It is important to be able to evaluate patients, both those who are ventilated and who are spontaneously breathing, to determine the appropriateness of a speaking valve and conduct speaking valve trials. In this course, you will learn about the different types of speaking valves and when they are indicated, how to determine patient readiness, and how to work with the team, including the patient and caregivers, to perform speaking valve trials.
Intermediate Level
0.10 ASHA CEUs
Approved for 1.0000 continuing education clock hours for Kansas Speech Pathologists and Audiologists by the Kansas Department of Aging and Disability. Long Term Sponsorship number LTS-S1057. This activity is approved for 1.0000 contact hours.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: The Acute Tracheostomized Patient
Risk of Inability to Communicate
Risk of Dysphagia
SLP’s Role
Review
Summary
Section 3: The Mechanics: Anatomy and The Speaking Valve
Tube Construction
The Tracheostomy Tube
The Speaking Valve
Review
Summary
Section 4: Speaking Valve Trial
Initial Considerations: Who is Appropriate?
Case Examples
Safety Precautions: Patient and Clinician
Preparation: Patient Education and Counseling
The Trial with Spontaneously Breathing Patient
Troubleshooting
The Trial with Mechanically Ventilated Patient
Review
Summary
Section 5: Beyond the Trial
Unsuccessful Trial: Now What?
Review
Successful Trial: Next Steps
Swallowing Assessment
Prognosis
Discharge Plan: Next Level of Care
Review
Summary
Section 6: Conclusion
Summary
Course Contributors
Resources
References
Karen is a Speech-Language Pathologist with more than 30 years’ experience in a variety of medical settings, including acute care, subacute care, skilled nursing, and home health. She received her B.A. in English and Developmental Psychology from the University of California at Santa Barbara, and her M.S. in Speech-Language Pathology from Rutgers. She currently resides in Santa Barbara, California and works in home health. When time allows, Karen enjoys teaching others by combining her clinical experience with her love for writing.Staff Writer: Wendy Phillips, PT, BSPT
Disclosure: Karen Eutsler Little, MSCCC-SLP. discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as Collecting Speaker's Fees All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
Wendy holds a Bachelor of Science degree from Florida State University in Biology, as well as a Bachelor of Science degree in Physical Therapy from Florida A&M University. She has more than 25 years of experience working as a Physical Therapist in multiple care settings, including acute care, inpatient rehab, independent living, assisted living, skilled nursing, and outpatient orthopedics. Wendy has a strong manual therapy background and has completed additional training in McConnell taping, geriatric care, McKenzie MDT, Maitland Mobilizations for the joints and spine. She is most passionate about using her manual skills to improve mobility and reduce pain in individuals of all ages. As a Lead Physical Therapy writer for Relias, Wendy enjoys being able to combine her clinical knowledge with her interest in research and staying up-to-date with changes and advances in the field of rehabilitation. Disclosure: Wendy Phillips, PT, BSPT discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
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