Delivery Of Safe Care For Post Laryngectomy Patients

Critically ill patients that require mechanical ventilation are at risk of developing secondary infections that may increase length of stay and possibly even morbidity. This fragile patient population requires special attention and meticulous adherence to established nursing standards of care. These standards of care are founded on evidenced based practices. It is important that nurses receive education about why these standards are in place and what consequences can result due to not following the established care protocols.

The aim of this case study is to analyse and evaluate the anaesthetic and recovery care delivered to a patient undergoing an Adenotonsillectomy. To do this I will outline the process of ensuring the provision of safe and effective care for the patient, give a description of the procedure and equipment used in the anaesthetic room including the drugs used for this particular case and rationale for their use. I will also give a brief description of the surgical procedure including the anaesthetic and recovery care provided. Finally, I will summarise with an evaluation of the care that the patient received. For the purpose of this study, the patient will be referred to as ”the patient”. In doing so, the patients’ right to confidentiality will not be breached and it is also within the boundaries and guidelines set out in local trust policies G10, the Health and Care Professions Council Code of Conduct & Ethics for Students (HCPC 2012 pg 9), the Data Protection Act (1998) & the Caldecott Principles (2013).

Therefore, the overall prognosis is guarded in view of the underlying pathology, its extent and the post-operative respiratory insufficiency. The life expectancy is difficult to anticipate but the

DESCRIPTION OF PROCEDURE: The patient was prepped and draped in the usual manner. A vertical incision was made along the anterior border of the neck. The patient has a very short neck; therefore, it made the operation much more difficult. Dissection was carried down to the trachea using Bovie cautery. The patient had multiple small vessels in the operative area that had to be either bovied or ligated with interrupted 3-0 silk sutures or stick tied with 3-0 silk sutures. After completion of the

Mrs. Newman has been experiencing hoarseness and a change in her voice, but she did not seek medical help until she began to have difficulty swallowing. After being seen by her healthcare provider, she is scheduled for outpatient surgery for a direct laryngoscope to obtain a culture and take a biopsy.

Oropharyngeal cancer is a disease in which malignant (cancer) cells form in the tissues of the oropharynx. The oropharynx is the middle part of the throat, behind the mouth. If you’re male and between the ages of 50 to 69 years old — which according to the study, is the age group with the highest prevalence of oral HPV — here’s what you need to know about oropharyngeal cancer:

You gave great examples of patient safety indicators that you saw in your clinical facility. It is interesting to see how different clinical sites handle certain preventative measures. “The purpose of patient safety measurement is to discover, assess, and correct problem areas before a significant untoward patient incident occurs.” (Spath, 2011, p. 60). Using a incentive spirometer and flutter valve are just a few ways that the nurses helped to prevent postoperative respiratory failure in patients you saw. They knew exactly what to do to help keep the patients lungs clear so that they would not end up with repercussions from their surgery. The steps that the nurses and facility choose will influence the unit’s practice and patient outcomes

When Brandi McGlathery held her newborn son for the first time, she saw a perfect baby, "..he had five fingers on each hand and five toes on his little legs, nothing is missing, except for his nose. "

Cancer is a class of diseases in which abnormal cells multiply and divide uncontrollably in the body. These abnormal cells form malignant growths called tumors. Throat cancer refers to cancer of the voice box, the vocal cords, and other parts of the throat, such as the tonsils and oropharynx.Throat cancer is often grouped into two categories: pharyngeal cancer and laryngeal cancer. Pharyngeal cancer forms in the pharynx. This is the hollow tube that runs from behind your nose to the top of your windpipe. Laryngeal cancer forms in the larynx, which is your voice

Laryngeal cancer as its name suggests occurs in the tissue cells of the larynx. It is located between the base of the tongue and trachea and also contains the vocal cords. The larynx is composed of three parts, the supraglottis, glottis, and subglottis. In that order from upper, middle, and lower in relation to where it

A 68-year-old man complained of a laryngeal invasion due to a neck mass and underwent a wide excision of the thyroid bed and a complete laryngectomy. The patient was initially diagnosed with a sarcomatoid carcinoma of the neck, which showed a rather unusual histological profile. The tumor showed epithelioid-tubular structures containing mucin pools, with a fibrous or sarcomatous background, which is not consistent with the typical morphological features of ATC (Fig. 1A and 1B). The patient was treated with adjuvant radiotherapy (42 Gy) and chemotherapy, with the regimens adjusted for sarcomatoid carcinoma of the larynx (2 cycles of etoposide, ifosfamide and cisplatin, and 2 cycles of ifosfamide and adriamycin). However, the size of

To recall, a glossectomy is the surgical removal of all or a part of one’s tongue, typically due to cancer. These cancerous growths can either be directly on the tongue or can arise from cancers cells from other areas, such as the floor of the mouth, other regions of the mouth, or the throat. Preparations need to be made for changes in the way the patient will speak and swallow. The degree in which the adjustments will need to be made is dependent on many different considerations, such as the amount of the tongue being removed, the location where the tongue is removed (such as toward the base of the tongue), and what methods of reconstruction are approached.

An ENT doctor stands for doctor for the ears, nose and throat, and he treats abnormalities and defects in these areas. Normally, they will treat abnormality in the anatomical areas, and because of a deformity that normally occurs during the embryological development. That leaves the affected person with defect. As a result, a disease will sometimes develop in that region later in life, and that can mean head or neck cancer.

Salivary gland tumors are a morphologically diverse group of neoplasms, which may present considerable diagnostic and management challenges for the pathologist and surgeon. Salivary gland tumors are rare with an overall incidence in the western world of about 2.5 to 3.0 per 100,000 per year. About 80% of all lesions are benign; hence salivary malignancies are particularly rare, comprising less than 0.5% of all malignancies and about 5% of cancers in the head and neck. (1)

Common head and neck surgery includes the removal of the voice box: largyngectomy and tracheostomy: making an incision on the anterior aspect of the neck and opening an airway through an incision in the trachea. The removal of the larynx occurs in cases of laryngeal cancer and in this case the airway is separated from the mouth, nose and oesophagus meaning that the patient will breathe through a stoma in the neck. In tracheostomy cases the resulting stoma can act as an airway and a tracheotomy tube is inserted, enabling the individual to breathe without the use of their nose and mouth.