The tips below can help you do this. Your speech therapist and the rest of your healthcare team can also give you more suggestions:. Use them to write quick notes to others. A tablet device such as an iPad can also be used for this purpose. Try using a board with all the letters of the alphabet on it. Point to the letters to spell words. You may be a candidate for speech substitute or assistive devices.
Technology continues to advance in this area. Your healthcare provider can review options that would be appropriate for you. This prevents the air leaking out of the tube and allows you to speak. It can take a while to get used to speaking with the valve. You may be referred to a speech and language therapist for advice and training to help you learn to speak while the tracheostomy tube is in place.
Most people will eventually be able to eat normally with a tracheostomy, although swallowing can be difficult at first. While in hospital, you may start by taking small sips of water before gradually moving on to soft foods, followed by regular food. If you have swallowing difficulties , a speech and language therapist can teach you some techniques that may help.
Some patients will be able to cover the tube with a hand, breathe through the mouth or nose, and produce speech in this manner. Some children are even able to learn to cover the valve with their chins while speaking.
However, not everyone can cope with the additional resistance to breathing that this causes. The doctor may attach a valve to the tube. Different types of valves offer different benefits. Patients wearing a Passy-Muir speaking valve are able to expel air through the mouth and nose.
As the patient exhales, the valve closes and air passes through the vocal cords to allow for vocalization. If your loved one is connected to a ventilator to help him breathe, speech can only occur during the expiratory cycle in which air is expelled. The goal is to always match the patient with the smallest trach possible. Ways to Achieve Vocalization with a Tracheostomy.
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