An alert patient with a long-term need for a tracheostomy tube (because of recurrent aspiration) is having difficulty communicating with the intensive care unit staff. Which of the following would you recommend to help this patient communicate better?
I. Use a letter, phrase, or picture board.
II. Consider switching to a fenestrated tracheostomy tube.
III. Consider a “talking” tracheostomy tube.

Question

An alert patient with a long-term need for a tracheostomy tube (because of recurrent aspiration) is having difficulty communicating with the intensive care unit staff. Which of the following would you recommend to help this patient communicate better?
I.	Use a letter, phrase, or picture board.
II.	Consider switching to a fenestrated tracheostomy tube.
III.	Consider a “talking” tracheostomy tube.

Quizplus · Accepted Answer

Using a letter, phrase, or picture board can help the patient communicate by pointing to the desired words or images. A "talking" tracheostomy tube may be difficult to use and maintain for the patient, whereas a fenestrated tracheostomy tube may increase the risk of aspiration. Therefore, option B, using a communication board and considering a "talking" tracheostomy tube, is the best choice.

An Alert Patient with a Long-Term Need for a Tracheostomy