Assessing and Managing Medically Fragile Children: Tracheostomy and Ventilatory Support Over the past 2 decades, there has been an increase in the number of premature children and children with complex medical conditions who survive. Some of these children are dependent on tracheostomies and ventilators. Children with tracheostomies constitute a diverse population from many standpoints, including underlying medical diagnoses, health ... Article
Article  |   October 01, 2002
Assessing and Managing Medically Fragile Children: Tracheostomy and Ventilatory Support
Author Affiliations & Notes
  • Geralyn Harvey Woodnorth
    Department of Otolaryngology and Communication Disorders, Children's Hospital, Boston
Article Information
Swallowing, Dysphagia & Feeding Disorders / Speech, Voice & Prosody / Articles
Article   |   October 01, 2002
Assessing and Managing Medically Fragile Children: Tracheostomy and Ventilatory Support
SIG 3 Perspectives on Voice and Voice Disorders, October 2002, Vol. 12, 7-10. doi:10.1044/vvd12.3.7
SIG 3 Perspectives on Voice and Voice Disorders, October 2002, Vol. 12, 7-10. doi:10.1044/vvd12.3.7
Over the past 2 decades, there has been an increase in the number of premature children and children with complex medical conditions who survive. Some of these children are dependent on tracheostomies and ventilators. Children with tracheostomies constitute a diverse population from many standpoints, including underlying medical diagnoses, health issues, developmental status, and communication needs. Many need assistance in establishing effective communication.
Speech-language pathologists who deal with children with tracheo-stomies may have limited background to prepare them for assessing and managing the communication needs of this population. The purpose of this paper is to outline some basic background information regarding tracheostomies and ventilatory support with children, assessment of communication skills in this population, and intervention specific to voice. A list of selected references is provided at the end of the article. Information detailed in these resources offers further guidance that can be used to aid the clinician in his/her understanding and treatment of children with tracheostomies.
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