The Effects Of Chemo And Radiation Therapy On The Cancer

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A 45 year old male, with a history of smoking ½ packs of cigarettes a day for the past 30 years has been diagnosed with laryngeal cancer. The patient comes into the hospital for a follow up visit to his health care provider. Where he has been getting radiation and chemotherapy treatments for the cancer. He has complaints of pain, dyspnea at times and dysphasia. While discussing the progress of his condition the doctor states that the chemo and radiation therapy has not been successful and the cancer has started to progress. The doctor then states the next steps to prevent the spread of the cancer, and that’s to have total laryngectomy surgery. The patient understands the severity of his condition but is now experiencing anxiety because of …show more content…

The purpose of laryngectomy is to remove tumor or cancerous tissues. It is done when the larynx is badly damaged or when cancer has advanced. Often, if the cancer has spread, other surrounding structures in the neck, such as lymph nodes, are removed at the same time. Partial laryngectomies are done when cancer is limited in one area of which the tumor is located, will be removed. Also laryngectomy is performed because cancer treatment option, such as radiation or chemotherapy has failed. (Gale Encyclopedia of medicine. 2008). Nurses play a critical role in patient education throughout the entire spectrum of healthcare. Nursing care of people who have a total laryngectomy starts in the pre-operative period with patient education and continues after discharge with follow-up care. The nurse-patient relationship begins in the outpatient setting, where the nurse performs a complete head-and-neck assessment and comprehensive review of the patient’s past medical and social history. (Cheryl Bressler, MSN, RN). First, to start the process of preop care, making sure the patient had a restriction of foods and liquids at least six to nine hours before the surgery. The nurse would make sure the patient signed a consent form after thoroughly explaining the procedure. A

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