statistical treatment of data for qualitative research example

2003. Position the mirror so you can see the opening of your tracheostomy tube. Throat Cancer 2007 Feb;8(1):36-41. doi: 10.1080/17482960600863951. 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In our study, we investigated postdischarge survival and quality of life (QoL) after tracheostomy for ARF in patients with ALS. Intervention and measurements: Tracheostomy: What to Expect at Home. MyHealth.Alberta.ca Government of Alberta Personal Health Portal. Blockages can be prevented by suctioning, humidifying the air, and selecting the appropriate tracheostomy tube. Sixty patients were studied retrospectively. The human body has two parts in its breathing system, the upper airway and the lower airway. Trach care includes suctioning and cleaning parts of the tube and your skin. An over-the-counter pain reliever will help with aches and discomfort. zeta phi beta burial ritual can you drink alcohol with a tracheostomy 1,2. Tracheostomy Care 5 0 obj The site is secure. In general, people with a tracheostomy often have problems with their routine lifestyle such as speaking, coughing, eating, drinking, and swallowing. WebHaving a stoma ( tracheostomy) means that the air you breathe will no longer pass through your nose or mouth, which normally help moisten, warm, and filter the air (removing dust and other particles). Like the branches of the tree, the windpipes (trachea) are further divided into smaller tubes that help to breathe and to clear the airway. 2021 Feb 1;9(2):142. doi: 10.3390/healthcare9020142. Require frequent dressings than usual and also when the dressing changes color to green or red. Forty-two patients (70%) were discharged completely MV dependent, and 17 patients (28.3%) were partially MV dependent. after tracheostomy for acute respiratory Webcan you drink alcohol with a tracheostomy incident in leyton high road today. can you drink alcohol with a tracheostomy This study is a retrospective chart review combined with prospective evaluation of QoL and degree of depression. WebA tracheostomy is a surgical procedure in which your surgeon creates a hole through your neck and into your trachea (windpipe). Furthermore, patients who have not fully recovered from the illness of the operation will require a breathing tube. endstream Bethesda, MD 20894, Web Policies WebObvious signs of food/fluid in secretions suctioned out of the tracheostomy tube Frequent respiratory (chest) infections Crying, back arching, and batting/throwing food Choking or coughing while eating or drinking Vomiting with meals Congested lung sounds Large amount of watery secretions from the tracheostomy tube mick mars house nashville tn; list of manchester boxers; tom hardy ufc record; A tracheostomy may be temporary or permanent. Epub 2012 Sep 16. 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This can take weeks to months to learn. PMC 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 Major Complication In Tracheostomy & Can You Talk After A Tracheostomy Is Removed? xmp.did:478c6c31-b1b6-437d-bd41-ac68b43cf268 Your healthcare provider will show you how to care for your trach tube, and what to do in an emergency. endobj Corbel <>stream 2006 Jun;7(2):86-95. doi: 10.1080/14660820500515021. w3TPI2T0 BC#K#=Sss\. 14 0 obj In many instances, these difficulties persist despite the removal of the tracheostomy tube however it gets better over time. <>>>/Subtype/Form/BBox[0 0 585 783]/Matrix [1 0 0 1 0 0]/Length 47/FormType 1/Filter/FlateDecode>>stream Living with a tracheostomy can take some time to adapt to, but you can still enjoy a good quality of life. Epub 2022 Nov 30. Respiratory systems abnormalities and clinical milestones for patients with amyotrophic lateral sclerosis with emphasis upon survival. See ASHAs information for professionals on the Practice Portals Tracheostomy and Ventilator Dependence page. Survival and quality of life after tracheostomy for acute respiratory failure in Tracheostomy 2: Managing the Weaning of a Temporary Tracheostomy. Nursing Times, 4 Aug. 2019. Survival and quality of life after tracheostomy for acute respiratory failure in <>>>/Subtype/Form/BBox[0 0 585 783]/Matrix [1 0 0 1 0 0]/Length 46/FormType 1/Filter/FlateDecode>>stream A tracheostomy is performed to provide airway to patients who are on a mechanical ventilator or have trouble swallowing or suffering from chronic lung disorders (aspiration). This may include eating different types of food, swallowing in different ways, or participating in swallow treatment. This may include eating different types of food, swallowing in different ways, or participating in swallow treatment. endstream Plan for your hospital stay. xs After the tracheostomy procedure, you'll likely stay in the hospital for several days as your body heals. 1 0 obj And in some cases, a tracheostomy may only be needed temporarily during a recovery period. WebTracheostomy tube can be blocked by blood clots, mucus or pressure of the airway walls. endobj endobj 11 0 obj w3TPI2T0 BC#K#=SC#\. Spataro R, Bono V, Marchese S, La Bella V. J Neurol Sci. As your incision(s) heal, youll have less pain and need less pain medication. About Your Total Laryngectomy proof:pdf Genuis SK, Luth W, Campbell S, Bubela T, Johnston WS. You might need a tracheostomy if you have an obstructed upper airway or an underlying health condition. Careful cleaning of the trach and stoma can help Is a tracheostomy temporary to permanent? In general, people with a tracheostomy often have problems with their routine lifestyle such as speaking, coughing, eating, drinking, and swallowing. You might need a tracheostomy if you have an obstructed upper airway or an underlying health condition. Towards clinical application of implantable brain-computer interfaces for people with late-stage ALS: medical and ethical considerations. Corbel-Bold We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. <>>>/Subtype/Form/BBox[0 0 585 783]/Matrix [1 0 0 1 0 0]/Length 46/FormType 1/Filter/FlateDecode>>stream The consent submitted will only be used for data processing originating from this website. A tracheostomy, or trach, may be needed if you have a blockage in your airway or severe lung disease, or for other reasons. Tracheostomy (trach) care is done to keep your trach tube clean. Most people with a trach tube can lead a normal routine with eating normally however you may experience some difference when you swallow food. Copyright 2011 Elsevier Inc. All rights reserved. J Neurol. 2016-07-08T11:59:57-05:00 sharing sensitive information, make sure youre on a federal endobj Smoking and Tracheostomies endstream The feedback link Was this Article Helpful on this page can be used to report content that is not accurate, up-to-date or questionable in any manner. After the tracheostomy procedure, you'll likely stay in the hospital for several days as your body heals. The median survival after tracheostomy was 21 months (range, 0-155 months). can you drink alcohol with a tracheostomy 3 endobj xS**T0T0 BC#0JU4PpW!i With a trach, you will be at higher risk for lung infections like pneumonia. Tracheostomy Maintenance Most of the time a tracheostomy is only needed for a very short period of time but sometimes you may be discharged from the hospital with a tracheostomy. The https:// ensures that you are connecting to the Speech therapists and nutritionists can often help this process. Drink plenty of fluids. The goal is to deliver oxygen to your lungs easily and safely. Tracheostomy Tracheostomy Acute respiratory failure (ARF) is a common event in the advanced stage of amyotrophic lateral sclerosis (ALS) and may be rarely a presenting symptom. Vansteensel MJ, Klein E, van Thiel G, Gaytant M, Simmons Z, Wolpaw JR, Vaughan TM. Tracheostomy Can Trach Patients Eat Or Drink Water Gajdo O, Ronek M, Donin G, Kamensk V. Healthcare (Basel). 2023 Mar;270(3):1323-1336. doi: 10.1007/s00415-022-11464-6. To Expect After A Tracheostomy Is Removed Design: 2003 Sep;4(3):191-206. 7 0 obj An example of data being processed may be a unique identifier stored in a cookie. Brain Sci. you Manage Settings As you get used to the tube, you may be able to go back to drinking thinner liquids, such as water. xs Hopkins Medicine Patients: Advertisement xmp.iid:ba618122-edde-4fbd-9d4c-d39225cb12ec Most people with a trach tube can lead a normal routine with eating normally however you may experience some difference when you swallow food. endstream WebAlthough administered at the time of a respiratory crisis without being discussed in advance, tracheostomy shows good acceptance and results in acceptable QoL. endobj We offer medical detox, along with both residential and outpatient programs, and youll be supervised by a highly trained staff of medical professionals, counselors, and therapists. Survival was significantly shorter in patients older than 60 years at tracheostomy, with a hazard ratio of dying of 2.1 (95% confidence interval, 1.1-3.9). Adobe PDF Library 15.0; modified using iText 4.2.0 by 1T3XT 3 0 obj / Advertisement Tracheostomy government site. <>>>/Subtype/Form/BBox[0 0 585 783]/Matrix [1 0 0 1 0 0]/Length 47/FormType 1/Filter/FlateDecode>>stream A tracheostomy may be temporary or permanent. Amyotrophic lateral sclerosis patients with tracheostomy for ARF between January 1, 1995 and April 30, 2008 were investigated. endobj WebIf you or a loved one need help with quitting drugs or alcohol, consider Asana Recovery. eCollection 2021. 2021 Mar 14;11(3):372. doi: 10.3390/brainsci11030372. Kotanen P, Kreivi HR, Vainionp A, Laaksovirta H, Brander P, Siirala W. ERJ Open Res. xmp.did:478c6c31-b1b6-437d-bd41-ac68b43cf268 Frequently, such patients require intubation and mechanical ventilation (MV) and, in a large proportion, receive tracheostomy, as a consequence of weaning failure. Drink plenty of fluids. National Library of Medicine HHS Vulnerability Disclosure, Help Rabkin JG, Albert SM, Tider T, Del Bene ML, O'Sullivan I, Rowland LP, Mitsumoto H. Amyotroph Lateral Scler. Only 15% of the tracheostomized patients (2/13) were severely depressed, according to BDI; 11 of 13 patients reported a positive view of tracheostomy and said that they would want to undergo this procedure if they could make the decision again. 2016-07-08T11:59:57-05:00 Do not stop taking pain killers unless or until advised by your doctor because they are aimed to avoid infections and relieve soreness. [Mechanical ventilation for amyotrophic lateral sclerosis--Making a comparison between hospital and home care]. Call us any time at (949) 438-4504 to get started. WebWe recommend changing the tracheostomy tube once a week to remove the dried or old secretions and maintain adequate hygiene of the tracheostomy tube and airway. zeta phi beta burial ritual can you drink alcohol with a tracheostomy with a Tracheostomy If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. with a Tracheostomy Unauthorized use of these marks is strictly prohibited. Miller RG, Mitchell JD, Lyon M, Moore DH. ZapfDingbatsITC A tracheostomy, or trach, may be needed if you have a blockage in your airway or severe lung disease, or for other reasons. Would you like email updates of new search results? Background: Corbel-Italic If you'll be receiving general anesthesia, your doctor may ask that you avoid eating and drinking for several hours before your procedure. Your healthcare provider will suggest fluid intake for tracheostomy tube patients because this will loosen secretions and makes coughing easier. <>stream Speech therapists and nutritionists can often help this process. As you get used to the tube, you may be able to go back to drinking thinner liquids, such as water. endstream Position the mirror so you can see the opening of your tracheostomy tube. The study was conducted in an adult, respiratory intensive care unit in a university hospital. mick mars house nashville tn; list of manchester boxers; tom hardy ufc record; If you'll be receiving general anesthesia, your doctor may ask that you avoid eating and drinking for several hours before your procedure. Can Trach Patients Eat Or Drink Water TimesNewRomanPS-BoldMT Communication About End of Life for Patients Living With Amyotrophic Lateral Sclerosis: A Scoping Review of the Empirical Evidence. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. eCollection 2020 Oct. Predictors and course of elective long-term mechanical ventilation: A prospective study of ALS patients. Tracheostomy WebTracheostomy tube can be blocked by blood clots, mucus or pressure of the airway walls. You may also be asked to stop certain medications. However, the wound will take 1-2 weeks to heal completely but during this period if the injury becomes wet or starts to develop an infection, check with the nurse or GP immediately. xmp.id:0b5a9bb6-1f21-48fa-82b2-ae7a3c7fefe2 ,.. 2016-08-02T13:31:11-07:00 <>stream 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 Tracheostomy What Are The Pros And Cons Of A Tracheostomy? ,.. 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