Silvercrest Center for Nursing and Rehabilitation (SNCR) is a 320 bed subacute and long term care facility. SCNR has the largest tracheostomy and ventilator dependent weaning program in New York State with up to 80 designated ventilator beds. They have set the standards for ventilator care in NYS as their interdisciplinary team model insures comprehensive, coordinated care. The "Vent Team" meets regularly to discuss patient specific goals for rehabilitation candidates, and to maximize each person's quality of life. Patients are evaluated for cuff deflation tolerance and upper airway flow to facilitate verbal communication and airway protection during swallowing.
The Passy Muir® Valve is used as a step in the weaning and decannulation process as the patient begins to restore a "closed system" while swallowing function improves. The full time speech pathologists and 24 hour respiratory therapy staff work closely with the medical team to allow verbal communication options to those who can benefit. Ventilator dependent patients participate in rehabilitation therapy with the physical, occupational, speech and recreation therapies, while being connected to their portable ventilators. Despite the complex medical conditions that are present on the ventilator unit, many patients maximize their quality of life as they communicate their intentions and needs verbally. It is not uncommon to see a patient connected to a ventilator dancing and singing on the dance floor during a special event at Silvercrest.
Meet the Team
Agnes uses the Passy-Muir Valve with mechanical ventilation and explains how it helps people to "live again."
Policies and Procedures
Click here to download Silvercrest's Passy-Muir Policy and Procedure
Publications and Presentations
Long Term Living: For the Continuing Care Professional - Upgrading Respiratory Services
Concepts in Ventilator Weaning: Challenges for the Patient with Dysphagia
The Interaction of Pulmonary Physiology and Swallowing: A Juggling Act for the Physician and Speech-Language Pathologist
Managing Adults With Tracheostomies and Ventilator-Dependence
Advance for Speech-Language Pathologists and Audiologists
Trach and Vent Evaluations: Images from the Silvercrest Center for Nursing and Rehabilitation