An easier way to speak again

Article Abstract:

The Provox 2 voice prosthesis represents a significant advance for patients who have had a laryngectomy. The device allows good speech quality with less effort than earlier prostheses, and insertion of the device is a simple procedure which causes the patients no trauma. Some patients may be able to replace their own prosthesis. The nurse has a central role concerning patients with a Provox 2 voice prosthesis. The nurse can easily insert the device, but must also be responsible for training the patient to clean the prosthesis and for monitoring the ongoing care.

Management, Artificial larynx

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Voice restoration prostheses: the options

Article Abstract:

A voice restoration prosthesis can help patients who have undergone a total laryngectomy to retain some form of vocal communication, which can improve their standard of live immensely. A patient can be taught to use the prosthesis, which directs air over vibrating tissue located in the oesophagus. Patients need to be motivated and dexterous to use the prosthesis, which has proved to be highly successful. Both permanent and non-permanent voice restoration prosthesis can be used, depending on the suitability of the patient.

Usage, Prostheses and implants, Prosthesis

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Closing options

Article Abstract:

Virginia Bottomley's decision to close some hospitals in London, England, has angered nurses. Although Conservative backbenchers threatened to fight the decision, few nurses expect their hospitals to be saved. Bottomley plans to close both Brook Hospital and St Bartholomew's. She will also downgrade Guy's Hospital and the hospitals in Edgware and Greenwich.

Hospitals, Social policy, Bottomley, Virginia

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