For nursing students who are about to view this sample nursing care plan for Laryngeal Cancer, I'd like to emphasize the following points:
- When I drafted this NCP for Laryngeal Cancer, I had a post-total laryngectomy patient in mind. Hence, some interventions are very specific for total laryngectomy cases and are NOT applicable to patients with partial laryngectomy ( e.g. referrals to a speech therapist on the use of artificial larynx and esophageal speech).
- Although maintaining a patent airway is a general nursing priority when caring for patients who have had a laryngectomy, loss of speech is also a major concern for clients as it poses a serious psychological issue. And believe it or not, there is no risk for aspiration after total laryngectomy because the trachea and esophagus are permanently separated after surgery unless a fistula forms from the trachea to the esophagus.
- When going over this nursing care plan, you might be surprised to find out that I didn't include dependent nursing interventions. As previously mentioned, the nursing diagnosis is Impaired Verbal Communication and so I deemed it appropriate that the nursing interventions will be based (solely) on the nursing problem identified. Still, your clinical instructor may think otherwise so just modify the NCP as necessary. This, after all, is a SAMPLE nursing care plan.
Sample NCP for Laryngeal Cancer
Respiratory Disorders: Laryngeal Cancer