Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
To effectively communicate the potential complications of stridor to patients and their families, it is important to provide comprehensive information regarding respiratory impairment and its management.
- Explain the Nature of Respiratory Impairment and its Symptoms:
- Inform patients and families about symptoms that indicate potential respiratory impairment, which can be associated with stridor NICE NG42. These include breathlessness, increased respiratory rate, orthopnoea, shallow breathing, recurrent chest infections, disturbed sleep, and daytime sleepiness NICE NG42.
- Explain that a weak cough, abdominal paradox, and use of accessory muscles of respiration are also signs to monitor NICE NG42.
- Discuss the role of medication for breathing problems and options for treating any infections NICE NG42.
- Detail Treatment Options and their Associated Considerations:
- If non-invasive ventilation (NIV) is a consideration, explain what it is, what it can achieve, its advantages and disadvantages, and the possibility of becoming dependent on it NICE NG42.
- Provide information on why NIV is used, how it works, the benefits of continuing treatment, and advice on encouraging adherence NICE NG202.
- Discuss potential side effects and how to manage technical and clinical problems, including obtaining replacement parts and managing issues with masks NICE NG202.
- Explain how to clean and maintain equipment and the practicalities of taking short breaks or travelling with NIV NICE NG202.
- Advise on appropriate precautions if there is a risk of airborne infection, as NIV is an aerosol-generating procedure NICE NG202.
- Reassure patients that NIV can be stopped at any time and that medicines can be used to alleviate symptoms NICE NG42.
- Ensure Understanding and Support for Decision-Making:
- Check that the person understands the information provided and has enough information about treatment options to make informed decisions NICE NG42.
- Emphasize the need for regular review of their condition and treatment NICE NG42.
- Provide support and information on how to recognise and cope with distressing situations NICE NG42.
- Involve and Support Families and Carers:
- Ensure families and carers have an initial assessment, including their ability and willingness to assist with care and their training needs NICE NG42.
- Offer them the opportunity to discuss any concerns with the multidisciplinary team, respiratory ventilation service, or other healthcare professionals NICE NG42.
- Provide ongoing support and training for family members and carers in using equipment and other communication strategies NICE NG42.
- Before discharge, ensure the person, their family, and physician are confident they can manage successfully at home, and provide appropriate information on medication use, including oxygen NICE NG115.