Tracheostomy is the opening of the trachea below the larynx. Anyone requiring airway support on a long term basis can take up tracheostomy care. Here in the kind of care, the tube is inserted into one’s trachea secured by ties and tapes. You will find outer cannula on the tube whereby the tube is secured into place through the flange. Tracheostomy tube has an obturator in order to insert outer cannula. This cannula is removed at the later stage. It is placed by the bedside of the patient to help in reinsertion of the tube by chance it gets dislodged due to some reason. There are nurses in the hospitals to give tracheostomy care to the ones who recently had tracheostomy. The nurses help in avoiding any sort of infection or assist in maintaining the very patency of this tube. The tube needs to cleaned, suctioned in every 1 or 2 hours time.
Why is this care offered?
There are various purposes of giving this care. The following are some of them:
- To maintain the patency of the airways, get rid of encrusted secretions and settled mucus
- To prevent any sort of infection in the tracheostomy site, to maintain the level of cleanliness in it
- to provide comfort to the ones using tracheostomy
- to avoid dislodging
The assessments carried out
Before this care is offered, certain assessments are made. The pulse rate of the person is checked along with the respiratory status. The secretion from tracheostomy site is also checked and any appearance of redness or incision is attended to immediately.
What kind of tracheostomy is used?
The use of tracheostomy involves the use of sterile technique and this is done by respiratory therapist or may be the nurse. Proper cleaning kit is required to clean the tracheostomy equipment. The disposable tracheostomy is sterilized. Some of the items required are catheter kit for suction, gloves, sterile gloves, saline, moisture-resistant bag, scissors and twill ties.
What role does the care provider plays?
The care provider has immense role to play. The whole process is organized in a step-by-step order:
- the care provider verifies the identity of the client with the use of agency protocol
- maintains hand hygiene to avoid infection
- offers privacy to client
- prepare both client and supplies
- suctions tracheostomy tube, if needed
- clean and sterilize inner cannula
- replace inner cannula and thereby secure it in the place
- clean incision site along with tube flange
- use sterile dressing
- change tracheostomy ties for the client with either two-strip method or one-step method
- applying tape on the knot
- makes lifespan consideration and prevents active kids from expelling the tubes or dislodging it
- skin care for elders who are more prone to getting skin rashes and break outs
Suction of the tube is done as per the necessity. One needs to observe sterile technique. The care provider removes mucus and other secretions from trachea. It helps to ease breathing difficulty. The client is examined for congestion of thorax. The client can also remove the secretion by coughing. Hospice care is also similar to this sort of care but it addresses symptoms of several kinds of ailments. The one suffering from chronic illness may opt for the ‘end of life care’.
Doctor consultation is needed before taking any sort of care. An increasing number of people now use tracheostomy tube to ease breathing difficulty.