: 25253106. https://doi.org/10.1188/14.CJON.522-527...
). – Avoid removing the tracheostomy tube(1616. Hasanvand S, Daraie S, Goudarzi F, Rassouli M. Gaining experience over time: the family caregivers’ perception of patients with a tracheostomy in home care. Iran J Nurs Midwifery Res. 2021;26(2):137–43. doi: http://doi.org/10.4103/ijnmr.IJNMR_173_20. PubMed PMID: 34036061. https://doi.org/10.4103/ijnmr.IJNMR_173_...
). |
Stoma protection(1313. Zago MMF, Casagrande LDR. As necessidades de aprendizagem dos pacientes laringectomizados. Rev Gaúcha Enferm. 1992;13(2):17–7. PubMed PMID: 1297160.). |
– Protect the stoma with elements that prevent the entry of foreign bodies(1313. Zago MMF, Casagrande LDR. As necessidades de aprendizagem dos pacientes laringectomizados. Rev Gaúcha Enferm. 1992;13(2):17–7. PubMed PMID: 1297160.). |
Nutrition(1414. Karaca T, Altinbas Y, Aslan S. Tracheostomy care education and its effect on knowledge and burden of caregivers of elderly patients: a quasi-experimental study. Scand J Caring Sci. 2019;33(4):878-84. doi: http://doi.org/10.1111/scs.12684. PubMed PMID: 30883869. https://doi.org/10.1111/scs.12684...
,1818. Karaca T, Altinbas Y, Aslan S. Caring for patients with a tracheostomy at home: a descriptive, cross-sectional study to evaluate health care practices and caregiver burden. Wound Manag Prev. 2019;65(3):22-9. doi: http://doi.org/10.25270/wmp.2019.3.2229. PubMed PMID: 30986200. https://doi.org/10.25270/wmp.2019.3.2229...
). |
– Offering a balanced diet(1818. Karaca T, Altinbas Y, Aslan S. Caring for patients with a tracheostomy at home: a descriptive, cross-sectional study to evaluate health care practices and caregiver burden. Wound Manag Prev. 2019;65(3):22-9. doi: http://doi.org/10.25270/wmp.2019.3.2229. PubMed PMID: 30986200. https://doi.org/10.25270/wmp.2019.3.2229...
). |
Management of cuff(1414. Karaca T, Altinbas Y, Aslan S. Tracheostomy care education and its effect on knowledge and burden of caregivers of elderly patients: a quasi-experimental study. Scand J Caring Sci. 2019;33(4):878-84. doi: http://doi.org/10.1111/scs.12684. PubMed PMID: 30883869. https://doi.org/10.1111/scs.12684...
,1818. Karaca T, Altinbas Y, Aslan S. Caring for patients with a tracheostomy at home: a descriptive, cross-sectional study to evaluate health care practices and caregiver burden. Wound Manag Prev. 2019;65(3):22-9. doi: http://doi.org/10.25270/wmp.2019.3.2229. PubMed PMID: 30986200. https://doi.org/10.25270/wmp.2019.3.2229...
). |
No recommendations / adaptations. |
Hand hygiene before handling the tracheostomy(1414. Karaca T, Altinbas Y, Aslan S. Tracheostomy care education and its effect on knowledge and burden of caregivers of elderly patients: a quasi-experimental study. Scand J Caring Sci. 2019;33(4):878-84. doi: http://doi.org/10.1111/scs.12684. PubMed PMID: 30883869. https://doi.org/10.1111/scs.12684...
,1616. Hasanvand S, Daraie S, Goudarzi F, Rassouli M. Gaining experience over time: the family caregivers’ perception of patients with a tracheostomy in home care. Iran J Nurs Midwifery Res. 2021;26(2):137–43. doi: http://doi.org/10.4103/ijnmr.IJNMR_173_20. PubMed PMID: 34036061. https://doi.org/10.4103/ijnmr.IJNMR_173_...
). |
No recommendations / adaptations. |
Psychosocial
|
Re-establishing the ability to communicate(11. Nakarada-Kordic I, Patterson N, Wrapson J, Reay SD. A systematic review of patient and caregiver experiences with a tracheostomy. Patient. 2018;11(2):175–91. doi: http://doi.org/10.1007/s40271-017-0277-1. PubMed PMID: 28914429. https://doi.org/10.1007/s40271-017-0277-...
,1313. Zago MMF, Casagrande LDR. As necessidades de aprendizagem dos pacientes laringectomizados. Rev Gaúcha Enferm. 1992;13(2):17–7. PubMed PMID: 1297160.,1414. Karaca T, Altinbas Y, Aslan S. Tracheostomy care education and its effect on knowledge and burden of caregivers of elderly patients: a quasi-experimental study. Scand J Caring Sci. 2019;33(4):878-84. doi: http://doi.org/10.1111/scs.12684. PubMed PMID: 30883869. https://doi.org/10.1111/scs.12684...
,1818. Karaca T, Altinbas Y, Aslan S. Caring for patients with a tracheostomy at home: a descriptive, cross-sectional study to evaluate health care practices and caregiver burden. Wound Manag Prev. 2019;65(3):22-9. doi: http://doi.org/10.25270/wmp.2019.3.2229. PubMed PMID: 30986200. https://doi.org/10.25270/wmp.2019.3.2229...
,2020. Lewarski JS. Long-term care of the patient with a tracheostomy. Respir Care. 2005;50(4):534–7. PubMed PMID: 15807917.,2222. Mohammadi N, Farahani M, Vatandost S. Effect of videotape for home instruction on the quality of life of tracheostomy patients: a randomized clinical trial. J Med Life. 2015;8(4):287–94.,2323. Patry-lahey R. Helping a laryngectomy patient go home. Nursing. 1985;15(3):63–5. doi: http://doi.org/10.1097/00152193-198503000-00016. PubMed PMID: 3844649. https://doi.org/10.1097/00152193-1985030...
). |
– Instruct the patient about the esophageal voice(11. Nakarada-Kordic I, Patterson N, Wrapson J, Reay SD. A systematic review of patient and caregiver experiences with a tracheostomy. Patient. 2018;11(2):175–91. doi: http://doi.org/10.1007/s40271-017-0277-1. PubMed PMID: 28914429. https://doi.org/10.1007/s40271-017-0277-...
,1313. Zago MMF, Casagrande LDR. As necessidades de aprendizagem dos pacientes laringectomizados. Rev Gaúcha Enferm. 1992;13(2):17–7. PubMed PMID: 1297160.) and communication aids(11. Nakarada-Kordic I, Patterson N, Wrapson J, Reay SD. A systematic review of patient and caregiver experiences with a tracheostomy. Patient. 2018;11(2):175–91. doi: http://doi.org/10.1007/s40271-017-0277-1. PubMed PMID: 28914429. https://doi.org/10.1007/s40271-017-0277-...
). |
Social reintegration of the patient(11. Nakarada-Kordic I, Patterson N, Wrapson J, Reay SD. A systematic review of patient and caregiver experiences with a tracheostomy. Patient. 2018;11(2):175–91. doi: http://doi.org/10.1007/s40271-017-0277-1. PubMed PMID: 28914429. https://doi.org/10.1007/s40271-017-0277-...
,2222. Mohammadi N, Farahani M, Vatandost S. Effect of videotape for home instruction on the quality of life of tracheostomy patients: a randomized clinical trial. J Med Life. 2015;8(4):287–94.). |
– Ensure family support by developing strategies(11. Nakarada-Kordic I, Patterson N, Wrapson J, Reay SD. A systematic review of patient and caregiver experiences with a tracheostomy. Patient. 2018;11(2):175–91. doi: http://doi.org/10.1007/s40271-017-0277-1. PubMed PMID: 28914429. https://doi.org/10.1007/s40271-017-0277-...
). – Encourage the occupation of spaces and the adoption of common routines(11. Nakarada-Kordic I, Patterson N, Wrapson J, Reay SD. A systematic review of patient and caregiver experiences with a tracheostomy. Patient. 2018;11(2):175–91. doi: http://doi.org/10.1007/s40271-017-0277-1. PubMed PMID: 28914429. https://doi.org/10.1007/s40271-017-0277-...
). |