п»їCase Study about Cancer with the Larynx
Mr. Davids is actually a 65 year old accountant that is divorced and has mature children. He has smoked cigarettes two packages of cigarettes daily for the last forty years and frequently offers three to four cocktails each night time. After many months of worrying of a throat infection and hoarseness, he was identified as having cancer with the larynx. He is now around the surgical unit after spending 2 days in ICU following a total laryngectomy. His assessment discloses vital symptoms which are: BP 150/90, heartbeat 94, temp 99 orally. He includes a laryngectomy tube in place which is receiving humidified oxygen for 28% per tracheostomy back of the shirt. His heartbeat reading is definitely 92%. He's receiving constant tube feedings via nasogastric tube. Two Hemovac drains are mentioned in the left neck place. There is a moderate amount of edema in the facial and submandibular place on the left side. Mister. Davids can be ambulatory within the room and is to the bathroom. Exactly what are the half a dozen priority concerns for this patient?
The half a dozen priority concerns for this patient are
Inadequate airway clearance
Impaired verbal communication
Damaged skin/tissue sincerity
Disturbed skin image
Impaired swallowing/Risk for desire
Risk for illness
What is the main priority trouble?
Ineffective respiratory tract clearance
What should be contained in the teaching cover this individual? *Tracheostomy treatment and looking for signs of disease.
-Avoid going swimming, and use care when showering or perhaps shaving.
-Lean slightly forwards and cover the stoma when hacking and coughing or coughing -Wear a stoma shield or loose clothing to pay the stoma
-Clean the stoma with mild water and soap. Lubricate the stoma using a non-oil based ointment because needed. -Increase humidity by using saline inside the stoma since instructed, a bedside humidifier, pans of water, and houseplants. -Obtain and have on a Medic-Alert bracelet and emergency attention card forever threatening conditions