A Home-Care Experience of a Respiratory Failure Patient with Passy-Muir Tracheostomy Speaking Valve.

The article aimed at discussing the home care experience of a inpatient who went through tracheostomy due to respiratory failure and, after the condition stabilized, were taught on nursing knowledge and skills with the provision of Passy-Muir tracheostomy speaking valve to assist in speech communication and social resources for long term care. The nursing period lasted from December 28th, 2010 to May 19th, 2011. The author collected objective and subjective data through home visits, telephone interviews, observation and physical assessment, and employed Gordon 11 functional health patterns to assess the patient's health. The primary nursing issues were established: ineffective airway clearance, impaired verbal communication and lack of family coping. The author taught the primary caregiver in home preparation and nursing knowledge and skills by employing empathy, care, listening and companionship during the care period, and raised the quality of care by engaging in joined discussion, providing information regarding disease care, drafting a plan for the attachment of tracheostomy speaking valve and actively arranging the assistance of long-term care center and available social and economical resources. [ABSTRACT FROM AUTHOR]