During the Evaluation
During the evaluation, a speech-language pathologist and a respiratory therapist will first discuss your child’s medical history and their anatomy. Once a medical history has been taken, the therapists will monitor your child’s vitals. If your child is ventilator dependent, the Passy Muir Valve can be placed in line with the tubing. If your child is trach dependent only, they will use a device called a manometer along with the speaking valve to determine what speaking valve is best for your child. Once a valve has been chosen, your child’s vitals will be monitored while they wear the valve. After the evaluation has been completed, the therapists will review their plan and recommendations with you.
If your child’s tracheostomy was placed at an outside facility or their most recent bronchoscopy was at an outside facility, please bring any documents from these visits for the therapist to review.