Identify risk factors associated with laryngeal cancer

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Reference no: EM133844892

Overview

Most head and neck cancers arise from squamous cells that line the mucosal surfaces of the head and neck region. The cancer is identified according to the area of origin (e.g., paranasal sinuses, oral cavity, nasopharynx, oropharynx, larynx). Clinical manifestations vary with the tumor location. Diagnosis is made using indirect laryngoscopy, CT scan, MRI, and tissue biopsies, with treatment being dependent upon the stage of the disease. Stage I or II head and neck cancers can often be treated successfully with radiation therapy or larynx-sparing surgery. Advanced lesions are treated with various combinations of surgery, radiation, chemotherapy, and immunotherapy and targeted therapy. A total laryngectomy may be required along with either a modified or radical neck dissection. Interprofessional care following a total laryngectomy necessitates a priority focus on respiratory and nutritional needs of the patient.

Case Study

P.M. is a 65-year-old male admitted to the ICU following a radical neck dissection and tracheostomy for treatment of laryngeal cancer. P.M. is currently on a mechanical ventilator and sedated. However, he does open his eyes and squeeze your hand on command. Auscultation of his lungs reveals bilateral wheezes. Vital signs are as follows: BP 130/70, heart rate (HR) 116 beats/min, respiratory rate (RR) 18/min, and temperature 36.4°C (97.5°F). The cardiac monitor indicates sinus tachycardia.

Questions

1. Identify risk factors associated with laryngeal cancer.

2. Identify relevant assessment findings for a patient with laryngeal cancer.

3. Evaluate results of diagnostic studies for a postoperative patient following surgery for laryngeal cancer.

4. Develop a nursing care plan for a patient undergoing a radical neck dissection.

5. Prioritize nursing care of a patient with a tracheostomy.

6. Appropriately delegate nursing activities for a postoperative patient following surgery for laryngeal cancer.

7. Formulate an individualized teaching plan for a patient post-laryngectomy.

Reference no: EM133844892

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