How can I effectively communicate the potential complications of stridor to patients and their families?

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 ¹. These include breathlessness, increased respiratory rate, orthopnoea, shallow breathing, recurrent chest infections, disturbed sleep, and daytime sleepiness ¹.
  • Explain that a weak cough, abdominal paradox, and use of accessory muscles of respiration are also signs to monitor ¹.
  • Discuss the role of medication for breathing problems and options for treating any infections ¹.
• 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 ¹.
  • Provide information on why NIV is used, how it works, the benefits of continuing treatment, and advice on encouraging adherence ³.
  • Discuss potential side effects and how to manage technical and clinical problems, including obtaining replacement parts and managing issues with masks ³.
  • Explain how to clean and maintain equipment and the practicalities of taking short breaks or travelling with NIV ³.
  • Advise on appropriate precautions if there is a risk of airborne infection, as NIV is an aerosol-generating procedure ³.
  • Reassure patients that NIV can be stopped at any time and that medicines can be used to alleviate symptoms ¹.
• 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 ¹.
  • Emphasize the need for regular review of their condition and treatment ¹.
  • Provide support and information on how to recognise and cope with distressing situations ¹.
• 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 ¹.
  • Offer them the opportunity to discuss any concerns with the multidisciplinary team, respiratory ventilation service, or other healthcare professionals ¹.
  • Provide ongoing support and training for family members and carers in using equipment and other communication strategies ¹.
  • 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 ².