Épisodes

  • Innovations in Long Term Care Part 2: Transforming Respiratory Care in Nursing Homes
    Dec 31 2025

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    In this episode of the Tracheostomy Education Podcast, Nicole DePalma, Dr. Jerry Gentile, and guest Gene Gantt discuss the complexities of respiratory care in nursing homes, the importance of accreditation, and the impact of standards of care on patient outcomes. They explore the challenges facilities face in managing costs while ensuring quality care, and how proper implementation of respiratory therapy can lead to significant savings and improved patient health. The conversation emphasizes the need for adequate staffing, training, and the ethical considerations in respiratory care.

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    27 min
  • Innovations in Long-Term Care: Outcomes-Based Solutions for Tracheostomy and Ventilator Care
    Nov 10 2025

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    In this episode of the Tracheostomy Education Podcast, Nicole DePalma and Dr. Jerry Gentile speak with Gene Gantt, president of Eventa, about the challenges and innovations in respiratory care for patients with tracheostomy and mechanical ventilation, particularly in long-term settings. They discuss the development of outcomes-based reimbursement models, the issues surrounding weaning patients from ventilators, and the financial incentives that often hinder quality care. The conversation also touches on the competition between nursing homes and long-term acute care hospitals, as well as the often neglected area of tracheostomy care in nursing facilities.

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    31 min
  • Trach, Vent, and Swallow – Part 2: Innovations and Assessments in Dysphagia Management
    Jul 22 2025

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    In this episode of the Tracheostomy Education Podcast, Nicole and Jerry discuss swallowing management for patients with tracheostomy and mechanical ventilation. They explore the increased risk of aspiration, the importance of thorough assessments by speech pathologists, and the use of instrumental assessments like FEES and modified barium swallow studies. The conversation also touches on innovations in swallowing assessment, including subglottic suctioning, and emphasizes the need for individualized care in managing swallowing disorders.

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    https://tracheostomyeducation.com
    instagram.com/tracheostomyeducation
    linkedin.com/in/nicole-de-palma-708b16b
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    34 min
  • Trach, Vent, and Swallow: What Every Clinician Should Know
    Jul 2 2025

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    In this episode of the Tracheostomy Education Podcast, Nicole and Jerry discuss the critical aspects of swallowing management for patients with tracheostomies. They explore the high risk of aspiration, the role of speech language pathologists, and the impact of cuffs on swallowing safety. The conversation emphasizes the importance of proper assessment and the need for a multidisciplinary approach to care, including dietary considerations and respiratory support.

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    https://tracheostomyeducation.com
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    29 min
  • Finding the Voice: Speaking Valves and Above the Cuff Vocalization for Tracheostomy Patients
    Apr 10 2025

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    In this episode of the Tracheostomy Education Podcast, Dr. Jerry Gentile and Nicole discuss various communication options for patients with tracheostomy tubes. They explore the anatomy of normal voicing, the importance of speaking valves, contraindications for their use, and techniques for above the cuff vocalization. The conversation also covers strategies for capping and decannulation, emphasizing the significance of airflow management in improving patient outcomes.

    Support the show

    https://tracheostomyeducation.com
    instagram.com/tracheostomyeducation
    linkedin.com/in/nicole-de-palma-708b16b
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    29 min
  • Understanding Communication Challenges and Solutions for Tracheostomy Patients
    Mar 26 2025

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    In this episode of the Tracheostomy Education Podcast, Dr. Jerry Gentile and Nicole DePalma discuss the various communication options available for patients with tracheostomy tubes. They explore the anatomy of normal voicing, the impact of tracheostomy on communication, the consequences of communication barriers, and the different methods to facilitate communication, including nonverbal strategies and leak speech. The conversation emphasizes the importance of effective communication in healthcare settings and the need for tailored approaches to meet individual patient needs. This is part 1 of 2.

    Support the show

    https://tracheostomyeducation.com
    instagram.com/tracheostomyeducation
    linkedin.com/in/nicole-de-palma-708b16b
    linkedin.com/in/dr-jerry-gentile


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    31 min
  • The Humidification Factor: Understanding Devices & Best Practices in Respiratory Care
    Mar 10 2025

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    In this episode, Nicole and Dr. Jerry Gentile continue their deep dive into the critical role of humidification in respiratory care. They break down the science of humidity, the different types of humidifiers, and their practical applications, particularly for patients with tracheostomies. The discussion highlights why maintaining proper humidity levels is essential for airway health, preventing complications, and improving patient comfort. Nicole and Dr. Gentile also explore the effectiveness of various humidification devices, considerations for clinical use, and how to tailor humidification strategies to individual patient needs. Tune in for expert insights on optimizing respiratory care through proper humidification!

    Support the show

    https://tracheostomyeducation.com
    instagram.com/tracheostomyeducation
    linkedin.com/in/nicole-de-palma-708b16b
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    37 min
  • The Humidification Factor: A Key to Tracheostomy Care
    Feb 12 2025

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    In this episode of the Tracheostomy Education Podcast, Dr. Jerry Gentile and Nicole DePalma discuss the critical role of humidification, particularly for patients with tracheostomies. The conversation covers the definitions of humidity, the physiological processes of the upper airway, and the implications of bypassing natural humidification through artificial airways. The importance of adequate humidification is emphasized to prevent complications such as thick secretions and mucus plugging, and discusses practical strategies for managing these issues in clinical settings.

    Support the show

    https://tracheostomyeducation.com
    instagram.com/tracheostomyeducation
    linkedin.com/in/nicole-de-palma-708b16b
    linkedin.com/in/dr-jerry-gentile


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    33 min