Communicating is one of the essential life needs, a requirement that becomes even more important for patients subjected to tracheostomy, often deprived of alternative suitable instruments for both expressing physiological needs and attenuating negative feelings connected with their condition. Through an analysis of literature, it is possible to outline different communication approaches that constitute an alternative to the verbal one that the nurse, following a customized care project, must select according to the assisted person’s experiences and learning skills. Main target is restoring the communication between patient
and environment at a bi-directional osmosis level