Psicobiológica
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Aspiração de secre-ções(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...
). |
– Utilizar técnica asséptica(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....
). – Realizar pré–oxigenação do paciente(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...
). – Utilizar pressão do vácuo entre 100 a 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...
). – Realizar o procedimento entre 10 a 15 segundos(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...
). – Instilar soro fisiológico(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...
). – Utilizar aspirador portátil(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-...
). – Realizar o procedimento diariamente, de1 a 5 vezes ao dia(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...
). |
Cuidados com o estoma: higienização e troca de curativos(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...
). |
– Realizar a troca do curativo duas vezes ao dia ou de acordo com a necessidade frente à quantidade de secreções(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....
). – Realizar a troca de curativo diariamente(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...
). – Higienizar a pele periestoma com soro fisiológico(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...
). – Higienizar a pele periestoma com peróxido de hidrogênio a 3%, água e sabão, algodão, cotonetes, panos limpos e gazes(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.). – Identificação de sinais de infecção no estoma(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.). – Utilizar água estéril (obtida após ferver água por 20 minutos), um espelho para guiar a limpeza e gazes(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...
). |
Higienização da endocânula(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...
). |
– Realizar limpeza mecânica com água estéril ou soro fisiológico estéril(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...
). – Realizar a limpeza com peróxido de hidrogênio(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...
). – Realizar limpeza da endocânula diariamente(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...
). – Utilizar água morna, detergente neutro (com exceção da cânula de silicone, na qual recomenda–se a utilização apenas de soro fisiológico)(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...
). – Utilizar escovas(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...
) ou gazes(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....
). – Utilizar máquina de lavar louças por 90 minutos à 70ºC ou utilizar água quente, escovas e detergente, seguida por secagem completa(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....
). – Realizar a limpeza com solução de bicarbonato de sódio, pano ou gaze e água corrente, ferver a endocânula por 10 minutos e após esfriar, secar com pano limpo(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...
). |
Fixação da traqueostomia(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...
). |
– Realizar a troca da fixação à quatro mãos (duas pessoas)(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....
). – Realizar a troca da fixação diariamente, mantendo uma folga de dois dedos para não sufocar o paciente(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...
). – Realizar a troca da fixação diariamente, mantendo uma folga de um dedo de espaço entre o fixador e o pescoço do paciente(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...
). |
Umidificação de vias aéreas(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.). |
– Realizar nebulização de vias aéreas diariamente, 1 a 5 vezes ao dia(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...
). |
Cuidados de emergência(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_...
). |
– Reinserir a cânula (em caso de decanulação)(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...
). – Remover a endocânula (em caso de tampão mucoso), avaliar a respiração, aspirar secreções e, caso o paciente não melhore, ligar para o serviço de emergência(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...
). – Evitar a remoção da cânula de traqueostomia(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_...
). |
Proteção do estoma(1313. Zago MMF, Casagrande LDR. As necessidades de aprendizagem dos pacientes laringectomizados. Rev Gaúcha Enferm. 1992;13(2):17–7. PubMed PMID: 1297160.). |
– Proteger o estoma com elementos que impeçam a entrada de corpos estranhos(1313. Zago MMF, Casagrande LDR. As necessidades de aprendizagem dos pacientes laringectomizados. Rev Gaúcha Enferm. 1992;13(2):17–7. PubMed PMID: 1297160.). |
Nutrição(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...
). |
– Oferecer dieta balanceada(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...
). |
Gerenciamento do balonete (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...
). |
Ausência de recomendações / adaptações. |
Higienização das mãos antes de manusear a traqueostomia(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_...
). |
Ausência de recomendações / adaptações. |
Psicossocial
|
Reestabelecimento da capacidade de comunicação(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...
). |
– Instruir o paciente quanto a voz esofágica(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.) e auxiliares de comunicação(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-...
). |
Reinserção social do paciente(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.). |
– Garantir o apoio da família, por meio do desenvolvimento de estratégias(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-...
). – Incentivar a ocupação de espaços e a adoção de rotinas comuns(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-...
). |