About
Complete removal of the larynx, usually to excise cancer or tumors of the larynx.
Assess
Incision, tracheostomy site, airway.
Complications
Infection, hemorrhage, wound breakdown, aspiration, stenosis of tracheostomy, respiratory distress, hypoxia.
Diagnosis
- Ineffective airway clearance related to excess mucous production and change in airway.
- Impaired swallowing related to esophageal stricture.
- Impaired communication related to removal of or damage to vocal cords.
- Risk for infection.
- Ineffective coping related to change in appearance and communication.
- Pain related to actual tissue damage secondary to surgery.
Goals
- The client will be able to describe activities necessary to prevent complications post-operatively.
- The client will be able to use alternate methods of communication after surgery.
- The client will maintain a patent airway.
- The client will remain free from infection and complications.
Interventions
- Assess the client's current knowledge about procedure including pre- and post-operative activities.
- Encourage client to express concerns related to surgery and possible changes in body image and communication post-operatively.
- Assess airway, pulse oximetry, lung sounds, incision, tracheostomy frequently post-operatively.
- Assess vital signs post operatively every 15 minutes X's 2, every 30 minutes X's 2, every 1 hour X's 2, than every four hours.
- Teach client different techniques to use to communicate including call-light, communication board, pen/paper, etc.
- Monitor for signs and symptoms of infection or obstruction of airway.
- Maintain suction equipment at the bedside and perform suctioning frequently to remove excess secretions.
- Administer antibiotics, analgesics as ordered by physician.
- Teach coughing and deep breathing techniques.
- Provide humidification with oxygen to the tracheostomy.
- Provide frequent trach care.
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