Living with a tracheostomy changes how you breathe, speak, and live each day. Whether temporary or permanent, a tracheostomy requires precise, round-the-clock care and vigilant attention to prevent complications. The procedure itself may offer life-saving respiratory support, but maintaining the health and hygiene of the airway is essential for long-term safety, comfort, and independence.
Freida Home Care provides comprehensive, in-home tracheotomy care led by skilled nurses and trained caregivers. We focus on quality, safety, and respect — ensuring that every client receives tailored, professional support for their tracheostomy needs, all within the comfort and security of home.
A tracheostomy is a surgical procedure in which a hole (stoma) is made through the front of the neck into the trachea (windpipe). A tube is inserted into this opening to allow air to reach the lungs. This procedure is typically performed when a patient cannot breathe effectively through their mouth or nose due to an obstruction, prolonged intubation, chronic lung disease, or neuromuscular conditions.
According to the National Institutes of Health (NIH) and American Thoracic Society:
Over 100,000 tracheostomies are performed annually in the United States.
Many are temporary, but some individuals require long-term or permanent airway support.
Complications are common without professional tracheostomy care, including infection, dislodgement, airway obstruction, and skin breakdown.
Proper in-home tracheostomy care helps patients maintain oxygenation, avoid hospital readmissions, and return to their daily routines with confidence.
Tracheostomies are often required by individuals with:
Prolonged intubation (mechanical ventilation beyond 1–2 weeks)
Upper airway obstruction (tumors, trauma, stenosis)
Neuromuscular diseases (ALS, spinal cord injury, muscular dystrophy)
Severe pulmonary disease (COPD, cystic fibrosis)
Stroke with impaired swallowing or vocal cord paralysis
Head and neck cancer
Congenital airway abnormalities in children
For these patients, the tracheostomy may be part of a broader plan including oxygen therapy, ventilator support, or complex medication regimens. In-home care ensures that all components are properly managed.
Tracheostomy management is a delicate process. It requires more than routine cleaning. Without skilled care, complications can develop rapidly:
Mucus plugging and airway blockage
Accidental decannulation (tube dislodgement)
Stomal infections or abscesses
Granulation tissue or bleeding
Aspiration pneumonia
Skin breakdown or ulceration
Psychological distress due to discomfort or inability to communicate
Freida Home Care provides daily monitoring, preventive care, and emergency-readiness, reducing risks while supporting dignity and autonomy.
Each wound care visit includes:
Assessment: Visual and tactile inspection of the wound, including size, depth, tissue type, drainage, odor, and signs of infection
Cleaning: Use of sterile techniques to remove dead tissue, bacteria, and debris
Dressing: Application of an appropriate dressing (foam, hydrocolloid, alginate, hydrogel, etc.)
Pain Management: Evaluation of pain levels and administration of topical or prescribed medications as needed
Education: Teaching the patient and family how to monitor and care for the wound between visits
Documentation: Written and photographic records to track healing progress and inform the medical team
The nurse may also coordinate additional services, such as physical therapy, nutrition consultation, or durable medical equipment if required.
Freida Home Care has specialist who will call you immediately and setup a phone consultation with an in home wound care specialist.
Cleaning around the stoma
Changing inner cannulas (for dual-lumen tubes)
Monitoring for infection, bleeding, or granulation
Applying appropriate dressings or barriers
Using sterile or clean technique suctioning
Assessing for signs of mucus plugging
Teaching patients and caregivers how to safely suction
Monitoring oxygen levels and respiratory rate
Routine tube changes per physician schedule
Emergency tube replacement if dislodged or blocked
Documentation of size, type, and manufacturer
Ensuring circuits are secure and moisture is regulated
Preventing drying of secretions
Monitoring for ventilator alarms and alerts
Setup and management of oxygen concentrators or tanks
Nebulizer treatments for bronchodilation and secretion mobilization
Charting of respiratory function and response
Ensuring circuits are secure and moisture is regulated
Preventing drying of secretions
Monitoring for ventilator alarms and alerts
Ensuring circuits are secure and moisture is regulated
Preventing drying of secretions
Monitoring for ventilator alarms and alerts
Family training in decannulation and CPR
On-hand emergency trach kits
Laminated action plans for 911 responders
Ensuring circuits are secure and moisture is regulated
Preventing drying of secretions
Monitoring for ventilator alarms and alerts
Freida Home Care has specialist who will call you immediately and setup a phone consultation with an in home wound care specialist.
The presence of a tracheostomy can deeply affect a patient’s self-image, relationships, and mental health. At Freida Home Care, we treat the whole person, not just the airway.
We support:
Counseling and coping strategies for body image and communication barriers
Age-appropriate care for pediatric trach patients (play therapy, parental coaching)
Reintegration support for adults returning to work or school
Group therapy and peer mentoring referrals as requested
Clients often report greater ease in expressing emotions, participating in daily life, and forming connections when they feel secure and well-supported.
Family caregivers often experience high levels of stress when caring for a loved one with a tracheostomy. We provide extensive education including:
Hands-on suction and cleaning training
Written manuals and visual checklists
Infection prevention tips
Emergency procedures
Supply and equipment management
When caregivers feel confident, patients feel safer — and both benefit from fewer complications and ER visits.
Full health and equipment review
Assessment of tracheostomy site and stoma health
Verification of suction equipment, oxygen supply, and emergency kits
Development of a complete care plan with short- and long-term goals
Family training session and documentation setup
Scheduling of regular nursing visits or 24-hour care coverage as needed
We also coordinate with your physician, pulmonologist, or hospital discharge planner to ensure care transitions are seamless.
You or your loved one may benefit from Freida Home Care’s tracheostomy services if:
A new tracheostomy has been placed and training is required
You’ve been discharged from rehab or hospital with airway support needs
You’re living with a long-term tracheostomy and want professional care at home
You’re experiencing frequent mucus plugs, infection, or equipment issues
Your caregiver needs respite, education, or reinforcement of skills
Whether temporary or permanent, in-home care can significantly improve health outcomes, reduce complications, and support emotional well-being.
Tracheostomy may be required as part of the treatment or management plan for:
ALS and other motor neuron diseases
Spinal cord injuries (cervical)
Brain injuries or coma
Chronic obstructive pulmonary disease (COPD)
Obstructive sleep apnea
Laryngeal or esophageal cancer
Sepsis with prolonged intubation
Congenital airway anomalies in children
Our experience spans pediatric to geriatric populations, and we adjust our approach to meet your family’s medical, cultural, and lifestyle needs.
Research shows that home care for tracheostomy patients offers:
Fewer hospital readmissions
Improved tracheostomy hygiene and stoma health
Better ventilator compliance and secretion management
Increased patient satisfaction and comfort
Lower rates of anxiety and depression in caregivers
At Freida Home Care, we measure success not just by symptom reduction — but by quality of life.
Email your questions or physician discharge notes to: support@freidahomecare.com
Visit freidahomecare.com/schedule to pick the best time to speak with a care coordinator.
Text “Trach Help” to (XXX) XXX-XXXX and a specialist will contact you to discuss options.
Click here to schedule an in-home tracheostomy care evaluation today.
Our team will respond promptly and help you begin building the support your family deserves.