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    Assessment Pathophysiology Objectives Interventions Rationale Evaluation

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    jesa_olive
    1) A thyroidectomy involves removing part or all of the thyroid gland to treat conditions like thyroid cancer or nodules. It can cause temporary issues like difficulty speaking, hoarseness, and neck pain during recovery. 2) The nurse's interventions are aimed at addressing the patient's impaired communication through simple questions, written cues, frequent visits, and voice rest to promote healing. 3) The goals are for the patient to establish a method of communication and meet energy and breathing assessments after 3 hours of nursing care.

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    Assessment Pathophysiology Objectives Interventions Rationale Evaluation

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    jesa_olive
    543 views3 pages
    1) A thyroidectomy involves removing part or all of the thyroid gland to treat conditions like thyroid cancer or nodules. It can cause temporary issues like difficulty speaking, hoarseness, and neck pain during recovery. 2) The nurse's interventions are aimed at addressing the patient's impaired communication through simple questions, written cues, frequent visits, and voice rest to promote healing. 3) The goals are for the patient to establish a method of communication and meet energy and breathing assessments after 3 hours of nursing care.

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    1) A thyroidectomy involves removing part or all of the thyroid gland to treat conditions like thyroid cancer or nodules. It can cause temporary issues like difficulty speaking, hoarseness, and neck pain during recovery. 2) The nurse's interventions are aimed at addressing the patient's impaired communication through simple questions, written cues, frequent visits, and voice rest to promote healing. 3) The goals are for the patient to establish a method of communication and meet energy and breathing assessments after 3 hours of nursing care.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    543 views3 pages

    Assessment Pathophysiology Objectives Interventions Rationale Evaluation

    Uploaded by

    jesa_olive
    1) A thyroidectomy involves removing part or all of the thyroid gland to treat conditions like thyroid cancer or nodules. It can cause temporary issues like difficulty speaking, hoarseness, and neck pain during recovery. 2) The nurse's interventions are aimed at addressing the patient's impaired communication through simple questions, written cues, frequent visits, and voice rest to promote healing. 3) The goals are for the patient to establish a method of communication and meet energy and breathing assessments after 3 hours of nursing care.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
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    The passage discusses a patient who has difficulty speaking after thyroid surgery and provides nursing interventions to help improve communication. Common symptoms after surgery include difficulty speaking, hoarse voice, sore throat and neck stiffness.

    Common symptoms during the recovery period include difficulty speaking, hoarse voice, irritated windpipe, difficulty swallowing, and neck tenderness. The recovery period is typically 2-3 weeks.

    Nursing interventions recommended include keeping communication simple, using short sentences and one question at a time, providing alternative communication methods, anticipating needs, visiting frequently, giving time to respond, and maintaining a quiet environment.

    ASSESSMENT PATHOPHYSIOLOGY OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

    Px: Communication, A thyroidectomy is STO: Dx: STO:


    verbal impaired the partial or After 3 hours Goal will be
    complete removal of nursing > Assess energy >Fatigue and/or met if patient will
    Subjective: of the thyroid interventions the level. shortness of breath be able to
    gland. Partial patient will be can make establish method of
    “nahihirapan akong
    thyroidectomy able to establish communication communication in
    magsalita” (lobectomy) is method of difficult or which needs can be
    used to treat communication in impossible. understood.
    Objectives:
    individual, this needs can be > Assess for
    >Difficulty localized nodules understood. presence and > Patients who are
    or tumors, whereas history of dyspnea. experiencing
    vocalizing words
    complete (total) breathing problems
    >Unable to speak thyroidectomy may may reduce or cease
    be performed in verbal
    >difficulty
    cases of thyroid communication that
    expressing thoughts enlargement, may complicate
    metabolic > Assess speech their respiratory
    verbally
    dysfunction, and periodically efforts.
    >refusal to speak primary cancer of
    the thyroid. > Hoarseness and
    >Difficulty of
    A safe procedure, sore throat may
    forming words or
    a Thyroid Surgery occur secondary to
    sentences.
    generally has no tissue
    >Use of non- verbal complications or edema or surgical
    cues. side effect; apart Tx: damage to recurrent
    from some swelling laryngeal nerve
    Ax: and discomfort >Anticipate patient and may last
    that is which are needs and pay several days.
    Communication, expected after any attention to
    impaired verbal may surgery procedure. nonverbal cues.
    be related to Pain and stiffness
    Vocal cord of the neck are >The nurse should
    injury/laryngeal also common during set aside enough
    nerve damage, the recovery time to attend to
    Tissue edema; period, which can all of the details
    pain/discomfort be anywhere from >Place important of patient care.
    2-3 weeks. During objects within Care measures may
    the recovery reach. take longer to
    period, difficulty complete in the
    while speaking, >Keep communication presence of a
    hoarse voice, an simple; ask yes/no communication
    irritated questions. deficit.
    windpipe,
    difficulty in >Use short >This maximizes
    swallowing and sentences and ask patient’s sense of
    neck tenderness only one question independence.
    are common. at a time.
    >Reduces demand for
    >Provide response; promotes
    alternative methods voice rest.
    of communication as
    appropriate >This allows the
    patient to stay
    >Anticipate needs focused on one
    as possible. Visit thought.
    patient frequently.

    >Give the patient >Facilitates


    ample time to expression of
    respond. needs.

    >Reduces anxiety
    and patient’s need
    to communicate.

    >Maintain quiet >It may be


    environment. difficult for
    patients to respond
    under pressure;
    they may need extra
    time to organize
    Edx: responses, find the
    correct word, or
    >instruct patient make necessary
    on voice language
    limitations, translations.

    >Enhances ability
    to hear whispered
    >encourage voice communication and
    rest. reduces necessity
    for patient to
    raise/strain voice
    to be
    heard

    >Prevents patient
    >Encourage patient from straining
    to socialize with voice to make needs
    family and friends.
    Known/summon
    assistance.

    .>Permanent nerve
    damage can
    occur (rare) that
    causes paralysis of
    vocal cords and/or
    compression of the
    trachea.
    >Communication
    should be
    encouraged despite
    impairment.

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