Term
|
Definition
| complet removal of the larynx |
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Term
| total laryngectomy is performed |
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Definition
| in most advanced stage IV laryngeal Ca, when tumor goes beyond vocal cords |
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Term
| what is removed in a laryngectomy list all |
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Definition
1. Hyoid bone
2. Epiglottis
3. Cricoid cartilage and 2-3 rings of trachea
4. Tongue, pharyngeal walls, and trachea are preserved
5. Result in permanent loss of voice and change in airway |
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Term
| emotional impact of laryngectomy |
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Definition
1. This surgery is a serious threat to a person’s body imange and self-esteem
2. Disfiguring
3. Alters communication
4. Reaction of family and friend is a concern
a. Be a good listener
b. Provide positive approach
c. Refer to support groups (local or national)
5. Through teaching on dressing, tubes, and drains empowers pt and family |
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Term
| Pre op for laryngectomy is |
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Definition
1. Depends on specific surgery being performed
2. If communication is lost, pt mush know that a system of communication will be established
a. Call light
b. Communication board and writing
3. Education about nature of surgery and reinforce surgeon’s explanation voice will be lost, rehab for retraining
4. Review equipment and tx post-op, esp. deep-breathing exercises. |
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Term
| Observe for what in a laryngectomy |
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Definition
a. Restlessness,
b. Labored breathing
c. Apprehension
d. Increased pulse
e. TCDB
f. Suctioning prn
g. Ambulation
h. Care of tube placed
i. Clean stoma daily
j. Observe, measure, and record drainage from any drains in place
k. Reassurance, esp with coughing
l. Cleansing area after coughing up secretions
m. Provide humidification
n. Tube will be removed when stoma is well-healed, usually within 3-6wks post-op |
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Term
|
Definition
| an indwelling tube inserted into the trachea, mat be temporary or permanent |
|
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Term
|
Definition
i. Bypass an upper airway obstruction
ii. Allow removal of tracheobrachial secretions
iii. Permit long-term use of mechanical ventilation
iv. Prevent aspiration of oral or gastric secretions
v. Replace an endotracheal tub |
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