Patient can be positioned upright, on the side, or in prone position so that saliva can be swallowed or let drool
2. Cleaning of oral tract and teeth is possible
3. During cuff deflation intervals, only minimal secretions from above the cuff have to be suctioned
4. During cuff-deflation and tube-occlusion intervals, the patient can breathe spontaneously and sufficiently through the upper airway for a minimum of 20 minutes with sufficient and stable oxygen saturation (minimum 95% ± 5%)
5. Patient can swallow his secretions spontaneously or with light stimulation
6. Efficient spontaneous coughing with subsequent swallowing
7. Improved vigilance
8. Exclusion of reflux and frequent vomiting
9. If necessary, fiberoptic endoscopic evaluation of swallowing (FEES)
Nurse (in addition to speech pathologist_s criteria):
1. Decreasing need for tracheal suctioning
2. Secretions are liquid and whitish
3. Patient tolerates a mask for respiratory assistance if necessary
4. Positioning to support respiration and secretion management is possible
5. No anesthesia/operations planned for the following...
Tips for Teaching or Working with a Child that has Childhood Apraxia of Speech According to Gretz (2005), research into effective methods for providing treatment to children with Apraxia is inadequate but in the professional literature a variety of techniques illustrated, including PROMPT method, Integral Stimulation, Adapted Cueing, Touch Cue, Melodic Intonation Therapy, Rate Control Therapy, etc., even though these therapeutic methods varies to some extent, they have shared characteristics that
Ease up a range of motion, and foster muscle control. They are said to be used before or together with actual speech production treatment. The evaluation found that these methods and procedures are questionable in matters concerning the implied cause of developmental speech sound disorders, the neurophysiologic differences between the limbs and oral musculature, the development of new theories of movement and movement control, and the sparseness of research
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