Laryngectomisés dépliant - Centre hospitalier de l`Université de

How to Benefit from the Program
A form entitled Demande de fournitures et
d'équipements [application for fournitures
and supplies] must be filled out by the hospital centre where the surgery took place and
then forwarded to the service centre for
laryngectomees, tracheotomees and glossectomees located in the patient's region:
History of the Program
Service Centres for
Laryngectomees,
Glossectomees and
Tracheotomees
•
either to CHUQ, for people residing in
the eastern part of Quebec;
CHUQ - L’Hôtel-Dieu Hospital
11 côte du Palais, Room 1565
Quebec City, Quebec G1R 2J6
•
or to CHUM, for people residing in the
western part of Quebec.
Tel.: 418 691-5095
Fax: 418 691-5377
When an application for speech therapy
follow-up is received, access to professional
services is granted according to standard
hospital procedures. Such applications must
include all information pertaining to the
surgery, the related medical follow-up, and
any professional intervention reports.
Assistance Program
for Laryngectomees,
Tracheotomees
and Glossectomees
in Quebec
CHUM - Notre-Dame Hospital
1560 Sherbrooke Street East
Room K3246
Montreal, Quebec H2L 4M1
In 1980, the Ministère de la santé et des
services sociaux (the MSSS) gave NotreDame Hospital in Montreal and Hôtel-Dieu
Hospital in Quebec City the mandate to
establish an assistance program for laryngectomees in Quebec.
In 1999, these two hospitals, now known as
CHUM - Notre-Dame Hospital and CHUQ Hôtel-Dieu Hospital respectively, were mandated to expand the services offered to
include people who had undergone tracheotomies, glossectomies or partial laryngectomies.
Each person who has undergone one of
these types of surgery receives the help of
specialized personnel, according to his or
her needs: a speech-language pathologist,
social worker or psychologist, physiotherapist
and laryngectomee-visitor, all working in
close cooperation with otorhinolaryngologists (ENTs), nursing staff and support
associations. Office personnel welcome and
orient the program beneficiaries and ensure
equipment distribution and upkeep.
Tel.: 514 890-8000, ext. 25585
Fax: 514 412-7899
Who Is the Program
Intended for?
Cost of Services
The program has two sections:
These services are free for all eligible
Quebec residents.
The first section addresses people who
have undergone a total laryngectomy,
and covers communication aids and
some tracheotomy supplies.
For further information, please
contact your regional centre
(CHUQ or CHUM).
Healthcare professionals may obtain
a copy of a special guide book entitled
Guide des intervenants, from either
CHUQ or CHUM.
CENTRE HOSPITALIER DE
L’UNIVERSITÉ DE MONTRÉAL
Graphic design: CHUM, Production multimédia
Additional information
The second section involves the assignment of services and communication
aids to people who have undergone a
partial laryngectomy, a total or partial
glossectomy, a tracheotomy that permanently hinders communication.
SECTION II
SECTION I
TOTAL
LARYNGECTOMY
This section of the program targets people
who have undergone a total removal of the
larynx (vocal cords). After the surgery, laryngectomees no longer have a voice and
must breathe through a permanent hole
(tracheostoma) surgically created at the
base of their neck.
Objectives
•
To ensure a method of communication to
compensate for loss of the vocal cords;
•
To offer psychosocial support to the patient and
close family members to maximize the person's
vocal, social and occupational rehabilitation;
•
To provide some supplies for the tracheotomy.
Methods of Communication
Tracheo-esophageal prosthesis
A tracheo-esophageal prosthesis is inserted
between the trachea and the esophagus
after an opening (fistula) has been surgically created, thus allowing air from the
lungs to be used to produce sounds.
Psychosocial Support
A social worker or a psychologist, as well as
volunteer largyngectomee-visitors, work
together with the team to give the patient
and close family members the support
needed for his or her voice rehabilitation
and social reintegration.
The support begins as soon as the patient is
hospitalized, in preparation for the return
home and to initiate the steps needed to
obtain financial aid, accommodation and
transportation for the voice rehabilitation
process. This support is maintained in
keeping with each patient's particular
needs.
Equipment Loans
Artificial larynx
The following items are available as needed:
Esophageal speech
Esophageal speech is produced by forcing air into
the esophagus and expelling it to utter articulated
sounds. The speech pathology department offers group
therapy sessions in the proper use of this technique.
This section of the program is intended
for people who have undergone major
head or neck surgery that has significantly
affected their ability to speak: partial
removal of the larynx, partial or total
removal of the tongue, or a tracheotomy.
Objective
To ensure that all these patients have a functional
method of communication, as well as access to the
specialized supplies they require.
Methods of Communication
A wide range of communication aids exists. The
speech-language pathologist, together with the
patient, chooses the most appropriate aid in light
of the type of surgery undergone and the patient's
personal preferences, and then teaches the patient
how to use it.
Equipment Loans
Speech-language pathologists favour three approaches
to communication rehabilitation:
The artificial larynx is a battery-operated device that
produces a sound which replaces vocal cord vibrations and enables laryngectomees to make themselves understood. The artificial larynx is frequently
used as a post-operative method of communication,
or in combination with another method. Various
types of devices are available, so it is the speechlanguage pathologist who makes sure the patient
obtains the most suitable model.
PARTIAL
LARYNGECTOMY,
GLOSSECTOMY
AND
TRACHEOTOMY
The distribution centre supplies each patient with
one of the following items:
•
an artificial larynx intra-oral;
•
artificial larynx, intra-oral or neck-type;
•
an artificial larynx neck-type;
•
voice amplifier;
•
other types of aids, as required.
•
voice synthesizer;
•
other aids for special communication needs.
Supplies
The following supplies are provided:
•
a tracheo-esophageal prosthesis, valves
and accessories;
•
tracheotomy supplies: stoma protectors
and tracheostoma buttons.
Supplies
The following supplies are available:
•
speech cannulae;
•
tracheotomy cannula valves.