Planning Care for the Client with Laryngeal Cancer
A 65-year-old male was admitted for evaluation of pain on swallowing and a sore throat that has persisted for the past year. The discomfort has not changed with the use of various over the counter cold remedies. The client has lost weight due to a decrease in appetite and difficulty swallowing. He has smoked 3 packs of cigarettes a day for 40 years.
A laryngoscopy showed a subglottic mass. The client had a total laryngectomy with tracheostomy to manage laryngeal cancer. He also has a nasogastric tube in place.
You will be providing care for this client during his first 72 hours after surgery.
Initial Discussion Post:
There are multiple nursing diagnoses that are applicable to this client during the time when you will be providing care.
Select one NANDA-I nursing diagnosis and describe why it is a priority for this client.
What is the cause or related factor for this NANDA-I nursing diagnosis?
Identify an outcome for this NANDA-I nursing diagnosis. The outcome must be patient centered and measurable.
Identify two (2) nursing interventions that will help this client achieve the outcome.
Describe how each intervention will help the patient achieve the outcome..
Planning care for the client with laryngeal cancer
Name
Institution
Date
There are multiple nursing diagnoses that are applicable to this client during the time when you will be providing care. Select one NANDA-I nursing diagnosis and describe why it is a priority for this client. What is the cause or related factor for this NANDA-I nursing diagnosis? Identify an outcome for this NANDA-I nursing diagnosis. The outcome must be patient centered and measurable. Identify two (2) nursing interventions that will help this client achieve the outcome. Describe how each intervention will help the patient achieve the outcome.
The NANDA-I nursing diagnosis is risk diagnosis related to ineffective airway clearance. This is a priority since the patient still faces a challenge swallowing and breathing after the surgery. In any case, since the nasogastric tubes in place, this will affect neck breathing and when combined with the surgical manipulation this will alter the ability to breathe, and swallow. There will also be impaired verbal communication because of the surgical procedure and tubing,...
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