Swallowing Assessment in Patients With Tracheostomy Tubes

presented by Debra Suiter, PhD, CCC-SLP, BCS-S, F-ASHA

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Financial: Debra Suiter receives compensation from MedBridge for this course. She also receives royalties from Thieme Medical Publishers and compensation from the University of Kentucky.

Nonfinancial: Debra Suiter has no competing nonfinancial interests or relationships with regard to the content presented in this course.

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Video Runtime: 54 Minutes; Learning Assessment Time: 45 Minutes

Clinicians who complete swallow assessments with patients with tracheostomy tubes are often faced with a number of clinical questions. These include whether a tracheostomy tube impacts swallow function, whether cuff deflation is necessary prior to completing a swallow assessment, and if speaking valve placement is necessary. In this course, we will discuss specific issues that must be considered when completing a swallow assessment with a patient with a tracheostomy tube.

Meet Your Instructor

Debra Suiter, PhD, CCC-SLP, BCS-S, F-ASHA

Debra Suiter is the director of the Voice and Swallow Clinic and an associate professor in the Division of Communication Sciences and Disorders at the University of Kentucky in Lexington, Kentucky. She earned her master's and doctoral degrees at the University of Tennessee, Knoxville. Dr. Suiter has been a speech-language pathologist for 24 years and…

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Download the learning objectives for Swallowing Assessment in Patients With Tracheostomy Tubes.

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1. Do Tracheostomy Tubes Affect Swallowing?

In this chapter, we will review evidence regarding impact of tracheostomy tubes on swallowing. We will also discuss whether cuff deflation and/or speaking valve placement are necessary.

2. Clinical Swallow Evaluation

We will review information that can and should be gathered during the clinical swallow evaluation. Limitations of the clinical swallow evaluation for use with patients with tracheostomy tubes will be discussed.

3. Instrumental Swallow Assessment

Use of videofluoroscopic swallow studies and endoscopic evaluations of swallowing will be discussed. Special considerations for completing these examinations with patients with tracheostomy tubes will be reviewed.

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