Essential Tracheostomy Care Tips for Seniors at Home
Having a tracheostomy comes with a unique set of challenges, the most uncomfortable one being molding your daily routine around trach management. If you are taking care of a loved one with a tracheostomy you know exactly what we mean.
Tracheostomies often require intense management and care of different kinds of equipment as well as additional supplies that assist you with the replacement or cleaning of the parts. It is important to know how to care for a loved one’s equipment and stoma and help them adjust.
The best way to do that is to encourage them to establish a regular routine and engage in activities they used to enjoy before the stoma (as many as possible). Here are a few tips that can help you take your loved one through a Passy-Muir valve, eating with it, as well as many other things they might have to learn;
Why is Tracheostomy Care Important?
When the trach tube is left to constantly rub up against the skin around the stoma site (an opening located at the neck and trachea) it can quickly cause irritation. Taking better care of the site and monitoring it daily can greatly reduce infection.
Your loved one’s stoma must be cared for daily. If they have only recently been put onto a ventilator or received a new trach, you may need to check up on it multiple times in the day.
Trach care takes account of any drainage from the site or irritation caused by the tube. Cleaning the stoma if the skin appears tender, red, or producing a yellowish-green drainage can save your loved one from complicated infections.
Essential Tips for Tracheostomy Care
Here are a few key tips to help seniors stay safe and cared for at home;
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Keep the Stoma Clean and Dry
As discussed earlier the skin around the stoma can get irritated quite easily. This is preventable through gentle cleansing. Start by washing your hands and then use sterile cotton swabs dipped in mild soap and water to clean the area. You can also use diluted hydrogen peroxide if you discover crusted buildup.
The best method is to work from the center outward. Make sure you avoid letting the liquid drip inside the tube. Once you are done you can pat the skin dry with gauze. In case you notice any redness, swelling, or a foul odor, call the doctor right away.
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Be Careful When Changing Trach Ties
Trach ties are what you normally use to keep those tubes in place. They’re required to be snug but not too tight. If you are considering changing them it helps to have two people. One can hold the tube steady while the other replaces the ties.
Pro Tip: Always check the skin underneath the ties for any signs of irritation.
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Become a Pro at Tube Care
Some types of trach tubes have a disposable inner cannula that needs to be replaced regularly. Opt for the best quality disposable cannulas and make sure you replace them with a fresh one as mentioned in the directions. Since seniors have thicker mucus, cleaning might be needed more often.
In case you are using a reusable cannula and want to clean it, start by soaking it in a half-water, half-hydrogen peroxide solution, scrubbing it gently with a small brush. Rinse it in sterile water and then reinsert it securely.
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Remember Humidification
Air bypasses the nose and the mouth with a trach and since it is not naturally warmed or moistened it is essential to use a humidifier or a mist collar. This keeps the mucus thin and much easier to clear.
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Always Be Prepared for Emergencies
You must always keep a clean spare trach tube as well as invest in one a size smaller. Keep these items as well as ties and suction equipment within reach. In case a tube becomes clogged or dislodged, have these supplies ready and make sure you remain calm. It can save you precious time.
When in Doubt, Call the Doctor
Never apply creams, ointments, or new products near the trach without medical guidance. If you are ever in doubt or notice any signs of infection and breathing difficulty, call the doctor.
Keep your wits about you and avoid panicking as that can make the situation worse. When unsure about a particular procedure don’t shy away from asking professionals for advice.
The more you practice the less intimidating trach care may seem. The most important thing is consistency. Keep gentle cleaning, safe tube care, and top-quality equipment at the top of your list and you should be good to go!
