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Developing the Tracheostomy Care Anxiety Relief Through Education and Support (T-CARES) Program
Victoria Wochna Loerzel1, William Woodfin Crosby2, Ellen Reising3
1College of Nursing, University of Central Florida (UCF) in Orlando.
Caregiver anxiety regarding tracheostomy care for head and neck cancer patients was significantly reduced by the Tracheostomy Care Anxiety Relief Through Education and Support (T-CARES) program, improving patient outcomes.
Area of Science:
- Oncology Nursing
- Medical Education
- Patient Care Management
Background:
- Home care for head and neck cancer patients with tracheostomies presents complex challenges for caregivers.
- Managing artificial airways can increase caregiver anxiety, potentially leading to complications and hospital readmissions.
Purpose of the Study:
- To describe the development and outcomes of the Tracheostomy Care Anxiety Relief Through Education and Support (T-CARES) program.
- To address high readmission rates for head and neck cancer patients discharged with tracheostomies.
Main Methods:
- The T-CARES program includes an 18-minute video, group discussion, return demonstration, and skills assessment.
- Hands-on practice utilizes a low-cost anatomical task trainer.
- The program targets caregivers managing patients with tracheostomies post-head and neck cancer surgery.
Main Results:
- A significant reduction in caregiver anxiety was observed after program participation.
- The program aims to improve caregiver confidence and competence in tracheostomy management.
Conclusions:
- The T-CARES program effectively reduces caregiver anxiety associated with tracheostomy care.
- Similar educational programs can be developed for various home-care conditions to enhance patient and caregiver self-management skills.
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