A 57-year-old practicing attorney with a diagnosis of ALS for 2 years has a tracheostomy for…

A 57-year-old practicing attorney with a diagnosis of ALS
for 2 years has a tracheostomy for nocturnal mechanical ventilation. He is
still able to function and practice law in a specialized wheelchair and wants
to maintain his independence and professional practice as long as possible.
What measures can be offered to help him maintain his respiratory function,
avoid exacerbations that could lead to acute respiratory failure, and preserve
his quality of life?

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