Why a Patient with a Tracheostomy Cannot Talk?
Tracheostomy Patient Communication:
Nurses play a vital role in providing excellent nursing care to tracheostomy patient. Tracheostomy patient need individual support and attention from health care provider. Nurses are giving effective and skilled nursing care to the patient day by day. Tracheostomy care has become a routine part of both the acute and long term care units. When nurses are giving care to the patient, they frequently face a question, why tracheostomy patient cannot talk? But they do not know the answer. This article has presented its actual reason.
What is Tracheostomy?
Tracheostomy is an operative procedure that makes an incision in the anterior aspect of the neck and opens a surgical airway through an incision in the trachea.
It is usually performed in those patients who could not wean off from ventilator followed by chronic lung disease, coma, diaphragm dysfunction, cancer in the neck, injury in the larynx or chest wall, vocal cord paralysis or catastrophic neurological problems.
Why Tracheostomy Patient Voiceless?
Our speech actually begins from the diaphragm. It helps to push air from the lung into the voice box. Our voice comes from the air that we exhale. When we inhale, the diaphragm lowers and the rib cage extends, keep up air into the lungs. Then when we exhale air, create an airstream in the trachea and vibrate the vocal cord s. Vibration of the vocal cord produce the sound that lips, tongue and the teeth makes speech.
Tracheostomy is a surgically opening of airway in the trachea. The tube lies just below the level of vocal cord with a small secured cuff (balloon). After tracheostomy keeps the cuff inflate. Inflated cuff helps to keeps the tube in the right place and deliver proper breath by machine. Inflated balloon do not allow air pass through the vocal cord and no air can vibrate over the vocal cord.so that for this situation tracheostomy patient cannot talk.