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Thursday, October 25, 2012

Tracheostomy and Laryngectomy Vocabulary

Artificial nose (Swedish) - A cap that can be attached to a tracheostomy tube to help maintain humidity.
 
Air compressor - A machine used to provide air or oxygen under pressure to make breathing easier for a patient with breathing problems.
   
Apnea monitor - A device used to check to make sure that a patient with a breathing tube (endotracheal tube) or a tracheostomy tube hooked to a ventilator does not stop breathing. It can sound alarm to alert care provider in case of slowed or stopped breathing.
Ambu bag - A device used to manually give air or oxygen to a person under pressure.
Aerosol tubing - A piece of tubing used to deliver inhaled medicine (breathing treatment) to patients with tracheostomy or breathing tube.
Cannula - A hollow piece of tubing: inner cannula refers to the inner tubing of a standard tracheostomy tube.
Coagulopathies - Refers to diseases or conditions causing problems with clotting of blood, for example low platelet count or patients taking blood thinners like aspirin or coumadin.
Decannulation - Process of removing the tracheostomy tube and making sure the patient is breathing well without it.
Extubation - Process of removing a breathing tube (endotracheal tube) when the patient does not need it any more.
Heat Moisture Exchanger (HME) - A humidifying filter that fits onto the end of the trach tube and comes in several shapes and sizes; also known as: Thermal Humidfying Filters, Swedish nose, Artificial nose, Filter, Thermovent T.
Hypercarbia - A condition in which more than normal amounts of carbon dioxide in retained in a patient’s blood due to inadequate breathing.
Larynx - Voice box.
Laryngectomy - It is the removal of the larynx and separation of the airway from the mouth and esophagus.
NPO feeding (PO feeding) – No Per Oral
Nebulizer bottle - A bottle used to turn liquid (saline etc) or a liquid medication into smaller particles to be delivered to a patient’s nose, throat or lungs via the nose, mouth or a breathing tube.
Obturator - Provide a smooth surface that guides the tracheostomy tube when it is being inserted.
Passy-Muir Speaking Valve – A one-way valve, which attaches to the outside opening of the tracheostomy tube and allows air to pass into the tracheostomy, but not out through it.

 
Stoma - The hole made in the neck and windpipe.
Saline Ampules (bullets) - Small plastic containers of salt water solution.
Secretions - Mucus.
Suction Equipment
 
Stopper (plug/cork) - A device used to obstruct air passage through a tracheostomy tube to allow a patient to breathe around the tube before the tracheostomy tube is removed (decannulated).
Trach ties - A piece or ribbon gauze used to secure a trach tube to the patient’s neck.
Trach mask - Mist collar which attaches over the trach to provide moisture.
Tracheostomy - An opening surgically created through the neck into the trachea to allow direct access to the breathing tube.
Tracheotomy - Refers to the incision into the trachea that forms a temporary or permanent opening, which is called a 'tracheostomy,' however; the terms are sometimes used interchangeably
Tracheostomy (Trach) Tube – A curved tube that is inserted into a tracheostomy stoma.
 
TracheaA windpipe.
Ventilator – A breathing machine.
Videofluoroscopic Swallowing Study - A specialized test in which a patient’s swallowing is assessed with a combination of X-ray examination and direct visualizing of the throat by a radiologist and a speech language pathologist (SLP).

Tuesday, October 23, 2012

After Laryngectomy


A friend of mine who was diagnosed with a neck and throat cancer asked me the questions:
What is going to happen to me after a total laryngectomy? 
What are my options for speech or ways of communication after the surgery?

sheared my knowledge and recommended to watch a video, which in my opinion is stupendous, well prepared and presented by The University of Kansas, Department of Otolaryngology. Please watch:

In that hard time and circumstances it is very important to join a support group to find a balance and solutions for the further life. 
“WebWhispers” http://www.webwhispers.org/index.asp it’s a virtual but still a high-quality web support group, where he could find all sots of information:
  1. The new ways of communication  http://www.webwhispers.org/library/TEPProsthesis.asp
  2. A list of vendors to perches the equipment or devices http://www.webwhispers.org/suppliers/suppliers.asp
Continuing, I've heard very good opinions about Provox HME System – HME Cassette which help to improve the pulmonary function and quality of life.
To learn more click on the link below
In the below link, under a throat section, there are sorts of Provox HME products related to laryngectomy. http://www.atosmedical.com/For_professionals/Focus_areas/Throat.aspx

"Don't forger to drink lots of water." 

An interesting fact, it is commonly know that an electrolarynx gives a robot-like sound production with no fluctuation. In these days technology is developing incredibly fast and as a result on the market has appeared a new type of electrolarynx called TruTone™ Electrolarynx with an up-and-down modulation. Watch the video to see yourself.

"Don't get discouraged - Keep on going!"

Wednesday, October 17, 2012

Good Memory - Good Tips

A new school year - a new challenge. You might see your child having difficulties with learning and memorizing new tings, remembering friends’ names, or missing some staff in his/her school backpack. Why? There are few possible answers. Your child may be eating inappropriately, not getting enough physical activities or sleep/rest. After checking off the above factors you can look for some other solutions to help your child to improve his/her memory and mental performance by exercising his/her brain and teaching supportive techniques. Strong memory depends on the health and vitality of the brain.
The human brain has an astonishing ability to adapt and change known as neuroplasticity. With the right stimulation, your brain can form new neural pathways, alter existing connections, and adapt and react in ever-changing ways. The brain’s incredible ability to reshape itself holds true when it comes to learning and memory. You can harness the natural power of neuroplasticity to increase cognitive abilities, enhance ability to learn new information, and improve memory. Let me share my findings with you.
Healthy Diet - What kind?
  1. Look for healthy fats - Omega-3. Much of a brain cell's structure is made up of "healthy fats". The most important of these are the Omega-3 fatty acids. As your brain repairs itself and grows new neurons, it needs an abundant supply of Omega-3 from your diet such as cold-water fish salmon and albacore tuna, canola oil, soybeans, walnuts, wheatgerm, eggs, and flaxseed oil.
  2. Provide antioxidants to protect brain. Good sources of antioxidants include tea (especially green tea), blueberries and other berries, red grapes, tomatoes, broccoli, garlic, spinach, carrots, whole grains, and soy.
  3. Offer high-tyrosine proteins to spark brain. Besides neurons, your brain also includes important chemicals called "neurotransmitters" - messengers that carry brain signals from one neuron to the next. You may have a great brain structure, but if your supply of the different neurotransmitters is insufficient your brain won't function properly. Some components of neurotransmitters, such as tryptophan, can't be made within the body but must be consumed directly from your diet. Others such as tyrosine can be made by the body but still require the right foods in your diet. The best neurotransmitter-building foods for boosting alertness, energy, and concentration include seafood, meat, eggs, soy and dairy products. To avoid sabotaging yourself, eat the low-fat, low salt varieties, e.g. lean cuts of meat or low-fat cottage cheese.
  4. Supply water to hydrate brain. As you probably know, most of your body is water. It is very easy to not consume enough water and become dehydrated. Being even slightly dehydrated decreases your mental energy and can impair your memory. Drink at least three or four liters (quarts) of water a day.
  5. Deliver vitamins and minerals. The most important vitamins for memory are Vitamins C, B12, and B6 and minerals: Iron (for women, especially) and Calcium. Deficiencies of either of these have been shown to impair learning. The best way to deliver most important vitamins and minerals is through a good diet, an easy way is to simply take a multivitamin, calcium and iron supplement each day. Make sure you always take your vitamins and minerals with food and not on an empty stomach. Not only will you avoid a stomach ache, but vitamins and minerals need to combine with food in your digestive system or they will be to a large degree wasted.
  6. Present fiber. Fiber helps slow the absorption of sugar from your diet. Your brain operates 100% on sugar. But the trick is that the sugar must be delivered in a very steady stream and in the proper amount or your brain gets overwhelmed. Eating enough fiber slows your digestion and results in the sugar in your food being delivered into your bloodstream gradually. Foods containing healthy amounts of fiber include dried fruits, e.g. raisins, dates, prunes, and apricots, vegetables, e.g. green peas, broccoli, and spinach, peas and beans, e.g. black-eyed peas, lima beans, and kidney beans, nuts and seeds, e.g. flaxseed and almonds, whole fruit, e.g. apples with the skin, oranges, avocados, kiwi, and pears, and whole wheat grains, e.g. barley, brown rice, and the various whole wheat pastas and cereals.
Physical Activities
When you exercise your body, you exercise your brain. Regular exercise improves blood flow to the brain, and improved blood flow means - improved thinking and memory. Treating your body well can enhance your ability to process and recall information. Exercise may also enhance the effects of helpful brain chemicals and protect brain cells.

Appropriate sleep and relaxation time
  1. Proper Sleep. When you’re sleep deprived, your brain can’t operate at full capacity. Creativity, problem-solving abilities, and critical thinking skills are compromised. Whether you’re studying, working, or trying to juggle life’s many demands, sleep deprivation is a recipe for disaster. Research shows that sleep is necessary for memory consolidation, with the key memory-enhancing activity occurring during the deepest stages of sleep. 1 to 3 years old child needs 12 to14 hours per day, 3 to 6 years old – 10 to 12 hours, 7 to 12 years old – 10 to 11 hours, and 12 to 18 years old needs 8 to 9 hours. http://www.webmd.com/parenting/guide/sleep-children 
  2. Relaxation/Fun Time. When you think of ways to improve memory, do you think of “serious” activities such as doing crossword or mastering chess, or do more cheerful leisure like hanging out with friends, going for a walk or some fun places? Studies show that a life that’s full of friends and fun comes with cognitive benefits. 
  3. Healthy relationships. Humans are highly social animals. We’re not meant to survive, let alone thrive, in isolation. Relationships stimulate our brains - in fact, interacting with others may be the best kind of brain exercise. Research shows that having meaningful relationships and a strong support system are vital not only to emotional health, but also to brain health. In a recent study from the Harvard School of Public Health, for example, researchers found that people with the most active social lives had the slowest rate of memory decline. There are many ways to start taking advantage of the brain and memory-boosting benefits of socializing. Participate in community events, sign your child to a class she/he likes or meet friends more often. And if it's not possible, don’t overlook the value of a pet - especially the highly-social dog.
    
  1. Tons of Laughs. It is commonly known that laughter is the best medicine, and that holds true for the brain as well as the body. Unlike emotional responses, which are limited to specific areas of the brain, laughter engages multiple regions across the whole brain. Furthermore, listening to jokes and working out punch lines activates areas of the brain vital to learning and creativity.  A psychologist Daniel Goleman said “laughter…seems to help people think more broadly and associate more freely.” http://www.amazon.com/Emotional-Intelligence-Matter-More-Than/dp/055338371X That's what you can teach your child:
·      Laugh at yourself. Share your embarrassing moments. The best way to take ourselves less seriously is to talk about the times when we took ourselves too seriously.
·      Move toward laugh. When you hear laughter, seek it out and ask, “What’s funny?” Most of the time, people are happy to share something funny because it gives them an opportunity to laugh again.
·      Spend time with fun, playful people. These are people who laugh easily - both at themselves and at life’s absurdities - and who routinely find the humor in everyday events. Their playful point of view and laughter are contagious.

  1. Limited stress. Stress is one of the brain’s worst enemies. Over time chronic stress destroys brain cells and damages the hippocampus, the region of the brain involved in the formation of new memories and the retrieval of old ones. In addition to stress, depression takes a heavy toll on the brain. In fact, some of the symptoms of depression include difficulty concentrating, making decisions, and remembering things. If you are mentally sluggish because of depression, seeking treatment will make a big difference in your cognitive abilities, including memory.
Brain’s Exercises
When growing, your brain is developing millions of neural pathways that help you process information quickly, solve familiar problems, and execute familiar tasks with a minimum of mental effort. But if you always stick to these well-worn paths, you aren’t giving your brain the stimulation it needs to keep growing and developing. You have to challenge your brain. Memory, like muscular strength, requires you to “use it or lose it.” The more you work out your brain, the better you’ll be able to process and remember information. The best brain exercising activities break your routine and challenge you to use and develop new brain pathways. The activity can be virtually anything, so long as it meets the following three criteria:
·      New. The activity needs to be something that’s unfamiliar and out of your comfort zone.

·      Challenging. Anything that takes some mental effort and expands your knowledge will work, e.g. learning a new language, instrument, or sport, or tackling a challenging crossword or Sudoku puzzle. http://www.superteacherworksheets.com/sudoku.html

·      Fun. Physical and emotional enjoyment is important in the brain’s learning process. The more interested and engaged you are in the activity, the more likely you’ll be to continue doing it and the greater the benefits you’ll experience. The activity should be challenging, fun and enjoyable. Make an activity more pleasurable by appealing to the senses - playing preferable music or rewarding a child afterwards with a favorite treat.

Use mnemonic devices to make memorization easier. Mnemonics are clues of any kind that help us remember something, usually by helping us associate the information we want to remember with a visual image, a sentence, or a word.

·      Visualize image. Associate a visual image with a word or name to help you remember them better. Positive, pleasant images that are vivid, colorful, and three-dimensional will be easier to remember, e.g. to remember the name Rosa Parks and what she’s known for, picture a woman sitting on a park bench surrounded by roses, waiting as her bus pulls up.

·      Create acrostic. Make up a sentence in which the first letter of each word is part of or represents the initial of what you want to remember, e.g. “Righty tidy lefty loose” to memorize the lines try to remember the notes R, T, L, L.

·      Form acronym. An acronym is a word that is made up by taking the first letters of all the key words or ideas you need to remember and creating a new word out of them, e.g. the word “TEAM” to support a better teamwork: Together Everyone Achieves More; “HOMES” to remember the names of the Great Lakes: Huron, Ontario, Michigan, Erie, and Superior, “FAMILY” – Father And Mother Interacting Lovingly Year-long; “F2F” – Face Two Face;  “SLAP” – Sounds Like A Plan, “KID” – Keep It Down; “PQ4R” -  Preview, Question, Read, Reflect, Recite, Review.

·      Make rhymes and alliteration. Rhymes, alliteration (a repeating sound or syllable), and even jokes are a memorable way to remember more mundane facts and figures, e.g. the rhyme “Thirty days hath September, April, June, and November” to remember the months of the year with only 30 days in them.

·      Create chunks. Chunking breaks a long list of numbers or other types of information into smaller, more manageable chunks, e.g. remembering a 10-digit phone number by breaking it down into three sets of numbers: 646-678-5039 (as opposed to 6466785039).

·      Use method of loci. Imagine placing the items you want to remember along a route you know well or in specific locations in a familiar room or building, e.g. for a shopping list, imagine bananas in the entryway to your home, a puddle of milk in the middle of the sofa, eggs going up the stairs, and bread on your bed.
      http://en.wikipedia.org/wiki/Method_of_loci

Tips for enhancing the ability to learn and remember
1.    Pay attention. You can’t remember something if you never learned it, and you can’t learn something - that is, encode it into your brain - if you don’t pay enough attention to it. It takes about eight seconds of intense focus to process a piece of information into your memory. If you’re easily distracted, pick a quiet place where you won’t be interrupted.
2.    Involve as many senses as possible. Try to relate information to colors, textures, smells, and tastes. The physical act of rewriting information can help imprint it onto your brain. Even if you’re a visual learner, read out loud what you want to remember. If you can recite it rhythmically, even better.
3.    Relate information to what you already know. Connect new data to information you already remember, whether it’s new material that builds on previous knowledge, or something as simple as an address of someone who lives on a street where you already know someone. For more complex material, focus on understanding basic ideas rather than memorizing isolated details. Practice explaining the ideas to someone else in your own words.
4.    Rehearse information you've already learned. Review what you've learned the same day you learn it, and at intervals thereafter. This “spaced rehearsal” is more effective than cramming, especially for retaining what you've learned.


Friday, October 12, 2012

Hands-on Learning Experience - Butterfly's Life Cyrcle

Many children tend to be visual learners and traditional methods of instruction can often be slightly discouraging them from finishing a task. Hands on projects use principle of multisensory learning, combining visual, tactile, and verbal stimuli to teach new skills and concepts. This technique is very appealing to all sorts of kids, especially to theses with any type of learning difficulties. In fact, all children can benefit from the combination of activity and education that these modalities offer. In an integrated learning environment, hands on projects can help children to interact and cooperate with other children, promoting understanding and fostering those vital social and communication skills. Active learning can be a great help in keeping children focused, alert, and engaged, making it easier to stay on task. If attention span becomes an issue when hands on projects are underway, the experiment can be divided into small steps with breaks given after each one. Lengthening those intervals between breaks gradually can help the child slowly build a more appropriate attention span. Getting to see the final result is a substantial reward for a job well done. Hands on projects can be integrated into nearly any learning experience. For example, while studding a life cycle of butterfly a child can gain new vocabulary, practice sequencing, following simple instructions with the help of tactile stimulation to maintain attention, learning math skills through counting days, adding or subtracting them and gaining competency in following directions. 

For the feedback please see a “Life cycle of butterfly by Basia”. It took us few weeks to see the final effect but it was rewording to watch smiling Barbara and freely flying butterfly. During these period we had time to read different sort of books to learn about butterflies, watch and share observations, draw the stages, practice writing, spelling, counting, adding or subtracting days, sequencing pictures, telling or sharing sorties with our friends, using technology, or searching the Internet. It was great fun for both children and adults.


"4 Stages of Butterfly's Life Cycle by Basia"
I Egg - II Caterpillar - III Chrysalis - IV Butterfly

Stage I Egg
2012, Basia’s Butterfly - Egg
2012, Basia’s Butterfly - Hatching Egg

Stage II Caterpillar or Larva
2012, Basia’s Growing Caterpillars
2012, Basia’s Caterpillar in J Shape

III Chrysalis or Pupa
2012, Basia’s Caterpillar Turning into Chrysalis
2012, Basia’s Chrysalis
2012, Basia’s Chrysalis

Stage IV Butterfly
2012, Basia’s Emerging Butterfly
2012, Basia’s Emerging Butterfly
2012, Basia’s Butterfly
2012, Basia’s Supportive feeding
2012, Basia’s Supportive feeding
2012, Basia’s Butterfly Independent feeding
2012, Basia Releasing Butterfly
2012, Basia Releasing Butterfly
2012, Basia Releasing Butterfly