Nursing sentinel events11/16/2023 Prevent infection at the tracheostomy siteģ. ![]() The following are the nursing priorities for patients with tracheostomy:Ģ. Nursing care plan goals and objectives for a client who had undergone tracheostomy include maintaining a patent airway through proper suctioning of secretions, providing an alternative means of communication, providing information on tracheostomy care, and preventing the occurrence of infection. Methods can be instituted for the client to eat and speak, as well. A tracheostomy provides a more secure airway, is less likely to be displaced, and is more readily replaceable than the traditional ET tube (Lindman & Soo, 2021). The tracheostomy is preferred over an endotracheal tube (ET tube) when an artificial airway is needed for more than a few days. Indications for elective tracheostomy include prolonged ventilator dependence, prophylactic tracheostomy prior to head and neck cancer treatment, obstructive sleep apnea, chronic aspiration, neuromuscular disease, and subglottic stenosis (Raimonde et al., 2022). Emergent tracheostomy includes acute upper airway obstruction with failed endotracheal intubation, post-cricothyrotomy, penetrating laryngeal trauma, and LeFort III fracture. The indications for tracheostomy can be divided into emergent tracheostomy and elective tracheostomy. Specifically, tracheostomy does not prevent aspiration of the airway or other secretions. ![]() A tracheostomy may be required in an emergent setting to bypass an obstructed airway or may be placed electively to facilitate mechanical ventilation, to wean from a ventilator, or to allow more efficient management of secretions or a pulmonary toilet (Raimonde et al., 2022). Tracheostomy is a surgical procedure in which an opening is done into the anterior trachea to facilitate respiration. Providing Patient Education & Health Teachings Reducing Anxiety & Preventing Caregiver Role Strain Initiating Measures for Infection Control & Management Promoting Safety & Preventing Injury Risk Promoting Communication & Alternative Communication Methods Managing Breathing Pattern and Gas Exchange Improving & Maintaining a Patent Airway Clearance This guide equips you with the essential information and resources to deliver effective and specialized care to patients navigating the challenges associated with tracheostomy. ![]() Enhance your knowledge of nursing assessment, interventions, goals, and nursing diagnosis, all meticulously tailored to meet the specific requirements of individuals with tracheostomy. Utilize this comprehensive nursing care plan and management guide to provide nursing care for patients with tracheostomy.
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