tracheostomy care nursing

Health care done right

Tracheostomy is a surgery which is done to open a restricted airway and to enable breathing in case of a prolonged respiratory problem. Tracheostomy is performed due to various reasons like; a) cancer in the neck b) chronic lung disease c) facial burns or surgery d) obstruction of the airway by a foreign body e) injury in the chest wall f) severe neck or mouth injuries g) vocal cord paralysis. If any one of these problems is there then tracheostomy needs to be done.

After the surgery, tracheostomy care nursing is very important.

Precautions to be taken

• After the surgery small amount of mucus is formed around the tube; it is important to keep the tube free from the mucus.
• No exercise should be done for atleast 6 weeks after the surgery.
• While coughing make sure that you keep a tissue with you to catch the mucus.
• Take care and protect the hole made in the neck, cover it while going out.
• Cover the tracheostomy tube with a wet cloth to keep it moist.
• Avoid swimming.
• Clean the hole atleast once a day.
• Make sure that you cover the hole with your finger, cap or valve.
  

These are a few precautions that are necessary for tracheostomy care nursing.

If the lungs are much damaged and a delay in the treatment is done then the extra pressure that is put in to push air in the lungs can reduce the blood flow to kidneys. This eventually can lead to kidney failure; in this situation dialysis needs to be done. Dialysis is a treatment that filters and purifies the blood by using a machine. It is the life support system and only option for those who have had a kidney failure. This is the artificial way of helping of helping a body run and function normally like before. But getting a dialysis done of a person who already has a trach is not easy and it is also an expensive option.

In such a situation home dialysis is the best option due to many reasons:

• Dialysis can be done according to your own convenience.
• You don’t need to take an appointment.
• A person is completely independent.
• It is done at home, so friends can come and visit, this way one doesn’t feel alone.
• No sick people would be around so it won’t make one feel sick and helpless.
• It is needle free.
• It is not expensive; as one is not required to travel all the way till the hospital.

For home dialysis, one can call a technician to come home and help initially. Slowly and gradually you can do the treatment on your own with the help of someone at home. Home dialysis is much better for the body that the one which is done at home; and it is not even practical and easy to go to the hospital every week.

TRACHEOSTOMY PROCEDURE

Tracheostomy and the whole process

Tracheostomy is done to open a restricted airway and to enable breathing in case of a prolonged respiratory problem. It is a surgery in which a hole is made into to your neck that goes into your windpipe. There are quite a few reasons because of which tracheostomy is performed:

·         Cancer in the neck

·         Chronic lung disease

·         Facial burns or surgery

·         Obstruction of the airway by a foreign body

·         Injury in the chest wall

·         Severe neck or mouth injuries

·         Vocal cord paralysis

Somebody who is on a ventilator for a long time might also need to go through tracheostomy.

Before a tracheostomy procedure is performed a patient is given anaesthesia. The procedure is only started after the anaesthesia has started working.

TRACHEOSTOMY PROCEDURE

·         Then a cut is made into the neck just below the Adam’s apple

·         The cut will go through the windpipe

·         Then the tube is introduced, the smallest feasible tube should be used

·         The hole  is then opened wide to fit the tracheostomy tube inside

·         The tube will be secured with a band while the skin around it heals

After the tracheostomy is performed it is important to take care of the tracheostomy tube very carefully, one should do the following after the surgery because self care is the most important.

TRACHEOSTOMY CARE

·         Don’t do any type of exercise for 6 weeks after the surgery

·         After the surgery small amount of mucus is found around the tube, so it is important to keep the tube free from the mucus

·         While coughing keep a tissue with you to catch the mucus coming from the tube

·         Put a few drops of salt water in the tube and the windpipe and then cough this will help to bring the mucus up

·         Protect the hole in your neck with a cloth while going out , this will also save your clothes from the mucus

·         Put a wet cloth outside the tube to keep it moist

·         Avoid swimming

·         Cover the hole with a traheostomy cover while having a shower

·         Clean the hole at least once a day with cotton ball to avoid infection

·         While speaking cover the hole with your fingers, cap or a valve.

These are the few things a person can do after tracheostomy. You should call the doctor if you have fever, redness, swelling, nausea, vomiting or pain. It is important to act immediately rather than delaying it.

It is important to consult the doctor and do everything accordingly. Those who have breathing problems and have to get tracheostomy done should talk to the doctor about any infection they have or allergy, before the surgery is performed. They should also know about the risks that tracheostomy involves so that they are mentally prepared. In temporary tracheostomy only a small scar is left near the neck while  the permanent one might need doctor’s assistance to get used to the stoma.

Tracheostomy Care Procedure

 Read to know how to do tracheostomy!

Life is all about ups and down and many a time unfortunate and unexpected things happen which is why it is it is said prevention is better than cure. In this piece of write up, we bring you here one of the most useful ways of doing tracheostomy.

 What is tracheostomy?

Tracheostomy is an opening done near the trachea and windpipe. It proves to be handy that can be used.it is used in emergency, moreover it can be used on the operation table if the condition of the patients.it helps in removing the barrier that is obstructing in the passage of the windpipe.

 Conditions where it is highly recommended

  Obstruction in breathing

• Obstruction of the mouth or throat
• Aware difficulty caused by oedema (swelling), injury or pulmonary (lung) conditions
• Airway reconstruction resulting from  tracheal or laryngeal surgery
• Airway fortification from secretions or food because of swallowing problems
• Airway protection due to  head and neck surgery
• Long-term need for ventilator support.

  

  Tracheostomy procedure

Tracheostomy is the tube that is inserted to supplicate breathing in and which is why it is used in the patient to allow them to breathe freely which is why it is considered one of the best way to remove the blocks that are being used by them in order to give patients relief. The tube used in the different in the procedure is used in different size and it is used in keeping the need and requirement of the patients.

Procedure

It is done under strict supervision of medical experts but many a times tracheostomy procedure performed by some unskilled technician, which is indeed issue for both the patient. As the   is  done by unskilled technicians is painful and time taking as well if you are technician  then here we bring you some tips that would help you find some ways that would help to be  master the trick of the trade and you can easily become specialist in who will do the job skilfully.

Things to keep in mind after the procedure

·         After the surgery, the patient is advised to not to talk orally and if the patient wants to communicate then it is advised to do it in writing.

·         Do not remove the inner cannula until and unless your health care person advised to do so.

·         Make it appoint to cover the part as otherwise it will trap dust and other pollutants’

·          Follow the instruction as told by the healthcare provider.

it is indeed very difficult task for non-professional to do it skilfully therefore make sure to undergo strict training and supervision and later hands on training. As this would give you more clear idea tracheostomy care in order to perform the surgery skilfully and most importantly it helps you to provide you with the resource full person that will do the need full.

it is advised undergo training in order to emerge as skill full and an emerge as expert when it comes to doing this invasive surgery.