You are still in our prayers.
As for the cuff, ask for the newer plastic ones that don’t use a cuff.
It might just depend if the tracheostomy hole is healed or ot. But you don’t want the trachea to get injured from the baloon.
And ask about postural drainage to help her get up her secretions. Is she able to cough?
Finally, is she swallowing saliva? Some medicines (Clonazepam for seizures) increase secretions. Most medicines that dry saliva also dry the lung secretions and make them so think you can’t get them out, but some docs are using botox to slow down excess saliva.
I’ll copy and pass all of this on to her family. Thank you very much.