presented by Kelly Salmon, SLPD, CCC-SLP, BCS-S, CLT-LANA, NDC
Kelly Salmon, SLPD, CCC-SLP, BCS-S, CLT-LANA, NDC
Kelly is a speech-language pathologist specializing in the treatment of adults with communication and swallowing disorders across the continuum of care. She has been a Board Certified Specialist in Swallowing and Swallowing Disorders (BCS-S) since 2011 and earned designation in 2014 as a Lymphology Association of North America Certified Lymphedema Therapist (CLT-LANA) specializing in the…Read full bio
1. Introduction to Total Laryngectomy
This chapter explains what a total laryngectomy is and what is involved in the surgical procedure (in general terms). In addition, the indications for total laryngectomy and the role of the SLP during the preoperative phase are discussed. Finally, the members of multidisciplinary team and their roles are identified.
2. Preoperative Assessment
This chapter discusses in detail what is included as part of a preoperative assessment and counseling session. The types of resources and materials that are typically used for patient education preoperatively are identified and demonstrated. Finally, an explanation of the key changes to the processes of respiration, communication, and swallowing that result from TL is given.
3. Patient Perspective: Preoperative Experience
This chapter includes a brief discussion with an individual who has been a long-term HNC survivor post TL. The guest provides responses to questions related to his experience during the preoperative phase.
4. Acute Postoperative Care
This chapter identifies the role of the SLP in the immediate postoperative phase within the acute care setting. Priorities in caring for the individual post TL during the typically limited time in the inpatient setting, and typical protocols for establishing a reliable means of communication in the immediate postoperative phase are discussed. In addition, the role of the speech-language pathologist within the multidisciplinary team in patient education, training, and preparation for discharge from the acute setting is highlighted.
5. Postsurgical Supply and Equipment Needs
This chapter Identifies necessary supplies for alaryngeal communication postoperatively, including options for stoma protection. The importance and benefits of early application and consistent use of heat–moisture exchange (HME) filter systems is discussed. Other miscellaneous items that are typically necessary when transitioning from acute inpatient care to inpatient acute or subacute rehabilitation or home are described.
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