+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Trends and challenges in the management of tracheostomy in older people: the need for a multidisciplinary team approach



Trends and challenges in the management of tracheostomy in older people: the need for a multidisciplinary team approach



Contemporary Nurse 26(2): 177-183



The trend towards increasing representation of older people as recipients of health care in acute care settings is matched with a corresponding increase in the numbers of older people undergoing tracheostomy.The reasons for tracheostomy in this age group are varied, including respiratory failure, neurological injury/event and carcinomas. Further, current research supports early tracheostomy for patients requiring medium to long-term ventilation and unconscious patients at risk of airway obstruction. In spite of this increase very little has been written about decision making and ongoing nursing care for these patients. There is an abundance of literature on the physiological processes of aging and the problems related to comorbidities; however, there has been very little exploration of how these impact on the occurrence of complications and other outcomes for older patients with a tracheostomy, and the consequent implications for care provision. This article examines clinical issues of significance to older people with tracheostomy and outlines the implementation and benefits of a multidisciplinary team approach.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 056684719

Download citation: RISBibTeXText

PMID: 18041968


Related references

Trends and challenges in the management of tracheostomy in older people: The need for a multidisciplinary team approach. Contemporary Nurse 26(2): 177-183, 2007

Multidisciplinary team approach in the management of tracheostomy patients. Otolaryngology--Head and Neck Surgery 147(4): 684-691, 2012

NICE-Accredited Commissioning Guidance for Weight Assessment and Management Clinics: a Model for a Specialist Multidisciplinary Team Approach for People with Severe Obesity. Obesity Surgery 26(3): 649-659, 2016

An interprofessional team approach to tracheostomy care: a mixed-method investigation into the mechanisms explaining tracheostomy team effectiveness. International Journal of Nursing Studies 50(4): 536-542, 2013

Impact of a specialized multidisciplinary tracheostomy team on tracheostomy care in critically ill patients. Canadian Journal of Surgery. Journal Canadien de Chirurgie 54(3): 167-172, 2011

Impact of a specialized multidisciplinary tracheostomy team on tracheostomy care in critically ill patients. Yearbook of Otolaryngology-Head and Neck Surgery 2012: 88-90, 2012

Responding to psychosocial challenges of aids an integrated multidisciplinary team approach. Istituto Superiore Di Sanita Vii International Conference on Aids: Science Challenging Aids; Florence, Italy, June 16-21, 464p (Vol 1); 460p (Vol 2) Istituto Superiore Di Sanita: Rome, Italy Paper : 459b, 1991

Hoarding Disorder in Older Adults: A Multidisciplinary Team Approach. American Journal of Geriatric Psychiatry 21(3): S18-S19, 2013

Multidisciplinary team interventions to optimise health outcomes for older people in acute care settings: A systematic review. Archives of Gerontology and Geriatrics 61(3): 322-329, 2016

Multidisciplinary Team Management of Cerebral Metastases: Recent Trends and Future Implications. Clinical Oncology ) 28(5): 343-344, 2016

Falls in older people: taking a multidisciplinary approach. Nursing Times 99(31): 28-30, 2003

Percutaneous dilatational tracheostomy: collaborative team approach for safe airway management. Journal of Anesthesia 27(1): 161-165, 2013

Multiple Sclerosis and its Management: The multidisciplinary team approach to management. Canadian Family Physician Medecin de Famille Canadien 38: 2084-2092, 1992

Multidisciplinary team approach to heart failure management. Heart 104(16): 1376-1382, 2018

Effectiveness of a multidisciplinary team approach to hip fracture management. Journal of Surgical Orthopaedic Advances 14(1): 27-31, 2005