Mouth care for tracheostomy patients

nhsggc.org.uk

  • Use a new tooth brush for each oral care episode
  • Brush the teeth using a small toothbrush and toothpaste q 12 h and prn.
  • Hold brush at 45 degrees and brush away from the gumline.
  • Rinse with water (use sterile water bottle) and suction

What is the treatment for tracheostomy?

Nurses will provide regular tracheostomy care for patients with temporary tracheostomies, but patients with a permanent tracheostomy will also require education and training to manage their airway independently, where possible. Box 1. Indications for tracheostomy

What is the oral care for tracheostomies?

Specific oral care measures. • Encourage self-care when possible • Patient’s teeth should be brushed with toothbrush and toothpaste at least twice a day. • Chlorhexidine mouth washing twice per day (not immediately after tooth brushing) • There is no reason why patients with tracheostomies can’t wear their dentures.

What do nurses need for tracheostomy care?

Nurses need to understand all aspects of tracheostomy care, including routine and emergency airway management, safe decannulation, weaning and safe discharge into the community. The patient’s airway requires close monitoring 24 hours a day using a tracheostomy care chart to record care.

Can a tracheostomy tube cause aspiration?

Assessment of the safety of the swallow is necessary as swallowing difficulties (dysphagia) can result in aspiration and the complications arising from this. A patient with a tracheostomy tube may have difficulty swallowing secretions as well as food and drink.

What is the treatment for tracheostomy granulomas?

Investigators want to see which standard of care method (steroid application, silver nitrate, or betadine) is more successful in treating tracheostomy granulomas. Upon joining the study patients will be assigned to one of the three treatment groups (steroid application, silver nitrate, and betadine).

How to care for a tracheostomy tube?

At the appropriate time, instructions will be given. Oral feeding may also be difficult until a smaller tube is placed. If the tracheostomy tube will be necessary for a long period of time, the patient and family will be instructed on home care. This will include suctioning of the trachea, and changing and cleaning the tube.

What is a tracheostomy procedure?

A tracheostomy is a procedure used to create an opening in the neck to bypass an obstructed airway to more easily deliver oxygen to the lungs. Your surgeon will monitor healing for several days after surgery. Complications include infections, scarring of the neck, need for further surgery, and damage to the voice box (layrnx).

Is tracheostomy and tracheotomy the same thing?

The doctor usually puts a tracheostomy tube, sometimes called a trach (pronounced “trake”) tube, through the hole and into your lungs. Tracheotomy (without the “s”) refers to the cut the surgeon makes into your windpipe, and a tracheostomy is the opening itself. But some people use both terms to mean the same thing.