Nursing Diagnosis and Nursing Intervention for Thyroidectomy
Thyroidectomy
A thyroidectomy is an operation that involves the surgical removal of all or part of the thyroid gland. Surgeons often perform a thyroidectomy when a patient has thyroid cancer or some other condition of the thyroid gland (such as hyperthyroidism). Other indications for surgery include cosmetic (very enlarged thyroid), or symptomatic obstruction (causing difficulties in swallowing or breathing). One of the complications of "thyroidectomy" is voice change and patients are strongly advised to only be operated on by surgeons who protect the voice by using electronic nerve monitoring. Most thyroidectomies are now performed by minimally invasive surgery using a cut in the neck of no more than 2.5 cms(1 inch).
Impaired Verbal Communication
Can be evidenced by
Expected Result
Nursing intervention and Rationale for Thyroidectomy
Thyroidectomy
A thyroidectomy is an operation that involves the surgical removal of all or part of the thyroid gland. Surgeons often perform a thyroidectomy when a patient has thyroid cancer or some other condition of the thyroid gland (such as hyperthyroidism). Other indications for surgery include cosmetic (very enlarged thyroid), or symptomatic obstruction (causing difficulties in swallowing or breathing). One of the complications of "thyroidectomy" is voice change and patients are strongly advised to only be operated on by surgeons who protect the voice by using electronic nerve monitoring. Most thyroidectomies are now performed by minimally invasive surgery using a cut in the neck of no more than 2.5 cms(1 inch).
Nursing Diagnosis
Related to
- laryngeal nerve damage
- vocal cord injury,
- tissue edema; pain and discomfort
Can be evidenced by
- impaired articulation,
- does not or cannot speak; use of nonverbal cues such as gestures
Expected Result
- Communication
- Establish method of communication in which needs can be understood.
Nursing intervention and Rationale for Thyroidectomy
- Assess the client periodically talks
R /: hoarse voice and sore throat is the second factor of odema / network as the effects of surgery. - Perform a brief communication with the yes / no answer.
R /: Reduced response to talk too much. - Provide alternative methods of communication as Appropriate-slate board, letter and picture boards. Place intravenous (IV) line to minimize interference with written communication.
R /: Facilitates expression of needs. - Encourage speech assessed periodically and voice rest.
R /: hoarseness and sore throat may occur secondary to tissue edema or surgical damage to recurrent laryngeal nerve and may last Several days. Permanent nerve damage can occur (rare) That Causes paralysis of vocal cords and or compression of the trachea.
