Suction of the tracheostomy

This presentation will help us understand the suction of the tracheostomy. It explains how a patient should be treated and dealt with. At the end of this presentation, the listeners are expected to learn about the importance of communication with the patient who undergoes suction of the tracheostomy. It gives insights on how the medical group assists patients undergoing tracheostomy. Adequate psychological preparation is necessary before and during the suction if the tracheostomy. Patients need to know what is expected of them during the procedure.

They are often frightened by having to breathe in their own again and need reassurance that they are improving and are well enough to handle spontaneous breathing. The nurse explains what will happen during suction and what role the patient will play in the procedure. The nurse emphasizes that someone will be with or near the patient at all times, and answers any questions simply and concisely (Doherty, 2000). Proper preparation of the patient can reduce the suctioning time. Dependence on suction of the tracheostomy is frightening to both the patient and family and disrupts even the most stable families.

Encouraging the family to verbalize their feelings about the tracheostomy, the patient’s condition, and the environment in general is beneficial (St. John, 2001b). Explaining procedures every time they are performed helps to reduce anxiety and familiarizes the patient with ventilator procedures. To restore a sense of control, the medical group encourages the patient to participate in decisions about care, schedules, and treatment when possible. The patient may become withdrawn or depressed while on suction of the tracheostomy, especially if its use is prolonged.

To promote effective coping, the medical informs the patient about progress when appropriate (Ferreira, 2000).

Reference: 1. Doherty, M. J. (2000). Noninvasive ventilation in acute exacerbations of chronic obstructive pulmonary disease. Care of the Critically Ill, 116 (4), 126-130. 2. Ferreira, M. M. (2000). Nutritional support for individuals with COPD: A meta-analysis. Chest, 117 (3), 672-678. 3. St. John, R. E. (2001b). Protocols for practice: applying research at the bedside. Airway management. Critical Care Nurse, 19 (4), 79083.

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